N O D A T A F O U N D - CFI: Center for Inquiry · 2020. 1. 15. · SHAHID MASOOD MD, DIRECTOR ....

162
CLIA ANNUAL LABORATORY REGISTRY 2015 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 (5) A list of laboratories whose accreditation has been withdrawn or revoked and the reasons for the withdrawal or revocation.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 proceeding 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.

Transcript of N O D A T A F O U N D - CFI: Center for Inquiry · 2020. 1. 15. · SHAHID MASOOD MD, DIRECTOR ....

  • CLIA ANNUAL LABORATORY REGISTRY 2015

    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 proceeding 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.

  • 2015 CLIA LAB REGISTRY

    (AS REQUIRED BY SECTION 353(N) OF THE PUBLIC HEALTH SERVICE ACT)

    ACTIVITY 01/01/2015 - 12/31/2015

    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 ***

  • 2. LABORATORIES THAT HAVE HAD THEIR CLIA CERTIFICATE SUSPENDED, LIMITED, OR REVOKED, AND THE REASON FOR THE ADVERSE ACTION. (MEDICARE CANCELLATION, A PRINCIPAL SANCTION, HAS BEEN INCLUDED IN THIS CATEGORY.)

    DERROL DAWKINS MD, DIRECTOR

    METRO PEDIATRICS PC

    401 VALLEY AVENUE

    BIRMINGHAM, AL 35209

    CLIA ID# 01D0300948

    SANCTION: Limitation of CLIA Certificate

    EFFECTIVE DATE: July 22, 2015

    REASON: Condition Level Non-Compliance

    Unsuccessful PT

    STATUS: Laboratory voluntarily Ceased Testing

    Letter signed/received from laboratory to voluntarily cease testing due to repeat unsuccessful PT

