clia annual laboratory registry 2012 · (iv) if the laboratory has achieved compliance, the...

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CLIA ANNUAL LABORATORY REGISTRY 2012 Once a year the Centers for Medicare and Medicaid Services makes available to physicians and to the general public specific information (including information provided to CMS by the Office of the Inspector General) that is useful in evaluating the performance of laboratories. The Clinical Laboratory Improvement Amendments of 1988 (CLIA) and implementing regulations at 42 CFR 493.1850 require that this listing include the following: (1) A list of laboratories that have been convicted, under Federal or State laws relating to fraud

and abuse, false billing, or kickbacks. (2) A list of laboratories that have had principal sanctions imposed; their CLIA certificates

suspended, limited, or revoked, and the reasons for the adverse actions. (3) A list of persons who have been convicted of violating CLIA requirements, as specified in

section 353(1) of the PHS Act, together with circumstances of each case and the penalties imposed.

(4) A list of laboratories on which alternative sanctions have been imposed, showing--

(i) the effective date of the sanctions; (ii) the reason for imposing them; (iii) any corrective action taken by the laboratory; (iv) if the laboratory has achieved compliance, the verified date of compliance.

(5) A list of laboratories whose accreditation has been withdrawn or revoked and the reasons

for the withdrawal or revocation. (6) All appeals and hearing decisions. (7) A list of laboratories against which CMS has brought suit under Section 493.1846 and the

reasons for those actions. (8) A list of laboratories that have been excluded from participation in Medicare or Medicaid

and the reasons for exclusion. Civil settlements reached with clinical laboratories are also noted. The Laboratory Registry is compiled for the calendar year preceding the date the information is made available and also contains corrections of any erroneous statements of information that appeared in the previous registry. A final section includes other specific information that may be useful in evaluating the performance of laboratories, as specified in 42 CFR 493.1850(a). It also includes information provided by CLIA exempt states.

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2012 CLIA LAB REGISTRY (AS REQUIRED BY SECTION 353(N) OF THE PUBLIC HEALTH SERVICE ACT) ACTIVITY 01/01/2012 - 12/31/2012 1. LABORATORIES SUBJECT TO CLIA THAT HAVE BEEN CONVICTED, UNDER FEDERAL OR STATE LAWS RELATING TO FRAUD AND ABUSE, FALSE BILLING, OR KICKBACKS. *** N O D A T A F O U N D ***

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2. LABORATORIES THAT HAVE HAD THEIR CLIA CERTIFICATE SUSPENDED, LIMITED, OR REVOKED, AND THE REASON FOR THE ADVERSE ACTION. (MEDICARE CANCELLATION, A PRINCIPAL SANCTIONS, HAVE BEEN INCLUDED IN THIS CATEGORY.) VIR NANDA MD, DIRECTOR HIGH DESERT MEDICAL ONCOLOGY CTR 12998 HESPERIA RD #204 VICTORVILLE, CA 92395 CLIA ID# 05D0686530 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: OCTOBER 12, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE UNSUCCESSFUL PROFICIENCY TESTING CHRISTOPER DOTSON JR, DIRECTOR YOULOM MEDICAL CORPORATION DBA EVE SURGICAL CENTER-WEST LOS ANGELES 10150 NATIONAL BLVD LOS ANGELES, CA 90034 CLIA ID# 05D0872079 SANCTION: REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: JANUARY 12, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE UNSUCCESSFUL PROFICIENCY TSTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION EXPREST INC 1101 E BROADWAY STE 110 GLENDALE, CA 91205 CLIA ID# 05D2036930 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: JULY 11, 2012 AUGUST 30, 2012 REASON: MISREPRESENTATION IN OBTAINING A CLIA CERTIFICATE

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CAROL ANDREWS M.D., DIRECTOR PENSACOLA PEDIATRICS PA 4951 GRANDE DR PENSACOLA, FL 32504 CLIA ID# 10D0271087 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: DECEMBER 23, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: LAB VOLUNTARILY CEASED TESTING JONATHAN COHEN M.D., DIRECTOR ONCOLOGY & RADIATION ASSOCIATES PA 1321 NW 14TH ST STE 207 MIAMI, FL 33125 CLIA ID# 10D0280614 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: DECEMBER 10, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: LAB VOLUNTARILY CEASED TESTING BARRY MOSKOWITZ, DIRECTOR BARRY M MOSKOWITZ DPM 18525 W DIXIE HWY MIAMI, FL 33180 CLIA ID# 10D0283888 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: JANUARY 17, 2012 JANUARY 17, 2012 REASON: CANCELLATION OF MEDICARE APPROVAL REVOCATION

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JAMES BANNISTER, DIRECTOR MEDICAL ARTS LABORATORY NEW SMYRNA BEACH INC 257 N CAUSE WAY NEW SMYRNA BEACH, FL 32169 CLIA ID# 10D0645062 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: DECEMBER 10, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: LAB VOLUNTARILY CEASED TESTING SEAN KAUFMAN, DIRECTOR FLORIDA REFERENCE LABORATORY INC 7109 SW 43RD ST MIAMI, FL 33155 CLIA ID# 10D0942188 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: DECEMBER 23, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: LAB VOLUNTARILY CEASED TESTING GODWIN DURUNNAH, DIRECTOR QUANTUM DIAGNOSTICS LAB 2740 JEFFERSON STREET, SUITE B AUSTELL, GA 30168 CLIA ID# 11D1096872 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: AUGUST 26, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: LAB VOLUNTARILY CEASED TESTING

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ROBERT DE CRESCE, MD, DIRECTOR RUSH DEPARTMENT OF PATHOLOGY RUSH UNIVERSITY MEDICAL CENTER 1653 W CONGRESS PARKWAY - ROOM 532 JELKE CHICAGO, IL 60612 CLIA ID# 14D0696069 SANCTION: CIVIL MONEY PENALTY EFFECTIVE DATE: MAY 9, 2012 REASON: IMPROPER PROFICIENCY TESTING REFERRAL ACTIVITIES STATUS: COMPLIANCE ACHIEVED BRIJNANDAN SODHI, DIRECTOR SODHI MEDICAL SERVICES 1010 W CLAY ST DANVILLE, IL 61832 CLIA ID# 14D0861025 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: JULY 03, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO CORRECT DEFICIENCIES STATUS: SUSPENSION AND LIMITATION LIFTED COMPLIANCE ACHIEVED CHRISTOPHER CHALOKWU, PHD FGS, DIRECTOR MEDICAL ASSAY LABORATORY INC 6006-A S CASS AVE WESTMONT, IL 60559 CLIA ID# 14D1044662 SANCTION: REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: JANUARY 30, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY STATUS: SUSPENSION AND LIMITATION LIFTED COMPLIANCE ACHIEVED

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JOHN S. RINEHART, DIRECTOR REPRODUCTIVE MEDICINE INSTITUTE 3825 HIGHLAND AVE, STE 2M DOWNERS GROVE, IL 60515 CLIA ID# 14D1094724 SANCTION: CIVIL MONEY PENALTY EFFECTIVE DATE: JULY 18, 2012 REASON: IMPROPER PROFICIENCY TESTING REFERRAL ACTIVITIES STATUS: COMPLIANCE ACHIEVED JUDY LYZAK, DIRECTOR ALVERNO CLINICAL LABORATORIES LLC-HANNOND 2434 INTERSTATE PLAZA DR HAMOND, IN 46324 CLIA ID# 15D0355830 SANCTION: REVOCATION OF CLIA CERTIFICATE EEFECTIVE DATE: MAY 15, 2012 REASON: IMPROPER PROFICIENCY TESTING REFERRAL ACTIVITIES BETTY HANKS, DIRECTOR LIBERTY LABORATORY INC 929 A 12TH ST TELL CITY, IN 47586 CLIA ID# 15D1019268 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: OCTOBER 16, 2012 OCTOBER 16, 2012 OCTOBER 16, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY

