Sunshine State Dermatology And Skin Cancer

CLIA Laboratory Citation Details

1
Total Citation
2
Total Deficiencyies
2
Unique D-Tags
CMS Certification Number 10D2288565
Address 12497 S Tamiami Trail, Unit 1, North Port, FL, 34287
City North Port
State FL
Zip Code34287
Phone(941) 282-3376

Citation History (1 survey)

Survey - October 6, 2025

Survey Type: Standard

Survey Event ID: U4YX11

Deficiency Tags: D5219 D0000

Summary:

Summary Statement of Deficiencies D0000 An announced CLIA recertification survey was conducted at Sunshine State Dermatology and Skin Cancer Center, Inc on 10/06/2025. The laboratory was surveyed under 42 CFR Part 493 CLIA requirements. Standard deficiencies cited are as follows: D5219 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(c)(2) (c)(2) Any test or procedure listed in subpart I of this part for which compatible proficiency testing samples are not offered by a CMS-approved proficiency testing program. This STANDARD is not met as evidenced by: Based on record review and interview, two of two Testing Personnel (TP-A and TP- B) failed to perform twice annual Parasitology (Scabies) verification of accuracy testing from 3/2024-10/2025. Findings include: 1. Review of the CMS-209 Laboratory Personnel Report signed and dated by the Laboratory Director 9/30/2025, listed two Testing Personnel (TP-A and TP-B) who performed Parasitology (Scabies). Both TP-A and TP-B had been listed as performing Parasitology (Scabies) on the CMS-209 Laboratory Personnel Report signed and dated by the Laboratory Director 3 /07/2024. 2. Scabies proficiency testing worksheet recorded only one proficiency record for TP-B dated 4/28/2025. There failed to be any Scabies proficiency testing worksheet for TP-A. 3. The Compliance Manager on 10/06/2025 at 12:05 p.m. confirmed the laboratory failed to perform twice annual Parasitology (Scabies) verification of accuracy testing from 3/20204-10/2025. 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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