Suncoast Labs Llc

CLIA Laboratory Citation Details

1
Total Citation
2
Total Deficiencyies
2
Unique D-Tags
CMS Certification Number 10D2260316
Address 1112 Third Street Suite 7, Neptune Beach, FL, 32266
City Neptune Beach
State FL
Zip Code32266
Phone(904) 372-7111

Citation History (1 survey)

Survey - October 27, 2022

Survey Type: Standard

Survey Event ID: ZX2Q11

Deficiency Tags: D5425 D0000

Summary:

Summary Statement of Deficiencies D0000 At the time of the announced, on-site initial certification survey, Suncoast Labs Llc, was found to be NOT in compliance with the CLIA laboratory requirements of 42 CFR 493. D5425 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE CFR(s): 493.1253(b)(3) The laboratory must determine the test system's calibration procedures and control procedures based upon the performance specifications verified or established under paragraph (b)(1) or (b)(2) of this section. This STANDARD is not met as evidenced by: Based on record review and staff interview, the facility failed to develop a means to detect cross contamination of patient samples throughout the entire testing process since the laboratory opened in August 2022. The findings include: The record review of patient testing records showed the facility adds positive and negative control material to the amplification stage of testing, but has no control material testing from extraction through amplification. Laboratories performing molecular amplification procedures should have a mechanism to detect cross-contamination of patient specimens. This may be accomplished by including a "blank" or "No-Template Control" with each run of patient specimen testing. The interview with testing person A on 10/27/22 at 11:00am confirmed no quality control to determine cross- contamination was performed from extraction and followed through to amplification. Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 1 --

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