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GEORGE WATSON, DIRECTOR GEORGE A WATSON MD 1228 ASHLEY CIRCLE BOWLING GREEN, KY 42104 CLIA ID# 18D0694487 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: AUGUST 29, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: LAB VOLUNTARILY CEASED TESTING COMPLIANCE ACHIEVED SHANNON CEASAR, DIRECTOR PMA MEDICAL TREATMENT CENTERS 613 WILLIAMS BOULEVARD KENNER, LA 70062 CLIA ID# 19D0918127 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: SEPTEMBER 05, 2012 SEPTEMBER 05, 2012 REASON: FAILURE TO CORRECT DEFICIENCIES FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION CANCELLATION OF MEDCARE APPROVAL 2 YEAR PROHIBIT FROM OWN, OPERATE, OR DIRECT MEDICARE CANCELLATION/SUSPENSION STATUS: REVOCATION OF CLIA CERTIFICATE LEONARD BERMAN M.D., DIRECTOR ROXBURY COMPREHENSIVE COMMUNITY HEALTH CENTER 435 WARREN STREET ROXBURY, MA 02119 CLIA ID# 22D0075264 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL EFFECTIVE DATE: JULY 09, 2012 REASON: FAILURE TO CORRECT DEFICIENCIES CONDITION LEVEL NONCOMPLIANCE

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ROBERT IRELAND PHD DIRECTOR, DIRECTOR XUAN Q ZHANG MD 50 UNION STREET NEWTON, MA 02459 CLIA ID# 22D2026613 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL EFFECTIVE DATE: JULY 03, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY VICTOR AL MATCHY, DIRECTOR CLARK CENTER FOR COMPREHENSIVE MEDICINE PC 29521 FORD ROAD GARDEN CITY, MI 48135 CLIA ID# 23D1054401 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: JULY 10, 2012 JULY 10, 2012 REASON: CANCELLATION OF MEDICARE APPROVAL REVOCATION 2 YEAR PROHIBIT FROM OWN, OPERATE, OR DIRECT REVOCATION OF CLIA CERTIFICATE STATUS: REVOCATION OF CLIA CERTIFICATE VICTOR AL MATCHY MD, DIRECTOR TRINITY MEDICAL CENTER PC 37300 DEQUINDRE ROAD SUITE 120 STERLING HEIGHTS, MI 48310 CLIA ID# 23D1061015 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: NOVEMBER 05, 2012 NOVEMBER 05, 2012 REASON: FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION

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JED GORLIN M.D., DIRECTOR INNOVATIVE BLOOD RESOURCES D.B.A. MEMORIAL BLOOD CENTERS 737 PELHAM BLVD SAINT PAUL, MN 55114 CLIA ID# 24D0663800 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: FEBRUARY 06, 2012 FEBRUARY 06, 2012 REASON: IMPROPER PROFICIENCY TESTING REFERRAL ACTIVITIES STATUS: COMPLIANCE ACHIEVED EHTAISHAM MOHAMMED, DIRECTOR SIBLEY MEDICAL CENTER- GAYLORD 660 - 3RD STREET GAYLORD, MN 55334 CLIA ID# 24D0665083 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: FEBRUARY 27, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE UNSUCCESSFUL PROFICIENCY TESTING ESTELA CHAN, DIRECTOR WEBSTER COUNTY COMMUNITY HOSPITAL SIXTH AVENUE & FRANKLIN STREET RED CLOUD, NE 68970 CLIA ID# 28D0679420 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: APRIL 19, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: SUSPENSION AND LIMITATION LIFTED

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MARIO PEICHEV, DIRECTOR STATEN ISLAND PEDIATRIC HEMATOLOGY/ONCOLOGY ASSOCIATES PLLC 314 SEAVIEW AVENUE STATEN ISLAND, NY 10305 CLIA ID# 33D1054360 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: NOVEMBER 19, 2012 NOVEMBER 19, 2012 REASON: FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION STATUS: COMPLIANCE ACHIEVED SANCTIONS RESCINDED VICTOR WOOD DO, DIRECTOR DOCTORS URGENT CARE LLC 51342 NATIONAL ROAD ST CLAIRSVILLE, OH 43950 CLIA ID# 36D0951411 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: MAY 03, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED LEONARD BERMAN MD DIRECTOR, DIRECTOR NEW ENGLAND PAIN ASSOCIATES 169 NORTH FRANKLIN ST HOLBROOK, MA 02343 CLIA ID# 41D1104242 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: MAY 07, 2012 DECEMBER 15, 2012 REASON: FAILURE TO CORRECT DEFICIENCIES CONDITION LEVEL NONCOMPLIANCE MEDICARE CANCELLATION/SUSPENSION

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LOCKE SIMON MD, DIRECTOR GREENWOOD COMMUNITY CHILDRENS CENTER 113 LINER DRIVE GREENWOOD, SC 29646 CLIA ID# 42D0252966 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: NOVEMBER 26, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: LAB VOLUNTARILY CEASED TESTING FORREST POMMERENKE, DIRECTOR DOCTORS CARE EAST NORTH 4200 EAST NORTH STREET, SUITE 5 GREENVILLE, SC 29615 CLIA ID# 42D0694393 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: NOVEMBER 26, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: LAB VOLUNTARILY CEASED TESTING GEORGE WOODBURY JR M.D., DIRECTOR RHEUMATOLOGY & DERMATOLOGY ASSOC PC 8143 WALNUT GROVE ROAD CORDOVA, TN 38018 CLIA ID# 44D0869618 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: JUNE 22, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: LAB VOLUNTARILY CEASED TESTING

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ROBERT HANSON M.D., DIRECTOR ROBERT E HANSON MD PA 3470 FANNIN SUITE 1 BEAUMONT, TX 77701 CLIA ID# 45D0497907 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: FEBRUARY 27, 2012 FEBRUARY 27, 2012 REASON: MEDICARE CANCELLATION/SUSPENSION FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION WILFREDO AVILES, DIRECTOR MID VALLEY PEDIATRICS 1313 E 6TH ST WESLACO, TX 78596 CLIA ID# 45D0677647 SANCTION: REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: SEPTEMBER 18, 2012 REASON: CANCELLATION OF MEDICARE APPROVAL 2 YEAR PROHIBIT FROM OWN, OPERATE, OR DIRECT MEDICARE CANCELLATION/SUSPENSION CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY IMPROPER PROFICIENCY

TESTING REFERRAL ACTIVITIES LAB OWNER PROHIBITED FROM OWNING LAB STATUS: REVOCATION OF CLIA CERTIFICATE WILFREDO AVILES, DIRECTOR DONNA MEDICAL CLINIC DONNA KIDS MED 104 DANIEL SALINAS BLVD DONNA, TX 78537 CLIA ID# 45D0929137 SANCTION: REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: SEPTEMBER 18, 2012 REASON: LAB OWNER/OPERATOR PROHIBITED FROM OWNING LAB 2 YEAR PROHIBIT FROM OWN, OPERATE, OR DIRECT STATUS: APPEAL FILED BY LAB HEARING DECISION SUSTAINED CMS SANCTION DETERMINED REVOCATION OF CLIA CERTIFICATE

