South Texas Clinic For Pain Management Pa

CLIA Laboratory Citation Details

2
Total Citations
37
Total Deficiencyies
11
Unique D-Tags
CMS Certification Number 45D2181116
Address 4101 S Shary Road, Ste 101-A, Mission, TX, 78572
City Mission
State TX
Zip Code78572
Phone956 687-8120
Lab DirectorSHAHID RASHID

Citation History (2 surveys)

Survey - November 16, 2021

Survey Type: Standard

Survey Event ID: 8U9Q11

Deficiency Tags: D2009 D5439 D5805 D6013 D0000 D2009 D5439 D5805 D6013 D6018 D6033 D6034 D6065 D6066 D6018 D6033 D6034 D6063 D6063 D6065 D6066

Summary:

Summary Statement of Deficiencies D0000 Intakes #TX00398673 An unannounced complaint investigation was performed on November 16, 2021. The complaint was substantiated. The laboratory was found out of compliance with the following CONDITION LEVEL DEFICIENCIES: D6033 - 42 C.F.R. 493.1409 Condition: Laboratories performing moderate complexity testing; technical consultant. D6063 - 42 C.F.R. 493.1412 Condition: Laboratories performing moderate complexity testing; testing personnel. Noted deficiencies and plans of correction were discussed with the laboratory representative(s) at the exit conference. The facility representative(s) were given an opportunity to provide evidence of compliance with the noted deficiencies, and no such evidence was provided prior to survey exit. Note: The CMS-2567 (Statement of Deficiencies) is an official, legal document. All information must remain unchanged except for entering the

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Survey - November 16, 2021

Survey Type: Complaint

Survey Event ID: POMO11

Deficiency Tags: D0000 D5439 D5805 D6033 D6034 D6063 D6065 D6066 D0000 D5439 D5805 D6033 D6034 D6063 D6065 D6066

Summary:

Summary Statement of Deficiencies D0000 The laboratory was found out of compliance with the following CONDITION LEVEL DEFICIENCIES: D6033 - 42 C.F.R. 493.1409 Condition: Laboratories performing moderate complexity testing; technical consultant. D6063 - 42 C.F.R. 493.1412 Condition: Laboratories performing moderate complexity testing; testing personnel. Noted deficiencies and plans of correction were discussed with the laboratory representative(s) at the exit conference. The facility representative(s) were given an opportunity to provide evidence of compliance with the noted deficiencies, and no such evidence was provided prior to survey exit. Note: The CMS-2567 (Statement of Deficiencies) is an official, legal document. All information must remain unchanged except for entering the

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