Vincere Molecular & Pathology Lab

CLIA Laboratory Citation Details

2
Total Citations
4
Total Deficiencyies
4
Unique D-Tags
CMS Certification Number 03D2183334
Address 7469 E Monte Cristo Ave Ste 100, Scottsdale, AZ, 85260
City Scottsdale
State AZ
Zip Code85260
Phone(480) 306-5390

Citation History (2 surveys)

Survey - May 13, 2025

Survey Type: Standard

Survey Event ID: B52K11

Deficiency Tags: D5805

Summary:

Summary Statement of Deficiencies D5805 TEST REPORT CFR(s): 493.1291(c) (c) The test report must indicate the following: (c)(1) For positive patient identification, either the patient's name and identification number, or a unique patient identifier and identification number. (c)(2) The name and address of the laboratory location where the test was performed. (c)(3) The test report date. (c)(4) The test performed. (c)(5) Specimen source, when appropriate. (c)(6) The test result and, if applicable, the units of measurement or interpretation, or both. (c)(7) Any information regarding the condition and disposition of specimens that do not meet the laboratory's criteria for acceptability. This STANDARD is not met as evidenced by: Based on review of pathology test reports from 11/11/24 through 5/09/25 and interview with the testing personnel (TP-1), the laboratory failed to include on the test report the laboratory name and address where the gross description was performed. Findings include: 1. The laboratory performs the gross description (technical component) of pathology specimens in the subspecialty of Histopathology with a reported annual test volume of 100. It is the practice of the laboratory to perform the gross description and processing of the specimen. The slide(s) and block(s) are then sent to another CLIA-certified laboratory to perform the microscopic interpretation and issue the final diagnosis (professional component). 2. Review of 42 out of 42 final pathology reports from 11/11/24 through 5/09/25 failed to include the name and address of the laboratory where the gross description was performed. The final pathology reports reviewed stated, "The technical and professional component was performed at AmeriPath Indianapolis, PC, 3495 Hacks Cross Rd, Memphis, TN 38125, CLIA# 44D0915029." 3. The TP-1 interviewed on 5/13/25 at 12:50 PM confirmed that the gross descriptions for the pathology cases indicated above were performed by Vincere Molecular & Pathology Lab located at 7469 E Monte Cristo Ave, Ste 100, Scottsdale, AZ 85260, and acknowledged the laboratory name and Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 2 -- address where the gross description was performed was not indicated on the pathology reports issued by the laboratory. -- 2 of 2 --

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Survey - February 1, 2023

Survey Type: Standard

Survey Event ID: 5EJA11

Deficiency Tags: D2009 D5801 D5413

Summary:

Summary Statement of Deficiencies D2009 TESTING OF PROFICIENCY TESTING SAMPLES CFR(s): 493.801(b)(1) The individual testing or examining the samples and the laboratory director must attest to the routine integration of the samples into the patient workload using the laboratory's routine methods. This STANDARD is not met as evidenced by: Based on review of proficiency testing (PT) records from 2021 for testing performed by the laboratory and interview with the facility personnel, the testing personnel failed to sign the PT attestation statements. Findings include: 1. The laboratory performs SARS-CoV-2 (COVID-19) testing using a PCR test that is authorized for use by the FDA under an Emergency Use Authorization (EUA), with an approximate annual test volume of 100. The laboratory participates in three PT events annually. 2. The PT attestation statements presented for review for the first, second and third events of 2021 lacked the testing personnel's signature. 3. The facility personnel interviewed on 2/01/23 at 1:40pm confirmed that the PT attestation statements indicated above were not signed by the testing personnel. D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(b) The laboratory must define criteria for those conditions that are essential for proper storage of reagents and specimens, accurate and reliable test system operation, and test result reporting. The criteria must be consistent with the manufacturer's instructions, if provided. These conditions must be monitored and documented and, if applicable, include the following: (1) Water quality. (2) Temperature. (3) Humidity. (4) Protection of equipment and instruments from fluctuations and interruptions in electrical current that adversely affect patient test results and test reports. Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 2 -- This STANDARD is not met as evidenced by: Based on lack of humidity documentation for review and interview with the laboratory director, the laboratory failed to monitor and document the ambient humidity that is essential for proper storage of reagents and specimens, accurate and reliable test system operation, and test result reporting. Findings include: 1. The laboratory performs testing under the sub-specialties of Virology and Routine Chemistry, with an approximate annual test volume of 1,600. The laboratory began PSA testing on the Frend analyzer in October 2022 and began SARS-CoV-2 (COVID- 19) testing on the QuantStudio 7 analyzer in February 2021. 2. No documentation was presented for review during the survey conducted on February 1, 2023 to indicate the laboratory monitored and documented the humidity of the room where the PSA testing occurs. The manufacturer's ambient humidity requirement for the Frend analyzer is 10-80%. 3. No documentation was presented for review during the survey conducted on February 1, 2023 to indicate the laboratory monitored and documented the humidity of the room where the COVID-19 testing occurs. The manufacturer's ambient humidity requirement for the QuantStudio 7 analyzer is 15-85%. 4. The laboratory director interviewed on 2/01/23 at 4:10pm confirmed that the laboratory failed to monitor and document the ambient humidity of the rooms where testing occurs, as indicated above. D5801 TEST REPORT CFR(s): 493.1291(a) The laboratory must have an adequate manual or electronic system(s) in place to ensure test results and other patient-specific data are accurately and reliably sent from the point of data entry (whether interfaced or entered manually) to final report destination, in a timely manner. This includes the following: (a)(1) Results reported from calculated data. (a)(2) Results and patient-specific data electronically reported to network or interfaced systems. (a)(3) Manually transcribed or electronically transmitted results and patient-specific information reported directly or upon receipt from outside referral laboratories, satellite or point-of-care testing locations. This STANDARD is not met as evidenced by: Based on review of patient test reports and interview with the laboratory director, the laboratory failed to have a system in place to ensure the accuracy of test results that are manually entered into the Laboratory Information System (LIS). Findings include: 1. The laboratory began testing for PSA (Prostrate Specific Antigen) on the Frend analyzer in the specialty of Chemistry in October 2022, with an approximate annual test volume of 1,500. 2. The PSA test results are manually entered by testing personnel into the laboratory's LIS. 3. No documentation was presented for review during the survey conducted on February 1, 2023 to indicate the laboratory has a system in place to ensure the accuracy of patient test results that are manually entered from the analyzer to the LIS. 4. The laboratory director interviewed on 2/01/23 at 3: 20pm confirmed that the laboratory did not have a system in place to verify the accuracy of the patient test results that are manually entered from the analyzer to the LIS. -- 2 of 2 --

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