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FRANCISCO GUERRA, DIRECTOR F J GUERRA MD PA 10965 BEN CRENSHAW DRIVE EL PASO, TX 79935 CLIA ID# 45D0965634 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: JANUARY 18, 2012 MARCH 06, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE POC 2 YEAR PROHIBIT FROM OWN, OPERATE, OR DIRECT CONDITION LEVEL NONCOMPLIANCE FAILURE TO CORRECT DEFICIENCIES WILFREDO AVILES, DIRECTOR MERCEDES KIDS MED MERCEDES CHILDRENS CLINIC 528 WEST 2ND MERCEDES, TX 78570 CLIA ID# 45D0985705 SANCTION: REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: SEPTEMBER 18, 2012 REASON: 2 YEAR PROHIBIT FROM OWN, OPERATE, OR DIRECT LAB OWNER/OPERATOR PROHIBITED FROM OWNING LAB STATUS: APPEAL FILED BY LAB, HEARING DECISION SUSTAINED CMS SANCTION DETERMINED, REVOCATION OF CLIA CERTIFICATE G ATHANASI ORFANOS MD, DIRECTOR G ATHANASI ORFANOS MD PEDIATRICS 2703 W TRENTON EDINBURG, TX 78539 CLIA ID# 45D0995218 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: MARCH 03, 2012 MARCH 03, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE UNSUCCESSFUL PROFICIENCY TESTING

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JOHN PORT, DIRECTOR GALAXY MRI & DIAGNOSTIC CENTER, LTD 1110 N GALLOWAY AVENUE MESQUITE, TX 75149 CLIA ID# 45D1103817 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL

REVOCATION OF CLIA CERTIFICATE SUSPENSION OF CLIA CERTIFICATE

EFFECTIVE DATE: JULY 23, 2012 JULY 23, 2012 SEPTEMBER 11, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION CANCELLATION OF MEDICARE APPROVAL FAILURE TO CORRECT DEFICIENCIES STATUS: REVOCATION OF CERTIFICATE GARY NORDYKE, DIRECTOR SE PEDIATRICS & ADOLESCENT MEDICINE 1725 E COLLEGE AVE SOUTH MILWAUKEE, WI 53172 CLIA ID# 52D0920917 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: MAY 29, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: SUSPENSION AND LIMITATION LIFTED COMPLIANCE ACHIEVED SANCTIONS RESCINDED AURELIO ESPINOLA MD, DIRECTOR GUAM DEPT PUBLIC HLTH & SOC SVCS CENTRAL LAB 123 CHALAN KARETA, RTE 10 MANGILAO, GU 96913 CLIA ID# 65D0662216 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: JANUARY 23, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: COMPLIANCE ACHIEVED

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3. A LIST OF PERSONS CONVICTED OF VIOLATING CLIA REQUIREMENTS AS SPECIFIED IN SECTION 353(1) OF THE PUBLIC HEALTH SERVICES ACT, WITH THE CIRCUMSTANCES OF EACH CASE AND THE PENALTIES IMPOSED. *** N O D A T A F O U N D ***

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4. A LIST OF LABORATORIES ON WHICH ALTERNATIVE SANCTIONS HAVE BEEN IMPOSED, SHOWING - (I) THE EFFECTIVE DATE OF THE SANCTIONS (II) THE REASON FOR IMPOSING THEM (III) ANY CORRECTIVE ACTION TAKEN BY THE LABORATORY AND (IV) IF LABORATORY HAS ACHIEVED COMPLIANCE, THE VERIFIED DATE OF THE COMPLIANCE DARLENE LEE, DIRECTOR LITTLE COLORADO MEDICAL CENTER 1501 N WILLIAMSON AVENUE WINSLOW, AZ 86047 CLIA ID# 03D0057925 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: APRIL 24, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE DANIEL MOLDEN MD DIRECTOR, DIRECTOR QUANTUM HEALTH,INC DBA PROMISE HOSPTAL OF SAN DIEGO 5550 UNIVERSITY AVE SAN DIEGO, CA 92105 CLIA ID# 05D0569893 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: FEBRUARY 22, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: COMPLIANCE ACHIEVED VIR NANDA MD, DIRECTOR HIGH DESERT MEDICAL ONCOLOGY CTR 12998 HESPERIA RD #204 VICTORVILLE, CA 92395 CLIA ID# 05D0686530 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: OCTOBER 10, 2012 OCTOBER 12, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE UNSUCCESSFUL PROFICIENCY TESTING

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TRACEY NORTON MD, DIRECTOR CATALINA ISLAND MEDICAL CENTER CLINICAL LABORATORY 100 FALLS CANYON RD AVALON, CA 90704 CLIA ID# 05D0710102 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JANUARY 25, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE UNSUCCESSFUL PROFICIENCY TESTING MUH YAU TANG, DIRECTOR BIOLOGICAL LABORATORY, INC 7208 GARFIELD AVE BELL GARDENS, GA 90201 CLIA ID# 05D0930143 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JUNE 8, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING CONDITION LEVEL NONCOMPLIANCE ARON BICK MD, DIRECTOR SYNERGY HEMATOLOGY ONCOLOGY MEDICAL ASSOC LAB 5363 BALBOA BOULEVARD, SUITE #345 ENCINO, CA 91316 CLIA ID# 05D1010428 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: DECEMBER 01, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE UNSUCCESSFUL PROFICIENCY TESTING REIER ALICE MD, DIRECTOR ALICE REIER MD 3300 WEBSTER ST STE 900 OAKLAND, CA 94609 CLIA ID# 05D1030082 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: DECEMBER 05, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE UNSUCCESSFUL PROFICIENCY TESTING

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MARTIN GAD, DIRECTOR BRANFORD PEDIATRICS & ALLERGY PC 784 EAST MAIN STREET BRANFORD, CT 06405 CLIA ID# 07D0095962 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: APRIL 20, 2012 REASON: UNSUCCESSFUL PROFICIENCY STATUS: COMPLIANCE ACHIEVED CAROL ANDREWS M.D., DIRECTOR PENSACOLA PEDIATRICS PA 4951 GRANDE DR PENSACOLA, FL 32504 CLIA ID# 10D0271087 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: DECEMBER 23, 2012 DECEMBER 23, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: LAB VOLUNTARILY CEASED TESTING JONATHAN COHEN M.D., DIRECTOR ONCOLOGY & RADIATION ASSOCIATES PA 1321 NW 14TH ST STE 207 MIAMI, FL 33125 CLIA ID# 10D0280614 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: DECEMBER 10, 2012 DECEMBER 10, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: LAB VOLUNTARILY CEASED TESTING

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JAMES BANNISTER, DIRECTOR MEDICAL ARTS LABORATORY NEW SMYRNA BEACH INC 257 N CAUSE WAY NEW SMYRNA BEACH, FL 32169 CLIA ID# 10D0645062 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: DECEMBER 10, 2012 DECEMBER 10, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: LAB VOLUNTARILY CEASED TESTING KURT STONESIFER M.D., DIRECTOR FLORIDA HOSPITAL TAMPA 3100 E FLETCHER AVE TAMPA, FL 33613 CLIA ID# 10D0645572 SANCTION: CIVIL MONEY PENALTY DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: NOVEMBER 27, 2012 NOVEMBER 27, 2012 REASON: IMPROPER PROFICIENCY TESTING REFERRAL ACTIVITIES STATUS: COMPLIANCE ACHIEVED SEAN KAUFMAN, DIRECTOR FLORIDA REFERENCE LABORATORY INC 7109 SW 43RD ST MIAMI, FL 33155 CLIA ID# 10D0942188 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: DECEMBER 23, 2012 DECEMBER 23, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: LAB VOLUNTARILY CEASED TESTING

