Wellstar Dekalb Avenue Pc And Walk-In Clinic

CLIA Laboratory Citation Details

1
Total Citation
12
Total Deficiencyies
12
Unique D-Tags
CMS Certification Number 11D2183212
Address 670 Dekalb Avenue, Ne, Suite 106, Atlanta, GA, 30312
City Atlanta
State GA
Zip Code30312
Phone(470) 267-0570

Citation History (1 survey)

Survey - February 3, 2021

Survey Type: Standard

Survey Event ID: 0MPQ11

Deficiency Tags: D0000 D5400 D5403 D5413 D5441 D5469 D6000 D6004 D6033 D6044 D6073 D6074

Summary:

Summary Statement of Deficiencies D0000 Based on a CLIA recertification survey performed on February 3, 2021, this facility was found to not be in compliance with all applicable CLIA requirements found at 42 CFR 493.1 through 42 CFR 493.1780. D5400 ANALYTIC SYSTEMS CFR(s): 493.1250 Each laboratory that performs nonwaived testing must meet the applicable analytic systems requirements in 493.1251 through 493.1283, unless HHS approves a procedure, specified in Appendix C of the State Operations Manual (CMS Pub.7), that provides equivalent quality testing. The laboratory must monitor and evaluate the overall quality of the analytic systems and correct identified problems as specified in 493.1289 for each specialty and subspecialty of testing performed. This CONDITION is not met as evidenced by: Based on Hematology quality control (QC) document review and staff interview, the laboratory failed to monitor and evaluate the overall quality of the analytic systems and correct identified problems as required. Findings include: For details refer to D5441 and D5469 D5403 PROCEDURE MANUAL CFR(s): 493.1251(b) The procedure manual must include the following when applicable to the test procedure: (1) Requirements for patient preparation; specimen collection, labeling, storage, preservation, transportation, processing, and referral; and criteria for specimen acceptability and rejection as described in 493.1242. (2) Microscopic examination, including the detection of inadequately prepared slides. (3) Step-by-step performance of the procedure, including test calculations and interpretation of results. (4) Preparation of slides, solutions, calibrators, controls, reagents, stains, and other Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 6 -- materials used in testing. (5) Calibration and calibration verification procedures. (6) The reportable range for test results for the test system as established or verified in 493.1253. (7) Control procedures. (8)

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