    KAREN WARD, DIRECTOR

    AUTUMN ROAD FAMILY PRACTICE, PA

    904 AUTUMN ROAD, SUITE 200

    LITTLE ROCK, AR 72211

    CLIA ID# 04D0467303

    SANCTION: Limitation of CLIA Certificate

  • EFFECTIVE DATE: November 10, 2015

    REASON: Condition Level Non-Compliance

    Unsuccessful PT

    EKNATH DEO MD DIRECTOR, DIRECTOR

    COAST HEMATOLOGY-ONCOLOGY ASSOCIATES, INC

    701 E 28TH ST STE 418

    LONG BEACH, CA 90806

    CLIA ID# 05D0554051

    SANCTION: Limitation of CLIA Certificate

    EFFECTIVE DATE: June 14, 2015

    REASON: Cancellation of Medicare Approval Suspension

    Condition Level Non-Compliance

    Unsuccessful PT

    MILO ALLADO MD, DIRECTOR

    MTS CLINICAL LABORATORY

    7625 HAYVENHURST AVE STE 21

    VAN NUYS, CA 91406

    CLIA ID# 05D0642836

    SANCTION: Limitation of CLIA Certificate

    EFFECTIVE DATE: March 7, 2015

  • REASON: Medicare Cancellation/Suspension

    Condition Level Non-Compliance

    Unsuccessful PT

    SOO CHUNG MD, DIRECTOR

    SOO M CHUNG MD, ONCOLOGY/HEMATOLOGY

    A PROFESSIONAL CORPORATION

    12555 GARDEN GROVE BLVD STE 309

    GARDEN GROVE, CA 92843

    CLIA ID# 05D0675453

    SANCTION: Cancel Medicare/Medicaid Approval

    Suspension of CLIA Certificate

    Revocation of CLIA Certificate

    EFFECTIVE DATE: October 8, 2015

    October 8, 2015

    October 30, 2015

    REASON: 2 Year Prohibition From Owning, Operating and Directing

    Medicare Cancellation/Suspension

    Condition Level Non-Compliance with IJ

    Revocation of CLIA Certificate

    STATUS: Revocation of CLIA Certificate

  • RICHARD JONES MD, DIRECTOR

    JONES PEDIATRIC CENTER

    3520 E SHIELDS AVE STE 101

    FRESNO, CA 93726

    CLIA ID# 05D0706013

    SANCTION: Limitation of CLIA Certificate

    EFFECTIVE DATE: February 13, 2015

    REASON: Medicare Cancellation/Suspension

    Condition Level Non-Compliance

    Unsuccessful PT

    PETER CHUNG MD, DIRECTOR

    CRESTVIEW CLINICAL LABORATORY

    3220 BREA CANYON RD STE B

    DIAMOND BAR, CA 91765

    CLIA ID# 05D0864416

    SANCTION: Cancel Medicare/Medicaid Approval

    Revocation of CLIA Certificate

    EFFECTIVE DATE: February 27, 2015

    April 13, 2015

    REASON: 2 Year Prohibition From Owning, Operating and Directing

    Medicare Cancellation/Suspension

  • Condition Level Non-Compliance

    Improper PT Testing Referral Activities

    STATUS: Revocation of CLIA Certificate

    JACK AZAD MD, DIRECTOR

    PREMIERE CLINICAL LABORATORY, INC

    11900 S AVALON BLVD STE 100

    LOS ANGELES, CA 90061

    CLIA ID# 05D0930192

    SANCTION: Cancel Medicare/Medicaid Approval

    Suspension of CLIA Certificate

    Revocation of CLIA Certificate

    EFFECTIVE DATE: February 4, 2015

    February 7, 2015

    March 31, 2015

    REASON: Medicare Cancellation/Suspension

    Condition Level Non-Compliance with IJ

    Failure to Correct Deficiencies

    Revocation of CLIA Certificate

    Failure To Submit Acceptable POC or AOC

  • PAUL E KIM, MD INC

    PAIN MGMT/DR PAUL KIM

    3549 CAMINO DEL RIO SOUTH STE A

    SAN DIEGO, CA 92108

    CLIA ID# 05D1102345

    SANCTION: Cancel Medicare/Medicaid Approval

    Revocation of CLIA Certificate

    EFFECTIVE DATE: August 16, 2015

    August 16, 2015

    REASON: Cancellation of Medicare Approval Revocation

    2 Year Prohibition From Owning, Operating and Directing

    Medicare Cancellation/Suspension

    Condition Level Non-Compliance

    Failure To Submit Acceptable POC or AOC

    STATUS: Revocation of CLIA Certificate

    RICHARD JEFFERIES, MD, DIRECTOR

    ONSITE OHS, INC

    4707 EXECUTIVE DRIVE 1ST FLOOR

    SAN DIEGO, CA 92121

    CLIA ID# 05D2088238

  • SANCTION: Cancel Medicare/Medicaid Approval

    Revocation of CLIA Certificate

    EFFECTIVE DATE: April 4, 2015

    August 27, 2015

    REASON: Cancellation of Medicare Approval Revocation

    2 Year Prohibition From Owning, Operating and Directing

    Medicare Cancellation/Suspension

    Revocation of CLIA Certificate

    Lab Owner/Oper Prohibited From Owning Lab

    STATUS: Revocation Pending Hearing

    DINESH KHANNA M.D., DIRECTOR

    DINESH KHANNA MD PA

    1580 SANTA BARBARA BLVD

    THE VILLAGES, FL 32159

    CLIA ID# 10D0956954

    SANCTION: Cancel Medicare/Medicaid Approval

    Revocation of CLIA Certificate

    EFFECTIVE DATE: December 22, 2015

    December 22, 2015

    REASON: Cancellation of Medicare Approval Revocation

  • 2 Year Prohibition From Owning, Operating and Directing

    Condition Level Non-Compliance

    Revocation of CLIA Certificate

    Lab Owner/Oper Prohibited From Owning Lab

    STATUS: Revocation of CLIA Certificate

    SYED HUSSAIN, DIRECTOR

    FAMILY MEDICINE AND REHAB INC

    7685 103RD ST STE 1

    JACKSONVILLE, FL 32210

    CLIA ID# 10D0968343

    SANCTION: Limitation of CLIA Certificate

    EFFECTIVE DATE: April 10, 2015

    REASON: Unsuccessful PT

    STATUS: Laboratory voluntarily Ceased Testing

    HILARIO ISABA M.D., DIRECTOR

    SOUTHEAST MEDICAL LABORATORY

    6920 NW 72ND AVE

    MIAMI, FL 33166

    CLIA ID# 10D0984349

  • SANCTION: Limitation of CLIA Certificate

    EFFECTIVE DATE: September 18, 2015

    REASON: Unsuccessful PT

    STATUS: Laboratory voluntarily Ceased Testing

    SHAHID MASOOD MD, DIRECTOR

    INTERNAL MEDICINE/FAMILY PRACTICE INC

    1719 GLENWOOD AVENUE

    JOLIET, IL 60435

    CLIA ID# 14D0937860

    SANCTION: Cancel Medicare/Medicaid Approval

    Suspension of CLIA Certificate

    Revocation of CLIA Certificate

    EFFECTIVE DATE: March 25, 2015

    March 25, 2015

    May 10, 2015

    REASON: 2 Year Prohibition From Owning, Operating and Directing

    Medicare Cancellation/Suspension

    Condition Level Non-Compliance

    Failure to Correct Deficiencies

    Revocation of CLIA Certificate

  • Failure To Submit Acceptable POC or AOC

    STATUS: Revocation of CLIA Certificate

    Revocation of CLIA certificate.

    Ineligible to operate until May 9, 2017

    ROBERT BONZANI, DIRECTOR

    21ST CENTURY UROLOGY SC

    14315 S 108TH AVE, STE 230

    ORLAND PARK, IL 60467

    CLIA ID# 14D0996606

    SANCTION: Cancel Medicare/Medicaid Approval

    Suspension of CLIA Certificate

    Revocation of CLIA Certificate

    EFFECTIVE DATE: January 5, 2015

    January 5, 2015

    February 20, 2015

    REASON: 2 Year Prohibition From Owning, Operating and Directing

    Medicare Cancellation/Suspension

    Failure to Correct Deficiencies

    Revocation of CLIA Certificate

    Failure To Submit Acceptable POC or AOC

    STATUS: Revocation of CLIA Certificate

  • Ineligible to operate until Feb 19, 2017

    ULRICH KLOPFER D.O., DIRECTOR

    WOMENS PAVILION

    2010 IRONWOOD CIRCLE

    SOUTH BEND, IN 46635

    CLIA ID# 15D0709934

    SANCTION: Cancel Medicare/Medicaid Approval

    Suspension of CLIA Certificate

    Revocation of CLIA Certificate

    EFFECTIVE DATE: January 23, 2015

    January 23, 2015

    November 25, 2015

    REASON: Medicare Cancellation/Suspension

    Failure to Correct Deficiencies

    Revocation of CLIA Certificate

    Failure To Submit Acceptable POC or AOC

    Lab Owner/Oper Prohibited From Owning Lab

    TODD STILES M.D., DIRECTOR

    RIVERSIDE CYTOLOGY LABORATORY INC

    516 MAIN ST STE B

    TELL CITY, IN 47586

    CLIA ID# 15D1022101

  • SANCTION: Cancel Medicare/Medicaid Approval

    Suspension of CLIA Certificate

    EFFECTIVE DATE: June 30, 2015

    June 30, 2015

    REASON: Condition Level Non-Compliance with IJ

    Failure to Correct Deficiencies

    Failure To Submit Acceptable POC or AOC

    STATUS: Compliance Achieved

    ABDUL DAHHAN, DIRECTOR

    A DAHHAN MD PSC

    120 PROFESSIONAL LANE SUITE 101

    HARLAN, KY 40831

    CLIA ID# 18D0681245

    SANCTION: Limitation of CLIA Certificate

    EFFECTIVE DATE: July 22, 2015

    REASON: Condition Level Non-Compliance

    Unsuccessful PT

    STATUS: Compliance Achieved

    Red Blood Cell analyte limited from 9/21/2015-3/19/2016.