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GODWIN DURUNNAH, DIRECTOR QUANTUM DIAGNOSTICS LAB 2740 JEFFERSON STREET, SUITE B AUSTELL, GA 30168 CLIA ID# 11D1096872 SANCTION: SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: AUGUST 26, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: LAB VOLUNTARILY CEASED TESTING MARK KIECKBUSCH, DIRECTOR CASCADE MEDICAL CENTER 402 LAKE CASCADE PARKWAY CASCADE, ID 83611 CLIA ID# 13D0703662 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: SEPTEMBER 12, 2012 SEPTEMBER 12, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: COMPLIANCE ACHIEVED BETH JOHNSON MD, DIRECTOR CENTRAL DU PAGE HOSPITAL 25 NORTH WINFIELD RD, DEPT OF PATHOLOGY WINFIELD, IL 60190 CLIA ID# 14D0042701 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JANUARY 06, 2012 REASON: IMPROPER PROFICIENCY TESTING REFERRAL ACTIVITIES STATUS: MEDICARE CANCELLATION RESCINDED

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STEPHEN BOZEK MD, DIRECTOR PRESENCE RESURRECTION MEDICAL CENTER 7435 W TALCOTT CHICAGO, IL 60631 CLIA ID# 14D0426312 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: OCTOBER 09, 2012 REASON: IMPROPER PROFICIENCY TESTING REFERRAL ACTIVITIES STATUS: HEARING REQUESTED MEDICARE CANCELLATION RESCINDED COMPLIANCE ACHIEVED BRIJNANDAN SODHI, DIRECTOR SODHI MEDICAL SERVICES 1010 W CLAY ST DANVILLE, IL 61832 CLIA ID# 14D0861025 SANCTION: CIVIL MONEY PENALTY OF $250 PER DAY DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: JULY 03, 2012 JULY 03, 2012 JULY 03, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO CORRECT DEFICIENCIES STATUS: SUSPENSION AND LIMITATION LIFTED COMPLIANCE ACHIEVED BETTY HANKS, DIRECTOR LIBERTY LABORATORY INC 929 A 12TH ST TELL CITY, IN 47586 CLIA ID# 15D1019268 SANCTION: CIVIL MONEY PENALTY OF $1,000 PER DAY DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: OCTOBER 16, 2012 OCTOBER 16, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY

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GEORGE WATSON, DIRECTOR GEORGE A WATSON MD 1228 ASHLEY CIRCLE BOWLING GREEN, KY 42104 CLIA ID# 18D0694487 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: AUGUST 29, 2012 AUGUST 29, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: LAB VOLUNTARILY CEASED TESTING COMPLIANCE ACHIEVED CHARLES ASWELL M.D., DIRECTOR EVANGELINE DIAGNOSTIC CENTER 503 JACK MILLER ROAD SUITE C VILLE PLATTE, LA 70586 CLIA ID# 19D0461630 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: OCTOBER 26, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY STATUS: COMPLIANCE ACHIEVED DAVID JONES, DIRECTOR WOMENS CLINIC OF SOUTHWEST LA INC 206 WEST 5TH STREET DERIDDER, LA 70634 CLIA ID# 19D0461954 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: NOVEMBER 18, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEAPORTY STATUS: COMPLIANCE ACHIEVED

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JAMES FORTINO, DIRECTOR CHILDREN’S CLINIC 1301 WHITNEY AVENUE GRETNA, LA 70046 CLIA# 19D0675393 CLIA ID# 19D0675393 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: NOVEMBER 21, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION STATUS: LAB VOLUNTARYILY CEASED TESTING THOMAS COLVIN, DIRECTOR SERVICE SPECIALIST OF WINNSBORO 2106 A LOOP RD WINNSBORO, LA 71295 CLIA ID# 19D0696089 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: SEPTEMBER 7, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEAPORTY STATUS: LAB VOLUNTARILY CEASED TESTING DAVID BOUDREAUX MD, DIRECTOR PROMISE HOSPITAL OF BATON ROUGE PROMISE HOSPITAL OF ASCENSION 5030 MANCUSO LANE BATON ROUGE, LA 70809 CLIA ID# 19D1018867 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: SEPTEMBER 14, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED

25

ROBERT FOOTER MD, DIRECTOR ROBERT D FOOTER MD 6282 MONTROSE RD ROCKVILLE, MD 20852 CLIA ID# 21D0212345 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: FEBRUARY 07, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: COMPLIANCE ACHIEVED LEONARD BERMAN M.D., DIRECTOR ROXBURY COMPREHENSIVE COMMUNITY HEALTH CENTER 435 WARREN STREET ROXBURY, MA 02119 CLIA ID# 22D0075264 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JULY 09, 2012 REASON: FAILURE TO CORRECT DEFICIENCIES CONDITION LEVEL NONCOMPLIANCE LAWRENCE MADOFF, DIRECTOR WILLIAM A HINTON STATE LABORATORY INSTITUTE CHILDHOOD LEAD SCREENING LABORATORY 305 SOUTH STREET 8TH FLOOR JAMAICA PLAIN, MA 02130 CLIA ID# 22D0970348 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: NOVEMBER 20, 2012 REASON: IMPROPER PROFICIENCY TESTING REFERRAL ACTIVITIES CONDITION LEVEL NONCOMPLIANCE

26

ROBERT IRELAND PHD DIRECTOR, DIRECTOR XUAN Q ZHANG MD 50 UNION STREET NEWTON, MA 02459 CLIA ID# 22D2026613 SANCTION: CIVIL MONEY PENALTY OF $2,000 PER DAY DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JULY 03, 2012 JULY 03, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY NEIL CALIMAN M.D., DIRECTOR MCLAREN GREATER LANSING 401 W GREENLAWN AVE LANSING, MI 48910 CLIA ID# 23D0037374 SANCTION: CIVIL MONEY PENALTY OF $200 PER DAY EFFECTIVE DATE: MAY 24, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED SAMBAMURTY KALAHASTY M.D., DIRECTOR DOWNRIVER INTERNIST PC 7445 ALLEN ROAD SUITE 210 ALLEN PARK, MI 48101 CLIA ID# 23D0367679 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JANUARY 06, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED

27

DONN LATOUR MD PHD, DIRECTOR DERMATOLOGY & SKIN SURGERY CENTER 203 WINSTON DRIVE MARSHALL, MI 49068 CLIA ID# 23D0935915 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JANUARY 03, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED MATRLOSCA UMLAUF M.D., DIRECTOR M NATACHA UMLAUF MD PEDIATRIC PLC 2331 MONROE STREET DEARBORN, MI 48124 CLIA ID# 23D0960104 SANCTION: CIVIL MONEY PENALTY OF $500 PER DAY DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: MARCH 02, 2012 MARCH 02, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED THOMAS PINSON, DO, DIRECTOR CITY MEDICAL 30581 STEPHENSON HIGHWAY MADISON HEIGHTS, MI 48071 CLIA ID# 23D1010918 SANCTION: CIVIL MONEY PENALTY OF $200 PER DAY DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: AUGUST 20, 2012 AUGUST 20, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE

