Unitypoint Clinic

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 16D0385165
Address 319 Sergeant Square Drive, Sergeant Bluff, IA, 51054
City Sergeant Bluff
State IA
Zip Code51054
Phone(712) 224-4300

Citation History (1 survey)

Survey - October 9, 2018

Survey Type: Standard

Survey Event ID: W7IZ11

Deficiency Tags: D6054

Summary:

Summary Statement of Deficiencies D6054 TECHNICAL CONSULTANT RESPONSIBILITIES CFR(s): 493.1413(b)(9) The technical consultant is responsible for evaluating and documenting the performance of individuals responsible for moderate complexity testing at least annually, after the first year. This STANDARD is not met as evidenced by: Based on review of personnel records and confirmed by laboratory personnel identifier #3 (refer to the Laboratory Personnel Report) at approximately 1:30 pm on 10/09/2018, the technical consultant failed to assess and document the competency of individuals performing moderate complexity testing at least annually for two out of two testing personnel (laboratory personnel identifiers #3 and #4) in 2016 and 2017. 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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