Summitmd Dermatology Sun City West

CLIA Laboratory Citation Details

1
Total Citation
17
Total Deficiencyies
17
Unique D-Tags
CMS Certification Number 03D2291260
Address 13940 W Meeker Blvd Ste 135, Sun City West, AZ, 85375
City Sun City West
State AZ
Zip Code85375
Phone(623) 248-4425

Citation History (1 survey)

Survey - July 16, 2025

Survey Type: Standard

Survey Event ID: YJLT11

Deficiency Tags: D0000 D5203 D5291 D5391 D5407 D5433 D5787 D5891 D6103 D5028 D5217 D5311 D5403 D5413 D5607 D5791 D6093

Summary:

Summary Statement of Deficiencies D0000 An initial survey was performed on July 16, 2025. The facility was found to be NOT in compliance with the following CLIA conditions for specialties/subspecialties surveyed for 42 CFR: 493.1219 - Condition: Histopathology D5028 HISTOPATHOLOGY CFR(s): 493.1219 If the laboratory provides services in the subspecialty of Histopathology, the laboratory must meet the requirements specified in 493.1230 through 493.1256, 493. 1273, and 493.1281 through 493.1299. This CONDITION is not met as evidenced by: Based on surveyor review of Histopathology records and laboratory personnel interviews, the laboratory failed establish policies and procedures to ensure positive identification of a patient's Mohs specimen (Refer to D5203); failed to verify the accuracy of Mohs testing from 6/14/24 through 7/16/25 (Refer to D5217); failed to establish QA policies and procedures and failed to document QA activities (Refer to D5291, D5391, D5791 and D5891); failed to establish policies for slide labeling (Refer to D5311); failed to ensure the Mohs test procedure included control procedures,

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