28

ABDUL CHOUDHRY, DIRECTOR SEEMA DOSHI MD 333 GORDON DRIVE YALE, MI 48097 CLIA ID# 23D1095246 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JANUARY 30, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED EHTAISHAM MOHAMMED, DIRECTOR SIBLEY MEDICAL CENTER- GAYLORD 660 - 3RD STREET GAYLORD, MN 55334 CLIA ID# 24D0665083 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: FEBRUARY 27, 2012 FEBRUARY 27, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE UNSUCCESSFUL PROFICIENCY TESTING ESTELA CHAN, DIRECTOR WEBSTER COUNTY COMMUNITY HOSPITAL SIXTH AVENUE & FRANKLIN STREET RED CLOUD, NE 68970 CLIA ID# 28D0679420 SANCTION: SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: APRIL 19, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: SUSPENSION AND LIMITATION LIFTED

29

TEJVIR SINGH M.D., DIRECTOR RENO ONCOLOGY CONSULTANTS 85 KIRMAN AVE STE 101 RENO, NV 89502 CLIA ID# 29D0539610 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: SEPTEMBER 26, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: LAB VOLUNTARILY CEASED TESTING MICHAEL MALL MD, DIRECTOR COMPREHENSIVE PRIMARY CARE 3201 S MARYLAND PKWY #220 LAS VEGAS, NV 89109 CLIA ID# 29D0671134 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: SEPTEMBER 26, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: COMPLIANCE ACHIEVED NUTAN PARIKH MD, DIRECTOR LAS VEGAS CANCER CENTER 2904 W HORIZON RIDGE PKWY STE 200 HENDERSON, NV 89052 CLIA ID# 29D0896135 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: SEPTEMBER 26, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: LAB VOLUNTARILY CEASED TESTING

30

GERALD CASAS MD, DIRECTOR HORIZON WOMEN'S HEALTH 3005 W HORIZON RIDGE PKWY STE 100 HENDERSON, NV 89052 CLIA ID# 29D0973671 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JULY 08, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: LAB VOLUNTARILY CEASED TESTING SHAILA NAYAK, DIRECTOR ACCURATE DIAGNOSTIC LABS INC 182-184 LINCOLN HIGHWAY EDISON, NJ 08820 CLIA ID# 31D0976801 SANCTION: CIVIL MONEY PENALTY EFFECTIVE DATE: JUNE 18, 2012 REASON: IMPROPER PROFICIENCY TESTING REFERRAL ACTIVITIES STATUS: COMPLIANCE ACHIEVED SHAILA NAYAK, DIRECTOR ACCURATE DIAGNOSTIC LABS, INC 3000 HADELY ROAD SOUTH PLAINFIELD, NJ 07080 CLIA ID# 31D1041975 SANCTION: CIVIL MONEY PENALTY EFFECTIVE DATE: JUNE 18, 2012 REASON: IMPROPER PROFICIENCY TESTING REFERRAL ACTIVITIES STATUS: COMPLIANCE ACHIEVED

31

VICTOR WOOD DO, DIRECTOR DOCTORS URGENT CARE LLC 51342 NATIONAL ROAD ST CLAIRSVILLE, OH 43950 CLIA ID# 36D0951411 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: MAY 03, 2012 MAY 03, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED A VYAS, MD, DIRECTOR ST ANTHONY HERITAGE FAMILY MEDICINE 6908 EAST RENO MIDWEST CITY, OK 73110 CLIA ID# 37D0470726 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: FEBRUARY 16, 2012 REASON: CONDITION LEVEL NON-COMPLIANCE WITH IMMEDIATE JEOPARDY STATUS: COMPLIANCE ACHIEVED ARTHUR CODER, DO, DIRECTOR BROKEN ARROW FAMILY CLINIC 705 WEST OAKLAND AVENUE BROKEN ARROW, OK 74012 CLIA ID# 37D0473037 SANCTON: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: APRIL 20, 2012 REASON: CONDITION LEVEL NON-COMPLIANCE WITH IMMEDIATE JEOPARDY STATUS: COMPLIANCE ACHIEVED

32

FERDINAND SANTIAGO IRIZARRY, DIRECTOR CENTRO DE SALUD MARIO CANALES TORRESOLA CALLE CEMENTERIO #2 JAYUYA, PR 00664 CLIA ID# 40D1004749 SANCTION: DIRECTED PLAN OF CORRECTION CIVIL MONETARY PENALTY EFFECTIVE DATE: SEPTEMBER 18, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED LEONARD BERMAN MD DIRECTOR, DIRECTOR NEW ENGLAND PAIN ASSOCIATES 169 NORTH FRANKLIN ST HOLBROOK, MA 02343 CLIA ID# 41D1104242 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: MARCH 02, 2012 REASON: FAILURE TO CORRECT DEFICIENCIES CONDITION LEVEL NONCOMPLIANCE MEDICARE CANCELLATION/SUSPENSION LOCKE SIMON MD, DIRECTOR GREENWOOD COMMUNITY CHILDRENS CENTER 113 LINER DRIVE GREENWOOD, SC 29646 CLIA ID# 42D0252966 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: NOVEMBER 26, 2012 NOVEMBER 26, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: LAB VOLUNTARILY CEASED TESTING

33

FORREST POMMERENKE, DIRECTOR DOCTORS CARE EAST NORTH 4200 EAST NORTH STREET, SUITE 5 GREENVILLE, SC 29615 CLIA ID# 42D0694393 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: NOVEMBER 26, 2012 NOVEMBER 26, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: LAB VOLUNTARILY CEASED TESTING GEORGE WOODBURY JR M.D., DIRECTOR RHEUMATOLOGY & DERMATOLOGY ASSOC PC 8143 WALNUT GROVE ROAD CORDOVA, TN 38018 CLIA ID# 44D0869618 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: JUNE 22, 2012 JUNE 22, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: LAB VOLUNTARILY CEASED TESTING MARTIN PEREZ, DIRECTOR BIOMAT USA, INC 403 N YORK HOUSTON, TX 77003 CLIA ID# 45D0682091 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: NOVEMBER 17, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED

34

ANGELA LEDBETTER, DIRECTOR BIOMAT USA, INC 1223 WEST 43RD STREET HOUSTON, TX 77018 CLIA ID# 45D0682092 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: OCTOBER 28, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY STATUS: COMPLIANCE ACHIEVED GRACE TAN, DIRECTOR BIOMAT USA, INC 8747 W BELLFORT HOUSTON, TX 77031 CLIA ID# 45D0682094 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: NOVEMBER 17, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY STATUS: COMPLIANCE ACHIEVED JOSE CASTANEDA, DIRECTOR J L CASTANEDA MD 1092 LOS EBANOS BLVD BROWNSVILLE, TX 78520 CLIA ID# 45D0683696 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JANUARY 3, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY STATUS: COMPLIANCE ACHIEVED

35

ANGELA LEDBETTER, DIRECTOR BIOMAT USA, INC 8537B GULF FREEWAY HOUSTON, TX 77017 CLIA ID# 45D1007695 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: NOVEMBER 17, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY STATUS: COMPLIANCE ACHIEVED ANGELA LEDBETTER, DIRECTOR BIOMAT USA, INC 330 WEST LITTLE YORK HOUSTON, TX 77076 CLIA ID# 45D1008762 SNACTION: DIRECTOR PLAN OF CORRECTION EFFECTIVE DATE: NOVEMBER 17, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY STATUS: COMPLIANCE ACHIEVED DONALD COLE JR, DIRECTOR 4 D LABORATORY 2944 MOTLEY DRIVE SUITE 105 MESQUITE, TX 75150 CLIA ID# 45D1014980 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JULY 17, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED

