Surepoint Emergency Center Stephenville

CLIA Laboratory Citation Details

1
Total Citation
26
Total Deficiencyies
13
Unique D-Tags
CMS Certification Number 45D2132143
Address 2108 W Washington Street Suite 184, Stephenville, TX, 76401
City Stephenville
State TX
Zip Code76401
Phone(254) 434-2093

Citation History (1 survey)

Survey - August 5, 2019

Survey Type: Complaint, Standard

Survey Event ID: 6KD711

Deficiency Tags: D0000 D2000 D2006 D2007 D2010 D0000 D2000 D2006 D2007 D2010 D2087 D5415 D6000 D6016 D6029 D6063 D6065 D6066 D2087 D5415 D6000 D6016 D6029 D6063 D6065 D6066

Summary:

Summary Statement of Deficiencies D0000 Noted deficiencies and plans of correction were discussed with the laboratory representatives at the entrance and exit conferences. The facility representatives were given an opportunity to provide evidence of compliance with the noted deficiencies, and no such evidence was provided prior to survey exit. The facility was found to be NOT in compliance with the CLIA conditions for specialties/subspecialties surveyed for 45 CFR 493.801 Enrollment and Testing of Samples 493.1403 Laboratory Director, (moderate complexity). 493.1421 Testing Personnel (moderate complexity) 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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