  • MARY LONG, DIRECTOR

    PHYSICIAN SERVICES, PSC

    1713 NICHOLASVILLE ROAD, SUITE 101 & 103

    LEXINGTON, KY 40503

    CLIA ID# 18D2070039

    SANCTION: Cancel Medicare/Medicaid Approval

    Revocation of CLIA Certificate

    EFFECTIVE DATE: March 9, 2015

    March 9, 2015

    REASON: Cancellation of Medicare Approval Revocation

    Condition Level Non-Compliance

    Improper PT Testing Referral Activities

    STATUS: Revocation of CLIA Certificate

    Laboratory paid fine in 2015

    QUANG VU, DIRECTOR

    HARVEY MEDCARE

    3709 WESTBANK EXPRESSWAY, SUITE 1-B

    HARVEY, LA 70058

    CLIA ID# 19D0457620

    SANCTION: Cancel Medicare/Medicaid Approval

    Revocation of CLIA Certificate

  • Suspension of CLIA Certificate

    EFFECTIVE DATE: June 9, 2015

    June 9, 2015

    June 9, 2015

    REASON: Condition Level Non-Compliance with IJ

    Failure to Correct Deficiencies

    Revocation of CLIA Certificate

    Failure To Submit Acceptable POC or AOC

    STATUS: Revocation of CLIA Certificate

    ROBERT FOOTER MD, DIRECTOR

    ROBERT D FOOTER MD

    10401 OLD GEORGETOWN RD SUITE 307

    BETHESDA, MD 20814

    CLIA ID# 21D0212345

    SANCTION: Limitation of CLIA Certificate

    EFFECTIVE DATE: October 17, 2015

    REASON: Medicare Cancellation/Suspension

    Unsuccessful PT

  • MILLICENT COKER-VANN PH D, DIRECTOR

    THE MALARIA & RHEUMATIC DISEASE RESEARCH INST INC

    18215-A FLOWER HILL WAY

    GAITHERSBURG, MD 20879

    CLIA ID# 21D2065315

    SANCTION: Suspension of CLIA Certificate

    EFFECTIVE DATE: December 16, 2015

    REASON: Failure to Permit Inspection

    STEVEN GRANT, DIRECTOR

    DOCTORS OF INTERNAL MEDICINE

    30335 W 13 MILE RD SUITE 1

    FARMINGTON HILLS, MI 48334

    CLIA ID# 23D0372125

    SANCTION: Limitation of CLIA Certificate

    EFFECTIVE DATE: May 27, 2015

    REASON: Unsuccessful PT

    STATUS: Suspension And Limitation Lifted

  • SRINIVAS BALIGA, DIRECTOR

    DR MADAN L GUPTA MD PC

    23077 GREENFIELD ROAD SUITE #253

    SOUTHFIELD, MI 48075

    CLIA ID# 23D0670243

    SANCTION: Limitation of CLIA Certificate

    EFFECTIVE DATE: January 23, 2015

    REASON: Unsuccessful PT

    STATUS: Suspension And Limitation Lifted

    AHMED ARIF, DIRECTOR

    FLUSHING ROAD INTERNAL MEDICINE & PEDIATRICS

    1201 FLUSHING ROAD

    FLINT, MI 48504

    CLIA ID# 23D1008641

    SANCTION: Limitation of CLIA Certificate

    EFFECTIVE DATE: May 29, 2015

    REASON: Unsuccessful PT

    STATUS: Suspension And Limitation Lifted

  • ROBERT LARBI-ODAM, DIRECTOR

    AXIS MEDICAL CENTER

    1801 NICOLLET AVE SOUTH

    MINNEAPOLIS, MN 55403

    CLIA ID# 24D1082806

    SANCTION: Suspension of CLIA Certificate

    EFFECTIVE DATE: July 21, 2015

    REASON: Condition Level Non-Compliance with IJ

    Failure To Submit Acceptable POC or AOC

    STATUS: Suspension And Limitation Lifted

    Compliance Achieved

    WEIGANG ZHU, DIRECTOR

    AMERATHON LLC

    DBA AMERICAN HEALTH ASSOCIATES

    10126 WOODFIELD LANE

    SAINT LOUIS, MO 63132

    CLIA ID# 26D0440143

    SANCTION: Limitation of CLIA Certificate

  • EFFECTIVE DATE: February 4, 2015

    REASON: Unsuccessful PT

    STATUS: Suspension And Limitation Lifted

    Certificate limited for the specialty of Bacteriology.