36

JEFFREY ALVIS, DIRECTOR STONEBRIDGE PEDIATRICS 5561 VIRGINIA PKWY, SUITE 100 MCKINNEY, TX 75070 CLIA ID# 45D1021264 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: FEBRUARY 24, 2012 REASON: CONDITION LEVEL NON-COMPLIANCE STATUS: LABORATORY VOLUNTARILY CEASED TESTING

SILVIA RODRIGUEZ BS MT, DIRECTOR FUAD ZAYED MDPA 3012 E MAIN AVE STE F ALTON, TX 78572 CLIA ID# 45D1064012 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: DECEMBER 6, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY STATUS: COMPLIANCE ACHIEVED GARY NORDYKE, DIRECTOR SE PEDIATRICS & ADOLESCENT MEDICINE 1725 E COLLEGE AVE SOUTH MILWAUKEE, WI 53172 CLIA ID# 52D0920917 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: MAY 29, 2012 MAY 29, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: SUSPENSION AND LIMITATION LIFTED COMPLIANCE ACHIEVED SANCTIONS RESCINDED

37

AURELIO ESPINOLA MD, DIRECTOR GUAM DEPT PUBLIC HLTH & SOC SVCS CENTRAL LAB 123 CHALAN KARETA, RTE 10 MANGILAO, GU 96913 CLIA ID# 65D0662216 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: JANUARY 21, 2012 JANUARY 23, 2012 REASON: UNSUCCESSFUL PROFICIENCY TESTING STEPHANIE HART-GOULEAU, MD, DIRECTOR COMMONWEALTH HEALTH CTR - LABORATORY PO BOX 500409 SAIPAN MARIANA ISLANDS, MP 96950 CLIA ID# 66D0662224 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: DECEMBER 20, 2012 REASON: CONDITION LEVEL NONCOMPLIANCE

38

5. LABORATORIES WHOSE ACCREDITATION HAS BEEN WITHDRAWN OR REVOKED AND THE REASON FOR THE WITHDRAWAL OR REVOCATION. (INCLUDES ALL OTHER ADVERSE ACTIONS TAKEN BY THE ACCREDITATION ORGANIZATIONS) MOBILE INFIRMARY MEDICAL CAENTER PATHOLOGY LABORATORY 5 MOBILE CIR MOBILE, AL 36607-3513 CLIA ID# 01D0641772 CAP SANCTION: CEASE TESTING CREATINE KINASE EFFECTIVE DATE: MAY 9, 2012 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED MAY 11, 2012 ANTHONY J. FAVA, MD 1452 GREENBRIAR-DEAR ROAD ANNISTON, AL 36207 CLIA ID# 01D0902797 COLA SANCTION: DENIAL OA ACCREDITATION EFFECTIVE DATE: AUGUST 29, 2012 REASON: FAILURE TO ADHERE TO COLA IMPOSED REQUIRED IMPROVEMENTS LITTLE COLORADO MEDICAL CENTER 1501 WILLIAMSON WINSLOW, AZ 86407 CLIA ID# 03D0057925 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: FEBRUARY 21, 2012 REASON: SUBMITTING PROFICIENCY TESTING SAMPLES TO ANOTHER LABORATORY

39

ST LUKE’S MED CENTER PHOENIX CLINICAL LABORATORY 1800 E VAN BUREN ST PHOENIX, AZ 85006-3742 CLIA ID# 03D0526290 CAP SANCTION: CEASE TESTING MYCOLOGY EFFECTIVE DATE: JULY 30, 2012 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED SEPTEMBER 13, 2012 CRITTENDEWN REGIONAL HOSPITAL MAIN LABABORATORY 200 W TYLER AVE. WEST MEMPHIS, AR, 72301-4223 CLIA ID# 04D0467662 CAP SANCTION: CEASE TESTING LACTATE DEHYDROGENASE EFFECTIVE DATE: May 5, 2012 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED 05/17/2012 RIDGECREST REGIONAL HOSPITAL LABORATORY 1081 N CHINA LAKE BLVD RIDGECREST, CA 93555-3130 CLIA ID# 05D0588246 CAP SANCTION: PROBATION EFFECTIVE DATE: JUNE 26, 2012 REASON: DEFICIENCIES ARE SIGNIFICANT ENOUGH TO QUESTION ABILITY

TO SUSTAIN CORRECTIONS; CORRETIVE ACTION FAILS TO SUPPORT IMPLEMENTATION

STATUS: PROBATION REMOVED 3/26/2013

40

RIDEOUT MEMORIAL HOSPITAL MAIN LAB 726 4TH ST. MARYSVILLE, CA 95901-5656 CLIA ID# 05D0616890 CAP SANCTON: PROBATION EFFECTIVE DATE: AUGUST 28, 2012 REASON: DEFICIENCIES ARE SIGNIFICANT ENOUGH TO QUESTION ABILITY

TO SUSTAIN CORRECTIONS; CORRECTIVE ACTION FAILS TO SUPPORT IMPLEMENTATION

STATUS: PENDING

RUBIN COMELLI, MD, DIRECTOR NATIONAL HEALTH SERVICES, INC PO BOX 1060 SHAFTER, CA 93263 CLIA ID# 05D0685275 TJC SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: AUGUST 10, 2012 REASON: NON-COMPLIANCE DUE TO UNSUCCESSFUL PARTICIATION IN PROFICIENCY TESTING SPECIALTY HOSPITAL OF WASHINGTON CAPITAL HILL RESPIRATORY CARE LABORATORY 700 CONSTITUTION AVE NE WASHINGTON, DC 20002-6058 CLIA ID# 09D0935549 CAP SANCTION: CEASE TESTINH PROTHROMBIN TIME pCO2 pH pO2 EFFECTIVE DATE: MARCH 27, 2012 REASON: NON-ENROLLMENT PROFICIENCY TESTING OFR REGULATED ANALYTE STATUS: REINSTATED May 14, 2012

41

IMMUNO LABORATORIES INC 6801 POWERLINE RD FORT LAUDERDALE, FL 33309-2155 CLIA ID# 10D0284781 CAP SANCTION: PROBATION EFFECTIVE DATE: DECEMBER 11, 2012

REASON: DEFICIENCIES ARE SIGNIFICANT ENOUGH TO QUESTION ABILITY TO SUSTAIN CORRECTIONS; CORRECTIVE ACTION FAILS TO SUPPORT IMPLEMENTATION

STATUS: PENDING

SAUL SULLIVAN, DIRECTOR METROPOLTAN HOSPITAL OF MIAMI BLOOD GAS LAB 5959 NW 7TH ST MIAMI, FL 33126-3129 CLIA ID# 10D0662886 CAP SANCTION: CEASED TESTING Po2 EFFECTIVE DATE: MAY, 16, 2012 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED 5/25/2012 FLORIDA HOSPITAL EAST ORLANDO LABORATORY 7727 LAKE UNDERHILL RD ORLANDO, FL 32822-8224 CLIA ID# 10D0663788 CAP SANCTION: CEASE COMPATIBILITY TESTING EFFECTIVE DATE: APRIL 9, 2012 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED 04/20/2012

