Southern Crescent Pediatrics Pc

CLIA Laboratory Citation Details

2
Total Citations
10
Total Deficiencyies
9
Unique D-Tags
CMS Certification Number 11D0958145
Address 191 Fairview Road, Ellenwood, GA, 30294
City Ellenwood
State GA
Zip Code30294
Phone(770) 389-5500

Citation History (2 surveys)

Survey - August 12, 2021

Survey Type: Standard

Survey Event ID: MXTM11

Deficiency Tags: D0000 D5311

Summary:

Summary Statement of Deficiencies D0000 On August 27, 2021 an off site follow-up review was completed. The report revealed that

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Survey - February 26, 2019

Survey Type: Standard

Survey Event ID: RUNK11

Deficiency Tags: D0000 D5221 D5291 D5429 D5439 D6015 D6020 D6021

Summary:

Summary Statement of Deficiencies D0000 A Clinical Laboratory Improvement Amendments (CLIA) recertification survey was completed on February 26, 2019. The laboratory was not in compliance with applicable CLIA requirements found at 42 CFR 493.1 through 42 CFR 493.1780. The following deficiency was cited: D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(d) All proficiency testing evaluation and verification activities must be documented. This STANDARD is not met as evidenced by: Based on review of proficiency test (PT) records and staff interviews, the lab failed to document

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