    CLAYTON MEAD, DIRECTOR

    WESTERN MONTANA CLINIC

    515 WEST FRONT STREET

    MISSOULA, MT 59802

    CLIA ID# 27D0410975

    SANCTION: Revocation of CLIA Certificate

    EFFECTIVE DATE: March 2, 2015

    REASON: 2 Year Prohibition From Owning, Operating and Directing

    Improper PT Testing Referral Activities

    Revocation of CLIA Certificate

    STATUS: Revocation of CLIA Certificate

  • CLAYTON MEAD, DIRECTOR

    WESTERN MONTANA CLINIC COMMUNITY

    2835 FORT MISSOULA ROAD PHYS BLDG #3

    MISSOULA, MT 59802

    CLIA ID# 27D0918124

    SANCTION: Revocation of CLIA Certificate

    EFFECTIVE DATE: March 2, 2015

    REASON: Improper PT Testing Referral Activities

    STATUS: Revocation of CLIA Certificate

    BENEDICT OKWARA M.D., DIRECTOR

    FIRST CARE MEDICAL CLINIC - NATIONS FORD

    9040 NATIONS FORD ROAD

    CHARLOTTE, NC 28273

    CLIA ID# 34D1020355

    SANCTION: Limitation of CLIA Certificate

    EFFECTIVE DATE: October 4, 2015

    REASON: Unsuccessful PT

  • AWAWU IGBINADOLOR, DIRECTOR

    ST MARYS MEDICAL CLINIC

    701 EAST ROOSEVELT BOULEVARD, SUITE 800 - A

    MONROE, NC 28112

    CLIA ID# 34D1078775

    SANCTION: Limitation of CLIA Certificate

    EFFECTIVE DATE: December 15, 2015

    REASON: Condition Level Non-Compliance

    Unsuccessful PT

    MARK WINTERS DPM, DIRECTOR

    NORTH COAST FOOT & DIABETIC WOUND CARE CENTER

    1100 N ABBE ROAD SUITE D

    ELYRIA, OH 44035

    CLIA ID# 36D0946770

    SANCTION: Revocation of CLIA Certificate

    EFFECTIVE DATE: January 15, 2015

    REASON: Medicare Cancellation/Suspension

    Condition Level Non-Compliance

    Revocation of CLIA Certificate

    Failure To Submit Acceptable POC or AOC

  • ANDRE HARRIS SR, DIRECTOR

    HORIZONS WOMEN'S HEALTH CARE LLC

    1 ELIZABETH PLACE 5TH FLOOR SUITE M

    DAYTON, OH 45417

    CLIA ID# 36D1052740

    SANCTION: Cancel Medicare/Medicaid Approval

    Revocation of CLIA Certificate

    Cancel Medicare/Medicaid Approval

    Revocation of CLIA Certificate

    EFFECTIVE DATE: January 15, 2015

    January 15, 2015

    January 15, 2015

    January 15, 2015

    REASON: Failure to Correct Deficiencies

    STATUS: Revocation of CLIA Certificate

    Ineligible to own or operate until January 15, 2017

    BRIAN STILL D.O., DIRECTOR

    COSHOCTON LABORATORY INTERNATIONAL LLC

    660 MAIN STREET

    COSHOCTON, OH 43812

    CLIA ID# 36D1100195

  • SANCTION: Limitation of CLIA Certificate

    EFFECTIVE DATE: February 27, 2015

    MARTY LOFGREN, DIRECTOR

    ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC

    ABSENTEE SHAWNEE TRIBE OF OKLAHOMA

    2029 S GORDON COOPER DR, BUILDING 17

    SHAWNEE, OK 74801

    CLIA ID# 37D1092055

    SANCTION: Limitation of CLIA Certificate

    EFFECTIVE DATE: May 21, 2015

    REASON: Condition Level Non-Compliance

    Improper PT Testing Referral Activities

    JAVID CALCATTI, DIRECTOR

    WELLNORTH MEDICAL

    1630 MINERAL SPRING AVENUE SUITE 203

    NORTH PROVIDENCE, RI 02904

    CLIA ID# 41D0709763

  • SANCTION: Revocation of CLIA Certificate

    EFFECTIVE DATE: April 6, 2015

    REASON: Cancellation of Medicare Approval Revocation

    Revocation of CLIA Certificate

    Lab Owner/Oper Prohibited From Owning Lab

    STATUS: Revocation of CLIA Certificate

    TEMISAN ETIKERENTSE, DIRECTOR

    HOPE CLINIC NORTH CHARLESTON

    5880 RIVERS AVE

    NORTH CHARLESTON, SC 29406

    CLIA ID# 42D1077950

    SANCTION: Limitation of CLIA Certificate

    EFFECTIVE DATE: August 4, 2015

    REASON: Unsuccessful PT

  • EDWARD WHITE, DIRECTOR

    ONSITE OHS

    1225 SPRING ST

    DOVER, TN 37058

    CLIA ID# 44D2076833

    SANCTION: Cancel Medicare/Medicaid Approval

    Revocation of CLIA Certificate

    EFFECTIVE DATE: August 27, 2015

    August 27, 2015

    REASON: Cancellation of Medicare Approval Revocation

    STATUS: Hearing Decision Sustained CMS Sanc Determ

    GONZALO URIBE-BOTERO, DIRECTOR

    ACADEMIC INSTITUTE OF PATHOLOGY

    5420 BELLAIRE BOULEVARD SUITE B

    BELLAIRE, TX 77401

    CLIA ID# 45D0722508

    SANCTION: Revocation of CLIA Certificate

    EFFECTIVE DATE: April 22, 2015

  • REASON: Condition Level Non-Compliance with IJ

    Improper PT Testing Referral Activities

    Lab Owner/Oper Prohibited From Owning Lab

    STATUS: Revocation of CLIA Certificate

    Hearing Decision Sustained CMS Sanc Determ

    YING YING WOOD, DIRECTOR

    CLINICA DE NINOS, PA

    6445 HIGH STAR

    HOUSTON, TX 77074

    CLIA ID# 45D0952465

    SANCTION: Limitation of CLIA Certificate

    EFFECTIVE DATE: April 28, 2015

    REASON: Condition Level Non-Compliance

    Unsuccessful PT

    STATUS: Compliance Achieved

  • GONZALO URIBE-BOTERO, DIRECTOR

    MEDAGENE CLINIC

    6655 HILLCROFT SUITE 100 & 105

    HOUSTON, TX 77081

    CLIA ID# 45D0965514

    SANCTION: Revocation of CLIA Certificate

    EFFECTIVE DATE: July 13, 2015

    REASON: 2 Year Prohibition From Owning, Operating and Directing

    Condition Level Non-Compliance

    STATUS: Revocation of CLIA Certificate

    OANH BUI, DIRECTOR

    CYPRESS OB GYN

    10680 JONES RD STE 600

    HOUSTON, TX 77065

    CLIA ID# 45D1050724

    SANCTION: Cancel Medicare/Medicaid Approval

    Suspension of CLIA Certificate

    EFFECTIVE DATE: September 4, 2015

  • September 4, 2015

    REASON: Condition Level Non-Compliance

    Failure to Correct Deficiencies

    ALBERTO GONZALEZ, DIRECTOR

    SOUTH TEXAS CLINICAL LABORATORY LLP

    418 SOUTH 6TH STREET

    KINGSVILLE, TX 78363

    CLIA ID# 45D1075228

    SANCTION: Limitation of CLIA Certificate

    EFFECTIVE DATE: September 25, 2015

    REASON: Condition Level Non-Compliance

    Unsuccessful PT

    RAJA MUTYALA, DIRECTOR

    ANANTASAI DBA CLINICAL DIAGNOSTIC LABORATORY

    3519 TOWN CENTER BLVD SUITE B

    SUGAR LAND, TX 77479

    CLIA ID# 45D2012059

  • SANCTION: Revocation of CLIA Certificate

    EFFECTIVE DATE: March 31, 2015

    REASON: Condition Level Non-Compliance with IJ

    Unsuccessful PT

    Failure to Correct Deficiencies

    Failure To Submit Acceptable POC or AOC

    STATUS: Revocation of CLIA Certificate

    BRIAN CARLILE DO, DIRECTOR

    ONSITE OHS, INC

    2421 WESTPORT PARKWAY #300

    FORT WORTH, TX 76177

    CLIA ID# 45D2028220

    SANCTION: Revocation of CLIA Certificate

    EFFECTIVE DATE: January 7, 2015

    REASON: 2 Year Prohibition From Owning, Operating and Directing

    Condition Level Non-Compliance with IJ

    Failure to Correct Deficiencies

    Revocation of CLIA Certificate

    Failure To Submit Acceptable POC or AOC

  • STATUS: Revocation of CLIA Certificate

    Hearing Decision Sustained CMS Sanc Determ

    Hearing Requested

    Appeal Filed By Laboratory

    GLENWOOD WILBERT III, DIRECTOR

    CONSULTANTS IN RADIOLOGY, PA

    831 EUREKA ST

    WEATHERFORD, TX 76086

    CLIA ID# 45D2043795

    SANCTION: Revocation of CLIA Certificate

    EFFECTIVE DATE: January 13, 2015

    REASON: Condition Level Non-Compliance with IJ

    Failure to Correct Deficiencies

    Failure To Submit Acceptable POC or AOC

    STATUS: Revocation of CLIA Certificate

    GLENWOOD WILBERT III, DIRECTOR

    CLEBURNE IMAGING LLC

    203 WALLS DRIVE SUITE 101

    CLEBURNE, TX 76033

    CLIA ID# 45D2043796

  • SANCTION: Revocation of CLIA Certificate

    EFFECTIVE DATE: February 10, 2015

    REASON: Condition Level Non-Compliance with IJ

    Failure to Correct Deficiencies

    Failure To Submit Acceptable POC or AOC

    STATUS: Revocation of CLIA Certificate

    MURTAZA MUSSAJI, DIRECTOR

    SHADOW CREEK MEDICAL CLINIC

    11021 SHADOW CREEK PKWY #102

    PEARLAND, TX 77584

    CLIA ID# 45D2050056

    SANCTION: Cancel Medicare/Medicaid Approval

    Revocation of CLIA Certificate

    Suspension of CLIA Certificate

    EFFECTIVE DATE: September 9, 2015

    September 9, 2015

    September 9, 2015

  • REASON: Condition Level Non-Compliance with IJ

    Failure to Correct Deficiencies

    Failure To Submit Acceptable POC or AOC

    STATUS: Revocation of CLIA Certificate

    AYO AJIM M.D., DIRECTOR

    GRACE ER

    10900 GULF FREEWAY, #B102

    HOUSTON, TX 77034

    CLIA ID# 45D2066463

    SANCTION: Cancel Medicare/Medicaid Approval

    EFFECTIVE DATE: September 22, 2015

    REASON: Condition Level Non-Compliance with IJ

    Failure to Correct Deficiencies

    STATUS: Revocation Pending Hearing

    Appeal Filed By Laboratory

  • 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 ***

  • 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

    DERROL DAWKINS MD, DIRECTOR

    METRO PEDIATRICS PC

    401 VALLEY AVENUE

    BIRMINGHAM, AL 35209

    CLIA ID# 01D0300948

    SANCTION: Directed Plan of Correction (DPOC)

