Woman's Clinic, The

CLIA Laboratory Citation Details

2
Total Citations
92
Total Deficiencyies
50
Unique D-Tags
CMS Certification Number 19D0464567
Address 711 St John Street, Monroe, LA, 71201
City Monroe
State LA
Zip Code71201
Phone(318) 388-4030

Citation History (2 surveys)

Survey - June 11, 2019

Survey Type: Standard

Survey Event ID: B0U911

Deficiency Tags: D0000 D5417 D5781 D6014 D6024 D6024 D6036 D6036

Summary:

Summary Statement of Deficiencies D0000 A Certification Survey was performed on June 11, 2019 at The Women's Clinic, CLIA ID # 19D0464567. The laboratory was found in compliance with 42 CFR 493 Requirements for Laboratories; however, standard level deficiencies were cited. 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 observation and interview with personnel, the laboratory failed to ensure blood collection supplies have not exceeded their expiration date. Findings: 1. Observation by surveyor during laboratory tour on June 11, 2019 revealed the following expired items located on a phlebotomy tray: a) BD Vacutainer SST 3.5 mL blood collection tubes, Lot # 8003589, Expiration date 12/31/18, Quantity: six (6) tubes 2. In interview on June 11, 2019 at 10:35am, Personnel 5 stated the blood collection tubes are used to draw patients during clinic hours. Personnel 5 confirmed the identified items were expired and in place for patient testing. D5781

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Survey - February 20, 2018

Survey Type: Standard

Survey Event ID: FYG112

Deficiency Tags: D5311 D5317 D5300 D5305 D5311 D5317 D5391 D5400 D5425 D5429 D5437 D5445 D5449 D1001 D5209 D5391 D5400 D5403 D5413 D5421 D5423 D5403 D5413 D5421 D5423 D5425 D5429 D5437 D5445 D5449 D6000 D6006 D6013 D6020 D6021 D5481 D5775 D5779 D5791 D5805 D5481 D5775 D5779 D5791 D5805 D6000 D6006 D6013 D6020 D6021 D6031 D6033 D6040 D6042 D6076 D6081 D6086 D6087 D6093 D6094 D6095 D6106 D6108 D6112 D6117 D6031 D6033 D6040 D6042 D6076 D6081 D6086 D6087 D6093 D6094 D6095 D6106 D6108 D6112 D6115 D6117 D6118 D6115 D6118

Summary:

Summary Statement of Deficiencies No Tags No deficiency details available. 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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