42

BAPTIST MEDICAL CENTER SOUTH-LABORATORY 14550 OLD SAINT AUGUSTINE RD JACKSONVILLE, FL 32258-2460 CLIA ID# 10D1034368 CAP SANCTION: CEASE TESTING T3 TRIIODTHYRONINE EFFECTIVE DATE: NOVEMBER 20, 2012 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED 1/21/2013 FLORIDA MEDICAL STAT LABORATORY 7660 NOB HILL ROAD TAMARAC, FL 33321 CLIA ID# 10D2025586 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: OCTOBER 18, 2012 REASON: FAILURE TO ADHERE TO COLA IMPOSED REQUIRED IMPROVEMENTS ST FRANCIS HOSPITAL MAIN laboratory 2122 MANCHESTER EXPY COLUMBUS, GA 31904-6878 CLIA ID# 11D0646201 CAP SANCTION: CEASE TESTING LACTATE DEHYDROGENASE EFFECTIVE DATE: MAY 8, 2012 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED 5/25/2012 HUDSON MEDICAL GROUP, INC 735 PIEDMONT AVENUE, NE ATLANTA, GA 30308 CLIA ID# 11D0931119 COLA SANTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: JANUARY 26, 2012 REASON: FAIURE TO COMPLY WITH REASONABLE REQUESTS OF COLA

43

LIFESCAN LABORATORY INC 5255 GULF RD SKOKIE, IL 60077-1106 CLIA ID# 14D0913834 CAP SANCION: PROBATION EFFECTIVE DATE: MARCH 27, 2012


REASON: PROBATION REMOVED NOVEMBER 27, 2012

MICHAEL IRONS, MD, DIRECTOR ST VINCENT DUNN HOSPITAL 1600 23RD STREET CLIA ID# 15D0360793 TJC SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: AUGUST 10, 2012 OCTOBER 5, 2012 REASON: NON-COMPLIANCE DUE TO UNSUCCESSFUL PARTICIPATION IN PROFICIENCY TESTING ORG VOLUNTARILY DISCONTINUED BACTERIOLOGY SREEDERVI KURELLA, DIRECTOR FORT WASHINGTON HOSPITAL 11711 LIVINGTON RD FORT WASHINGTON, MD 20744 CLIA ID# 21D0210504 CAP SANCTION: CEASE TESTING T3 TRIIODOTHYRONINE EFFECTIVE DATE: MAY 24, 2012 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED 8/29/2012

44

LOWELL GENERAL HOSPITAL SAINTS CAMPUS-LABORATORY 1 HOSPITA DR LOWELL, MA 01852-1311 CLIA ID# 22D0650118 CAP SANCTION: CEASE TESTING IgA IgM EFFECTIVE DATE: MAY 16, 2012 REASON: REULATED ANALYTE CRITICAL STATUS: REINSTATED 6/1/2012 MID MICHIGAN MEDICAL CENTER CLARE LABORATORY SERVICES 9249 W LAKE CITY RD HOUGHTON LAKE, MI 48629-9602 CLIA ID# 23D0374579 CAP SANCTION: CEASE TESTING CALCIM EFFECTIVE DATE: MAY 9, 2012 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSATED 5/24/2012 PEDIATRIC CONSULTANTS OF TROY 50720 SCHOENHERR ROAD SHELBY TOWNSHIP, MI 48315 CLIA ID# 23D1034340 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: AUGUAST 1, 2012 REASON: FAILURE TO COMPLY WITH REASONABLE REQUEST OF COLA

45

LISA GAGNE MD, DIRECTOR UPPER CONNECTICUT VALLEY HOSPITAL LABORATORY 181 CORLISS LN COLEBROOK, NH 03576 CLIA ID# 30D0652824 CAP SANCTION: CEASE TESTING T3 TRIIODOTHYRONINE EFFECTIVE DATE: MAY 9, 2012 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: PERMANENTLY CEASED TESTING 5/9/2012 ELLIOT HOSPITAL-ELLIOT SATELITE LAB AT LONDONDERRY 40 BUTTRIBK RD LONDONDERRY, NH 03053-3381 CLIA ID# 30D1085682 CAP SANCTION: CEASE TESTING SODIUM EFFECTIVE DATE: MARCH 19, 2012 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED 3/29/2012 ATLANTICARE REGIONAL MEDICAL CENTER CITY CAMPUS LAB 1925 PACIFIC AVE ATLANTIC CITY, NJ 08401-6713 CLIA ID# 31D0005562 CAP SANCTION: CEASE TESTING PHENOBARBITAL EFFECTIVE DATE: MAY 29, 2012 REASON: REGULATED ANALTYE REPORTED CRITICAL STATUS: REINSTATED 9/13/2012

46

SHAILESH N. KADAKIA, MD 550 NEWARK AVENUE, STE 303 JERSEY CITY, NJ 07306 CLIA ID # 31D0940735 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: JUNE 28, 2012 REASON: FAILURE TO ADHERE TO COLA IMPOSED REQUIRED IMPROVEMENTS CIBOLA GENERAL HOSPITAL MAIN LABORATORY 1016 ROOSEVELT AVE GRANTS, NM 87020-2118 CLIA ID# 32D0058013 CAP SANCTION: CEASE TESTUNG Po2 EFFECTIVE DATE: JULY 24, 2012 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED 8/9/2012 RORY DALTON, MD, DIRECTOR FLETCHER HOSPITAL, INC 100 HOSPITAL DRIVE HENDERSONVILLE, NC 28792 CLIA ID# 34D0247657 TJC SANCTION: LIMITATION OF CLIA CERTIFICATE VOLUNTARY D/C EFFECTIVE DATE: SEPTEMBER 26, 2012 REASON: NON-COMPLIANCE DUE TO UNSUCCESSFUL PARTICIATION IN PROFICIENCY TESTING

47

CAROLINA MEDICAL LAB 1815 BACK CREEK DR CHARLOTTE, NC 28213-2159 CLIA ID# 34D0946272 CAP SANCTION: PROBATION EFFECTIVE DATE: JULY 24, 2012


PENDING: PENDING

NATIONWIDE CHILDRENS HOSPITAL WESTERVILLE CLOSE TO HOME URGENT CARE LAB 433 N CLEVELAND AVE WESTERVILL, OH 43082-8095 CLIA ID# 36D1015935 CAP SANCTION: CEASE TESTING pCO2 EFFECTIVE DATE: DECEMBER 12, 2012 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED 1/3/2012 SAMARITAN PACIFIC COMMUNITIES HOSPITAL LABORATORY 930 SW ABBEY ST NEWPORT, RI 97365-4820 CLIA ID# 38D0626258 CAP SANCTION: CEASE TESTING pO2 EFFECTIVE DATE: NOVEMBER 26, 2012 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED 12/5/2012

48

HOSPITAL MAIN LABORATORY 1 HOSPITAL WAY BUTLER, PA 16001-4670 CLIA ID# 39D0011317 CAP SANCTION: CEASE TESTING PARASITOLOGY EFFECTIVE DATE: JULY 24, 2012 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED 9/6/2012 GEISINGER-BLOOMSBURG HOSPITAL LABORATORY 549 FAIR ST BLOOMSBURG, PA 17815-1419 CLIA ID# 39D0189193 CAP SANCTION: CEASE TESTING T3 TRIODOTHYRONINE EFFECTIVE DATE: JANUARY 11, 2012 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: PERMANENTLY CEASED TESTING 1/16/2012 HOSPITAL BLOOD GAS LABORATORY 201 STATE ST ERIE, PA 16507-1502 CLIA ID# 39D2016779 CAP SANCTION: CEASE TESTING GLUCOSE EFFECTIVE DATE: MARCH 27, 2012 REASON: PROFICIENCY TESTING FOR REGULATED ANALYTE STATUS: REINSTATED 5/10/2012

