Tgen North, Clinical Laboratory

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 03D2180037
Address 3051 W Shamrell Blvd, Ste 106, Flagstaff, AZ, 86005
City Flagstaff
State AZ
Zip Code86005
Phone(928) 226-6350

Citation History (1 survey)

Survey - July 14, 2022

Survey Type: Standard

Survey Event ID: LE9O11

Deficiency Tags: D6127

Summary:

Summary Statement of Deficiencies D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES CFR(s): 493.1451(b)(9) The technical supervisor is responsible for evaluating and documenting the performance of individuals responsible for high complexity testing at least semiannually during the first year the individual tests patient specimens. This STANDARD is not met as evidenced by: Based on lack of documentation of a semi-annual competency evaluation for one testing personnel and interview with the facility personnel, the technical supervisor failed to evaluate and document the performance of an individual responsible for high complexity testing at least semiannually during the first year the individual tested patient specimens. Findings include: 1. No semi-annual competency evaluation documentation was presented for review for one testing personnel who was initially trained in September 2020. 2. During the survey conducted on July 14, 2022 at approximately 1:30pm, the facility personnel confirmed that the laboratory failed to have documentation of a semi-annual competency evaluation for the testing personnel indicated above. 3. The laboratory began patient testing on March 16, 2020 in the sub- specialty of Virology, with an approximate annual test volume of 18,182. 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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