Uc Davis Dermatology, Mohs Laboratory

CLIA Laboratory Citation Details

1
Total Citation
4
Total Deficiencyies
4
Unique D-Tags
CMS Certification Number 05D0895787
Address 3301 C St, Ste 1356, Sacramento, CA, 95816
City Sacramento
State CA
Zip Code95816
Phone(916) 734-6111

Citation History (1 survey)

Survey - November 4, 2025

Survey Type: Standard

Survey Event ID: P91611

Deficiency Tags: D5203 D6082 D5217 D6089

Summary:

Summary Statement of Deficiencies D5203 SPECIMEN IDENTIFICATION AND INTEGRITY CFR(s): 493.1232 The laboratory must establish and follow written policies and procedures that ensure positive identification and optimum integrity of a patient's specimen from the time of collection or receipt of the specimen through completion of testing and reporting of results. This STANDARD is not met as evidenced by: Based on the surveyor's review of patient testing records, log sheet, final reports, and an interview with the supervisor on November 4, 2025; it was determined that the laboratory failed to follow established policies and procedures to ensure positive identification and optimum integrity of a patient's specimen from the time of collection or receipt of the specimen through completion of testing and reporting of results. The findings include: 1. The surveyor reviewed ten patient records for Histopathology and found the following discrepancies: a. Patient E24-8, examined on 1/2/2024 had a mismatch on the last name in the Mohs log sheet, differing from the electronic chart, slides, and Mohs map documentation. b. Patient J25-781, examined on 7/25/2025, was recorded in the Mohs log as stage III, while the electronic chart, slides, and Mohs map documented it as stage II. 2. No

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