    Suspension of Part of Medicare/Medicaid

    EFFECTIVE DATE: July 22, 2015

    July 22, 2015

    REASON: Condition Level Non-Compliance

    Unsuccessful PT

    Letter signed/received from laboratory to voluntarily cease testing due to repeat unsuccessful PT

  • CURT BUCHHOLZ, DIRECTOR

    CENTRAL PENINSULA GENERAL HOSPITAL

    250 HOSPITAL PLACE

    SOLDOTNA, AK 99669

    CLIA ID# 02D0066328

    SANCTION: Civil Money Penalty

    Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: August 28, 2015

    September 11, 2015

    REASON: Condition Level Non-Compliance

    AMIT GHOSHAL Ph.D., DIRECTOR

    PROGRESSIVE PAIN MANAGEMENT INC

    301 E COTTONWOOD LANE, STE 1

    CASA GRANDE, AZ 85122

    CLIA ID# 03D2017811

    SANCTION: Civil Money Penalty

    Directed Portion Plan of Correction (DPPOC)

    EFFECTIVE DATE: December 25, 2015

    December 24, 2015

    REASON: 2 Year Prohibition From Owning, Operating and Directing

  • Medicare Cancellation/Suspension

    Condition Level Non-Compliance

    Failure to Correct Deficiencies

    Revocation of CLIA Certificate

    MICHAEL ANREDER, DIRECTOR

    DE QUEEN REGIONAL MEDICAL CENTER, INC LABORATORY

    1306 WEST COLLIN RAYE DRIVE

    DE QUEEN, AR 71832

    CLIA ID# 04D0465706

    SANCTION: Civil Money Penalty

    Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: July 6, 2015

    July 6, 2015

    REASON: Condition Level Non-Compliance with IJ

    STATUS: Compliance Achieved

    KAREN WARD, DIRECTOR

    AUTUMN ROAD FAMILY PRACTICE, PA

    904 AUTUMN ROAD, SUITE 200

    LITTLE ROCK, AR 72211

    CLIA ID# 04D0467303

  • SANCTION: Suspension of Part of Medicare/Medicaid

    EFFECTIVE DATE: November 10, 2015

    REASON: Condition Level Non-Compliance

    Unsuccessful PT

    EKNATH DEO MD DIRECTOR, DIRECTOR

    COAST HEMATOLOGY-ONCOLOGY ASSOCIATES, INC

    701 E 28TH ST STE 418

    LONG BEACH, CA 90806

    CLIA ID# 05D0554051

    SANCTION: Directed Plan of Correction (DPOC)

    Suspension of Part of Medicare/Medicaid

    EFFECTIVE DATE: June 12, 2015

    June 14, 2015

    REASON: Cancellation of Medicare Approval Suspension

    Condition Level Non-Compliance

    Unsuccessful PT

  • ALFREDO ASUNCION JR, DIRECTOR

    QUEST DIAGNOSTICS INC

    ATTN QA DEPT

    967 MABURY ROAD

    SAN JOSE, CA 95133

    CLIA ID# 05D0608832

    SANCTION: Civil Money Penalty

    Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: May 5, 2015

    May 5, 2015

    REASON: Condition Level Non-Compliance

    MILO ALLADO MD, DIRECTOR

    MTS CLINICAL LABORATORY

    7625 HAYVENHURST AVE STE 21

    VAN NUYS, CA 91406

    CLIA ID# 05D0642836

    SANCTION: Directed Plan of Correction (DPOC)

    Suspension of Part of Medicare/Medicaid

    EFFECTIVE DATE: March 5, 2015

    March 7, 2015

  • REASON: Medicare Cancellation/Suspension

    Condition Level Non-Compliance

    Unsuccessful PT

    ALFREDO ASUNCION JR, DIRECTOR

    QUEST DIAGNOSTICS

    3714 NORTHGATE BLVD

    SACRAMENTO, CA 95834

    CLIA ID# 05D0644209

    SANCTION: Civil Money Penalty

    Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: May 5, 2015

    May 5, 2015

    REASON: Condition Level Non-Compliance

    SOO CHUNG MD, DIRECTOR

    SOO M CHUNG MD, ONCOLOGY/HEMATOLOGY

    A PROFESSIONAL CORPORATION

    12555 GARDEN GROVE BLVD STE 309

    GARDEN GROVE, CA 92843

    CLIA ID# 05D0675453

    SANCTION: Civil Money Penalty

  • Directed Portion Plan of Correction (DPPOC)

    EFFECTIVE DATE: October 6, 2015

    October 5, 2015

    REASON: 2 Year Prohibition From Owning, Operating and Directing

    Medicare Cancellation/Suspension

    Condition Level Non-Compliance with IJ

    Failure to Correct Deficiencies

    Revocation of CLIA Certificate

    Failure To Submit Acceptable POC or AOC

    STATUS: Revocation of CLIA Certificate

    THOMAS COOPER, JR., MD, DIRECTOR

    MEDICAL CLINICAL LABORATORIES INC

    2216 SANTA MONICA BLVD STE 101

    SANTA MONICA, CA 90404

    CLIA ID# 05D0704107

    SANCTION: Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: March 5, 2015

    REASON: Condition Level Non-Compliance

    Unsuccessful PT

  • RICHARD JONES MD, DIRECTOR

    JONES PEDIATRIC CENTER

    3520 E SHIELDS AVE STE 101

    FRESNO, CA 93726

    CLIA ID# 05D0706013

    SANCTION: Directed Plan of Correction (DPOC)

