Tooele Dermatology

CLIA Laboratory Citation Details

2
Total Citations
6
Total Deficiencyies
3
Unique D-Tags
CMS Certification Number 46D2193220
Address 2321 N 400 E, #200, Tooele, UT, 84074
City Tooele
State UT
Zip Code84074
Phone(435) 830-6110

Citation History (2 surveys)

Survey - January 23, 2024

Survey Type: Standard

Survey Event ID: MC6F11

Deficiency Tags: D5417 D5417

Summary:

Summary Statement of Deficiencies D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(d) Reagents, solutions, culture media, control materials, calibration materials, and other supplies must not be used when they have exceeded their expiration date, have deteriorated, or are of substandard quality. This STANDARD is not met as evidenced by: Based on direct observation and interview with histotechnician, the laboratory failed to ensure that the Potassium Hydroxide reagent was not used past the expiration date. The laboratory performs approximately 15-20 mycology tests annually. Findings Include: 1. Direct observation of Potassium Hydroxide on 1/23/2024 at 12:00 PM, revealed the Potassium Hydroxide, lot number 0043, had an expiration date of 2022-2- 12. 2. Interview with the histotechnician at 12:00 PM on 1/23/2024, confirmed the Potassium Hydroxide was used for patient testing past the expiration date. 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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Survey - August 31, 2021

Survey Type: Standard

Survey Event ID: JC2511

Deficiency Tags: D5293 D5413 D5293 D5413

Summary:

Summary Statement of Deficiencies D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT CFR(s): 493.1239(b)(c) (b) The general laboratory systems quality assessment must include a review of the effectiveness of

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