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PERIL DIAGNOSTICS INC LABORATORY 5010 RITTER RD STE 104 MECHANICSBURG, PA 17055-4828 CLIA ID# 39D2021686 CAP SANCTION: CEASE TESTING ALPHA-FETOPROTEIN BILLIRUBIN TOTAL INFECTIOUS MONONUCLEOSIS EFFECTIVE DATE: MARCH 27, 2012 REASON: NON-ENROLLMENT IN PROFICIENCY TESTING

FOR REGULATED ANALYTE STATUS: PERMANENTLY CEASED TESTING 4/24/2012 MIDDLE TENNESSEE MEDICAL CENTER LABORATORY 1700 MEDICAL CENTER PKWY MURFREESBORO, TN 37129-2245 CLIA ID# 44D0307727 CAP SANCTION: CEASE TESTING THYROID STIMULATING HORMONE EFFECTIVE DATE: JANUARY 11, 2012 REASON: REGULATED ANALTYE REPORTED CRITICAL STATUS: REINSTATED 4/2/2012 BAPTIST MEMORIAL HOSPITAL HUNTINGTON LABORATORY 631 RB WILSON DR HUNTINGTON, TN 38344-1727 CLIA ID# 44D0315659 CAP SANCTION: CEASE TESTING THYROID-STIMULATING

HORMONE THYROXINE, FREE T4 FREE EFFECTIVE DATE: MAY 21, 2012 REASON: REGULATED ANALYTE REPRTED CRITICAL STATUS: REINSTATED 6/14/2012

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DALLAS MEDICAL CENTER LABORATORY 7 MEDICAL PKWY DALLAS, TX 75234-7823 CLIA ID# 45D0480116 CAP SANCTION: PROBATION EFFECTIVE DATE: FEBRUARY 28, 2012 REASON: DEFICIENCIES ARE SIGNIFICANT ENOUGH TO QUESTION

ABILITY TO SUSTAIN CORRECTIONS; CORRECTIVE ACTION FAILS TO SUPPORT IMPLEMENTATION


RANDAL SIMONSEN, MD, DIRECTOR CHRISTUS SPOHN HOSPITAL BEEVILLE 1500 E HOUSTON HWY BEEVILLE, TX 78102 CLIA ID# 45D0499345 TJC SANCTION: LIMITATION OF CLIA CERTIFICATE EFECTIVE DATE: SEPTMEBER 7, 2012 REASON: NON-COMPLIANCE DUE TO UNSUCCESSFUL

PARTICIPATION IN PROFICIENCY TESTING BAYLOR MEDICAL CENTER AT GARLAND GARLAND LABORATORY 2300 MARIE CURIE DR GARLAND, TX 75042-5706 CLIA ID# 45D0680451 CAP SANCTION: CEASE TESTING pO2 EEFECTIVE DATE: NOVEMBER 26, 2012 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED 1/4/2013

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YVONNE HEARN, MD, DIRECTOR WEST 380 FAMILY CARE FACILITY 1905 DOCTORS HOSPITAL DRIVE BRIDGEPORT, TX 76426 CLIA ID# 45D1084736 TJC SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: OCTOBER 30, 2012 REASON: NON-COMPLIANCE DUE TO UNSUCCESSFUL PARTICIPATION IN PROFICIENCY TESTING STATUS: FACILITY WITHDRAW FROM JOINT COMMISSION 1/30/2013 CASTLEVIEW HOSPITAL BLOOD GAS LABORATORY 300 N HOSPITAL DR PRICE, UT 84501-4218 CLIA ID# 46D0933166 CAP SANCTION: CEASE TESTING pO2 EFFECTIVE DATE: JULY 23, 2012 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED 8/13/2012 ROCKINGHAM MEMORIAL HOSPITAL MAIN LABORATORY 2010 HEALTH CAMPUS DR HARRISONURG, VA 22801-3248 CLIA ID# 49D0225525 CAP SANCTION: CEASE TESTING RUBELLA EFFECTIVE DATE: OCTOBER 3, 2012 REASON: REGULATED ANALTYE REPORTED CRITICAL STATUS: REINSTATED 1/22/2013

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DORID TURJMAN, MD, DIRECTOR CLINCH VALLEY MEDICAL CENTER 6801 GOV. G.C. PEERY HWY RICHLANDS, VA 24641 CLIA ID# 49D0233440 TJC SANCTION: LIMITATION OF CLIA CERTIFICATE VOLUNTARY WITHDRAWL EFFECTIVE DATE: JUNE 20, 2012 REASON: NON-COMPLIANCE DUE TO UNSUCCESSFUL PARTICIPATION IN PROFICIENCY TESTING SKAGIT VALLEY HOSPITAL RESPIRATORY CARE ABG LAB 1415 E KINCAID ST MOUNT VERNON, WA 98274-4126 CLIA ID# 50D0882701 CAP SANCTION: PROBATION EFFECTIVE DATE: MAY 8, 2012



BELLIN HOSPITAL LABORATORY 744 S WEBSTER AVE GREEN BAY, WI 54301-3505 CLIA ID# 52D0662050 CAP

SANCTION: CEASE TESTING PARASITOLOGY EFFECTIVE DATE: MAY 5, 2012 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED 5/30/2012

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MVZ LABOR NUMBERG GMBH LINA-AMMON STR 28 NUERMBERG BAVARIA, GERMANY D 90471 CLIA ID# 99D1008847 CAP SANCTION: PROBATION EFFECTIVE DATE: JULY 24, 2012

REASON: DEFICIENCIES ARE SIGNIFICANT ENOUGH TO QUESTION ABLITIY TO SUSTAIN CORRECTIONS; CORRRECTIVE ACTION FAILS TO SUPPORT IMPLEMENTATION


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6. ALL APPEALS AND HEARING DECISIONS. FOR DETAILED INFORMATION REGARDING THE FOLLOWING LISTING SEE CLIA HEARING DECISION INDEX AT HTTP://WWW.CMS.GOV/CLIA/HEARINGGROUP.ASP

NONE

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7. A LIST OF LABORATORIES AGAINST WHICH CMS HAS BROUGHT SUIT UNDER SECTION 493.1846 AND THE REASON FOR THOSE ACTIONS. *** N O D A T A F O U N D ***

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8. A LIST OF LABORATORIES THAT HAVE BEEN EXCLUDED FROM PARTICIPATION IN MEDICARE OR MEDICAID AND THE REASON FOR EXCLUSION. NONE

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9. CORRECTION OF ANY ERRONEOUS STATEMENTS OF INFORMATION THAT APPEARED IN THE 2011 REGISTRY DAVID KYLLO M.D., DIRECTOR YANKEE SQUARE FAMILY PRACTICE 3460 WASHINGTON DR #102 EAGAN, MN 55122 CLIA ID# 24D0399836 SANCTION: CIVIL MONEY PENALTY OF $3,000 PER DAY DIECTED PLAN OF CORRECTION EFFECTIVE DATE: JULY 18, 2011 JULY 18, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED JUNE 6, 2012

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10. OTHER ACTIONS. THIS SECTION INCLUDES OTHER SPECIFIC INFORMATION THAT MAY BE USEFUL IN EVALUATING THE PERFORMANCE OF LABORATORIES AS SPECIFIED IN 493 CFR 1859(A). IT ALSO INCLUDES INFORMATION PROVIDED BY CLIA EXEMPT STATES. NONE

clia annual laboratory registry 2012 · (iv) if the laboratory has achieved compliance, the...

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