    Suspension of Part of Medicare/Medicaid

    EFFECTIVE DATE: February 11, 2015

    February 13, 2015

    REASON: Medicare Cancellation/Suspension

    Condition Level Non-Compliance

    Unsuccessful PT

    PETER CHUNG MD, DIRECTOR

    CRESTVIEW CLINICAL LABORATORY

    3220 BREA CANYON RD STE B

    DIAMOND BAR, CA 91765

    CLIA ID# 05D0864416

    SANCTION: Directed Portion Plan of Correction (DPPoC)

    EFFECTIVE DATE: April 13, 2015

  • REASON: 2 Year Prohibition From Owning, Operating and Directing

    Medicare Cancellation/Suspension

    Condition Level Non-Compliance

    Improper PT Testing Referral Activities

    Revocation of CLIA Certificate

    STATUS: Revocation of CLIA Certificate

    JACK AZAD MD, DIRECTOR

    PREMIERE CLINICAL LABORATORY, INC

    11900 S AVALON BLVD STE 100

    LOS ANGELES, CA 90061

    CLIA ID# 05D0930192

    SANCTION: Civil Money Penalty

    Directed Portion Plan of Correction (DPPOC)

    EFFECTIVE DATE: March 4, 2015

    February 4, 2015

    REASON: Medicare Cancellation/Suspension

    Condition Level Non-Compliance with IJ

    Failure to Correct Deficiencies

    Revocation of CLIA Certificate

    Failure To Submit Acceptable POC or AOC

  • MICHAEL QUIGLEY MD, DIRECTOR

    SCRIPPS CLINIC MEDICAL LABORATORIES

    9535 WAPLES ST STE 150

    SAN DIEGO, CA 92121

    CLIA ID# 05D1071362

    SANCTION: Civil Money Penalty

    Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: March 24, 2015

    March 24, 2015

    REASON: Condition Level Non-Compliance

    Improper PT Testing Referral Activities

    MISAL KHAN, DIRECTOR

    MISAL KHAN MD FRCS (ED) PA

    3808 E 3RD ST

    PANAMA CITY, FL 32401

    CLIA ID# 10D0270499

    SANCTION: Directed Plan of Correction (DPOC)

    Suspension of Part of Medicare/Medicaid

    EFFECTIVE DATE: January 3, 2015

    January 3, 2015

  • REASON: Condition Level Non-Compliance

    Unsuccessful PT

    HILARIO ISABA M.D., DIRECTOR

    SOUTHEAST MEDICAL LABORATORY

    6920 NW 72ND AVE

    MIAMI, FL 33166

    CLIA ID# 10D0984349

    SANCTION: Directed Plan of Correction (DPOC)

    Suspension of Part of Medicare/Medicaid

    EFFECTIVE DATE: September 18, 2015

    September 18, 2015

    REASON: Unsuccessful PT

    STATUS: Laboratory voluntarily Ceased Testing

    ERNESTO ESTOR MD, DIRECTOR

    OAKCREST LABORATORY SERVICES INC

    10 ORLAND SQUARE DR, STE 1A

    ORLAND PARK, IL 60462

    CLIA ID# 14D0418588

  • SANCTION: Civil Money Penalty

    EFFECTIVE DATE: August 25, 2015

    REASON: Condition Level Non-Compliance with IJ

    STATUS: Compliance Achieved

    ROBERT REUTER, DIRECTOR

    SHELBY MEMORIAL HOSPITAL LABORATORY

    200 S CEDAR ST

    SHELBYVILLE, IL 62565

    CLIA ID# 14D0435278

    SANCTION: Civil Money Penalty

    EFFECTIVE DATE: September 8, 2015

    REASON: Condition Level Non-Compliance with IJ

    STATUS: Compliance Achieved

    MINA GABRAWY MD, DIRECTOR

    HARDIN COUNTY GEN HOSP

    FERRELL RD PO BOX 2467

    ROSICLARE, IL 62982

    CLIA ID# 14D0436747

  • SANCTION: Civil Money Penalty

    Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: June 18, 2015

    June 18, 2015

    REASON: Improper PT Testing Referral Activities

    STATUS: Compliance Achieved

    CMP Imposed

    MOIRA ARIANO MD, DIRECTOR

    MOIRA C ARIANO MD SC

    2323 NAPERVILLE RD STE 120

    NAPERVILLE, IL 60563

    CLIA ID# 14D0901570

    SANCTION: Civil Money Penalty

    Directed Portion Plan of Correction (DPPOC)

    EFFECTIVE DATE: July 18, 2015

    August 3, 2015

    REASON: Condition Level Non-Compliance

    STATUS: Compliance Achieved

  • SHAHID MASOOD MD, DIRECTOR

    INTERNAL MEDICINE/FAMILY PRACTICE INC

    1719 GLENWOOD AVENUE

    JOLIET, IL 60435

    CLIA ID# 14D0937860

    SANCTION: Civil Money Penalty

    Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: March 23, 2015

    March 25, 2015

    REASON: Failure To Submit Acceptable POC or AOC

    ROBERT BONZANI, DIRECTOR

    21ST CENTURY UROLOGY SC

    14315 S 108TH AVE, STE 230

    ORLAND PARK, IL 60467

    CLIA ID# 14D0996606

    SANCTION: Civil Money Penalty

    EFFECTIVE DATE: January 2, 2015

    REASON: Failure To Submit Acceptable POC or AOC

  • STATUS: Revocation of CLIA Certificate

    AMY BUDKE M D, DIRECTOR

    GASTROINTESTINAL CLINIC QUAD CITIES

    4340 7TH STREET

    MOLINE, IL 61265

    CLIA ID# 14D1075492

    SANCTION: Civil Money Penalty

    Suspension of All of Medicare/Medicaid

    Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: October 13, 2015

    October 16, 2015

    October 23, 2015

    REASON: Condition Level Non-Compliance with IJ

    STATUS: Compliance Achieved

  • TODD STILES M.D., DIRECTOR

    RIVERSIDE CYTOLOGY LABORATORY INC

    516 MAIN ST STE B

    TELL CITY, IN 47586

    CLIA ID# 15D1022101

    SANCTION: Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: July 7, 2015

    REASON: Condition Level Non-Compliance with IJ

    Failure to Correct Deficiencies

    Failure To Submit Acceptable POC or AOC

    STATUS: Compliance Achieved

    ABDUL DAHHAN, DIRECTOR

    A DAHHAN MD PSC

    120 PROFESSIONAL LANE SUITE 101

    HARLAN, KY 40831

    CLIA ID# 18D0681245

    SANCTION: Directed Plan of Correction (DPOC)

    Suspension of Part of Medicare/Medicaid

    EFFECTIVE DATE: July 22, 2015

    July 22, 2015

  • REASON: Condition Level Non-Compliance

    Unsuccessful PT

    Red Blood Cell analyte limited from 9/21/2015-3/19/2016.

