Wray Dermatology

CLIA Laboratory Citation Details

1
Total Citation
2
Total Deficiencyies
2
Unique D-Tags
CMS Certification Number 13D2306016
Address 500 S 11th Ave Ste 301, Pocatello, ID, 83201
City Pocatello
State ID
Zip Code83201
Phone(986) 228-8765

Citation History (1 survey)

Survey - May 9, 2025

Survey Type: Standard

Survey Event ID: VHYB11

Deficiency Tags: D0000 D5217

Summary:

Summary Statement of Deficiencies D0000 During an offsite paper revisit the laboratory was found to be in compliance with CLIA regulations (42 CFR Part 493 effective April 24, 2003.), all previous deficiencies found were corrected. D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(c)(1) At least twice annually, the laboratory must verify the accuracy of any test or procedure it performs that is not included in subpart I of this part. This STANDARD is not met as evidenced by: Based on a lack of Mohs bi-annual verification documentation and an interview with the laboratory director on 5/9/2025, the laboratory failed to verify the accuracy of Mohs slide examinations at least twice annually. The findings include: 1. A lack of bi- annual verification documentation identified that the laboratory failed to verify the accuracy of Mohs slide examinations since beginning testing in August 2024. 2. An interview with the laboratory director on 5/9/2025 at 10:09 am confirmed that the laboratory did not verify the accuracy of Mohs slide examination since beginning testing in August 2024. 3. The laboratory reports performing 150 Mohs slide examinations annually. 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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