    STANLEY LEVINSON, DIRECTOR

    PHYSICIAN SERVICES, PSC

    1721 NICHOLASVILLE ROAD

    LEXINGTON, KY 40503

    CLIA ID# 18D0952397

    SANCTION: Civil Money Penalty

    Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: June 23, 2015

    June 23, 2015

    REASON: Condition Level Non-Compliance

    Improper PT Testing Referral Activities

    STATUS: Compliance Achieved

  • HOWARD MARTIN III M.D., DIRECTOR

    PERFORMANCE LABS, LLC

    50 EAST COURT, SUITE 8

    MANDEVILLE, LA 70471

    CLIA ID# 19D2065079

    SANCTION: Directed Plan of Correction (DPOC)

    Directed Portion Plan of Correction (DPPOC)

    Suspension of Part of Medicare/Medicaid

    EFFECTIVE DATE: December 30, 2015

    December 30, 2015

    December 30, 2015

    ROBERT FOOTER MD, DIRECTOR

    ROBERT D FOOTER MD

    10401 OLD GEORGETOWN RD SUITE 307

    BETHESDA, MD 20814

    CLIA ID# 21D0212345

    SANCTION: Suspension of Part of Medicare/Medicaid

    EFFECTIVE DATE: October 17, 2015

    REASON: Medicare Cancellation/Suspension

    Unsuccessful PT

  • MILLICENT COKER-VANN PH D, DIRECTOR

    THE MALARIA & RHEUMATIC DISEASE RESEARCH INST INC

    18215-A FLOWER HILL WAY

    GAITHERSBURG, MD 20879

    CLIA ID# 21D2065315

    SANCTION: Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: March 5, 2015

    REASON: Condition Level Non-Compliance

    PAUL LYSIAK, DIRECTOR

    EMERSON HOSPITAL

    133 OLD ROAD TO NINE ACRE CORNER (ORNAC)

    CONCORD, MA 01742

    CLIA ID# 22D0070561

    SANCTION: Civil Money Penalty

    Directed Portion Plan of Correction (DPPOC)

    EFFECTIVE DATE: October 23, 2015

    October 23, 2015

  • REASON: Improper PT Testing Referral Activities

    STATUS: Compliance Achieved

    RICHARD KAUFMAN M.D., DIRECTOR

    BRIGHAM & WOMEN'S HOSPITAL TRANSFUSION SERVICE AND

    KRAFT FAMILY BLOOD DONOR CENTER

    75 FRANCIS STREET, AMORY 260

    BOSTON, MA 02115

    CLIA ID# 22D1008129

    SANCTION: Directed Plan of Correction (DPOC)

    Civil Money Penalty

    EFFECTIVE DATE: April 23, 2015

    May 8, 2015

    REASON: Improper PT Testing Referral Activities

    STATUS: Compliance Achieved

  • STEVEN GRANT, DIRECTOR

    DOCTORS OF INTERNAL MEDICINE

    30335 W 13 MILE RD SUITE 1

    FARMINGTON HILLS, MI 48334

    CLIA ID# 23D0372125

    SANCTION: Directed Plan of Correction (DPOC)

    Suspension of Part of Medicare/Medicaid

    EFFECTIVE DATE: May 27, 2015

    May 27, 2015

    REASON: Unsuccessful PT

    STATUS: Compliance Achieved

    SRINIVAS BALIGA, DIRECTOR

    DR MADAN L GUPTA MD PC

    23077 GREENFIELD ROAD SUITE #253

    SOUTHFIELD, MI 48075

    CLIA ID# 23D0670243

    SANCTION: Directed Plan of Correction (DPOC)

    Suspension of Part of Medicare/Medicaid

    EFFECTIVE DATE: January 23, 2015

    January 23, 2015

  • REASON: Unsuccessful PT

    STATUS: Compliance Achieved

    AHMED ARIF, DIRECTOR

    FLUSHING ROAD INTERNAL MEDICINE & PEDIATRICS

    1201 FLUSHING ROAD

    FLINT, MI 48504

    CLIA ID# 23D1008641

    SANCTION: Directed Plan of Correction (DPOC)

    Suspension of All of Medicare/Medicaid

    EFFECTIVE DATE: May 29, 2015

    May 29, 2015

    REASON: Unsuccessful PT

    STATUS: Compliance Achieved

    ROBERT LARBI-ODAM, DIRECTOR

    AXIS MEDICAL CENTER

    1801 NICOLLET AVE SOUTH

    MINNEAPOLIS, MN 55403

    CLIA ID# 24D1082806

  • SANCTION: Civil Money Penalty

    EFFECTIVE DATE: July 18, 2015

    REASON: Condition level non compliance

    Failure to submit an acceptable AOC

    CLAYTON MEAD, DIRECTOR

    WESTERN MONTANA CLINIC

    515 WEST FRONT STREET

    MISSOULA, MT 59802

    CLIA ID# 27D0410975

    SANCTION: Civil Money Penalty

    EFFECTIVE DATE: March 2, 2015

    REASON: Improper PT Testing Referral Activities

    STATUS: Revocation of CLIA Certificate

    BENEDICT OKWARA M.D., DIRECTOR

    FIRST CARE MEDICAL CLINIC - NATIONS FORD

    9040 NATIONS FORD ROAD

    CHARLOTTE, NC 28273

    CLIA ID# 34D1020355

  • SANCTION: Directed Plan of Correction (DPOC)

    Suspension of Part of Medicare/Medicaid

    EFFECTIVE DATE: October 4, 2015

    October 4, 2015

    REASON: Condition Level Non-Compliance

    Unsuccessful PT

    AWAWU IGBINADOLOR, DIRECTOR

    ST MARYS MEDICAL CLINIC

    701 EAST ROOSEVELT BOULEVARD, SUITE 800 - A

    MONROE, NC 28112

    CLIA ID# 34D1078775

    SANCTION: Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: December 15, 2015

    REASON: Condition Level Non-Compliance

    Unsuccessful PT

  • KENNETH WHINERY M.D., DIRECTOR

    SAYRE MEMORIAL HOSPITAL

    911 HOSPITAL DR

    SAYRE, OK 73662

    CLIA ID# 37D0472457

    SANCTION: Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: June 19, 2015

    REASON: Condition Level Non-Compliance

    STATUS: Compliance Achieved

    JENNIFER RUSSELL, DIRECTOR

    MERCY HOSPITAL WATONGA

    500 N CLARENCE NASH BLVD

    WATONGA, OK 73772

    CLIA ID# 37D0472727

    SANCTION: Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: February 11, 2015

    REASON: Condition Level Non-Compliance with IJ

    STATUS: Compliance Achieved

  • RICKY REAVES, DIRECTOR

    MEMORIAL HOSPITAL OF TEXAS COUNTY

    520 MEDICAL DRIVE

    GUYMON, OK 73942

    CLIA ID# 37D0472824

    SANCTION: Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: October 1, 2015

    REASON: Condition Level Non-Compliance with IJ

    Failure to Correct Deficiencies

    STATUS: Compliance Achieved

    SHIRIL HOMBAL, DIRECTOR

    ATOKA COUNTY MEDICAL CENTER

    1200 WEST LIBERTY ROAD

    ATOKA, OK 74525

    CLIA ID# 37D0475417

    SANCTION: Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: December 1, 2015

    REASON: Condition Level Non-Compliance with IJ

  • STATUS: Compliance Achieved

    DENISE JOHNSON, DIRECTOR

    OKLAHOMA VETERANS CENTER-CLINTON DIVISION

    1701 SOUTH HIGHWAY 183

    CLINTON, OK 73601

    CLIA ID# 37D0665426

    SANCTION: Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: November 25, 2015

    REASON: Condition Level Non-Compliance

    STATUS: Compliance Achieved

    MARTY LOFGREN, DIRECTOR

    LI-SI-WI-NWI HEALTH INC

    15951 LITTLE AXE DRIVE

    NORMAN, OK 73026

    CLIA ID# 37D0906177

    SANCTION: Civil Money Penalty

    Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: April 15, 2015

  • April 30, 2015

    REASON: Condition Level Non-Compliance

    Improper PT Testing Referral Activities

    STATUS: Compliance Achieved

    MARTY LOFGREN, DIRECTOR

    ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC

    ABSENTEE SHAWNEE TRIBE OF OKLAHOMA

    2029 S GORDON COOPER DR, BUILDING 17

    SHAWNEE, OK 74801

    CLIA ID# 37D1092055

    SANCTION: Civil Money Penalty

    Directed Plan of Correction (DPOC)

    Suspension of Part of Medicare/Medicaid

    EFFECTIVE DATE: February 19, 2015

    March 9, 2015

    April 30, 2015

    REASON: Condition Level Non-Compliance

    Improper PT Testing Referral Activities

    STATUS: Compliance Achieved

  • JAMES MACLOWRY MD, DIRECTOR

    UNIVERSITY HOSPITALS & CLINICS POCT

    LABORATORY

    3181 SW SAM JACKSON PK RD L471

    PORTLAND, OR 97239

    CLIA ID# 38D0906671

    SANCTION: Civil Money Penalty

    Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: April 13, 2015

    April 13, 2015

    REASON: Condition Level Non-Compliance

    TEMISAN ETIKERENTSE, DIRECTOR

    HOPE CLINIC NORTH CHARLESTON

    5880 RIVERS AVE

    NORTH CHARLESTON, SC 29406

    CLIA ID# 42D1077950

    SANCTION: Directed Plan of Correction (DPOC)

    Suspension of Part of Medicare/Medicaid

    EFFECTIVE DATE: October 3, 2015

    October 3, 2015

  • REASON: Condition Level Non-Compliance

    Unsuccessful PT

    LINH NGUYEN, DIRECTOR

    PRIMA HEALTH CLINIC

    3555 W WALNUT ST SUITE A

    GARLAND, TX 75042

    CLIA ID# 45D0476599

    SANCTION: Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: April 23, 2015

    REASON: Condition Level Non-Compliance with IJ

    Failure To Submit Acceptable POC or AOC

    JYOTSNAMOY CHAUDHURI, DIRECTOR

    ENDOCRINE ASSOCS OF DALLAS PA LAB

    10260 NORTH CENTRAL EXPRESSWAY

    DALLAS, TX 75231

    CLIA ID# 45D0480679

    SANCTION: Directed Plan of Correction (DPOC)

  • EFFECTIVE DATE: July 1, 2015

    REASON: Condition Level Non-Compliance with IJ

    JAMES DUFF, DIRECTOR

    STEPHENS MEMORIAL HOSPITAL

    200 SOUTH GENEVA ST

    BRECKENRIDGE, TX 76424

    CLIA ID# 45D0484993

    SANCTION: Civil Money Penalty

    Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: September 10, 2015

    September 25, 2015

    OSCAR DEVALLE, DIRECTOR

    CLINICA HISPANA

    2028 WIRT RD

    HOUSTON, TX 77055

    CLIA ID# 45D0492184

    SANCTION: Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: July 23, 2015

  • REASON: Condition Level Non-Compliance

    STATUS: Compliance Achieved

    MANON CHILDERS III, DIRECTOR

    CHILDERS-SIEWERT CLINIC

    3006 GARRETT DRIVE

    PERRYTON, TX 79070

    CLIA ID# 45D0506710

    SANCTION: Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: January 23, 2015

    REASON: Condition Level Non-Compliance

    Failure to Correct Deficiencies

    Failure To Submit Acceptable POC or AOC

    STATUS: Laboratory voluntarily Ceased Testing

    YING YING WOOD, DIRECTOR

    CLINICA DE NINOS, PA

    6445 HIGH STAR

    HOUSTON, TX 77074

    CLIA ID# 45D0952465

  • SANCTION: Suspension of All of Medicare/Medicaid

    EFFECTIVE DATE: April 28, 2015

    REASON: Condition Level Non-Compliance

    Unsuccessful PT

    STATUS: Compliance Achieved

    AMANULLAH KHAN MD PHD, DIRECTOR

    CANCER CENTER ASSOCIATES

    4201 MEDICAL CENTER DR STE 180

    MCKINNEY, TX 75069

    CLIA ID# 45D0996059

    SANCTION: Civil Money Penalty

    Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: August 28, 2015

    September 14, 2015

    REASON: Condition Level Non-Compliance

    Failure to Correct Deficiencies

    STATUS: Compliance Achieved

  • SHARON KUYKENDALL, DIRECTOR

    ACCUTOX, INC/STAT LAB

    105 IH 10 SOUTH

    BEAUMONT, TX 77702

    CLIA ID# 45D0999705

    SANCTION: Civil Money Penalty

    EFFECTIVE DATE: August 19, 2015

    REASON: Condition Level Non-Compliance

    Failure To Submit Acceptable POC or AOC

    STATUS: Compliance Achieved

    OSCAR DE VALLE, DIRECTOR

    CLINICA HISPANA II, PA

    8410 FONDREN

    HOUSTON, TX 77074

    CLIA ID# 45D1012480

    SANCTION: Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: April 24, 2015

    REASON: Condition Level Non-Compliance

  • Failure to Correct Deficiencies

    STATUS: Laboratory voluntarily Ceased Testing

    CODY MIHILLS, DIRECTOR

    CODY L MIHILLS,MD PA

    1001 S SOUTHLAKE BLVD

    SOUTHLAKE, TX 76092

    CLIA ID# 45D1061285

    SANCTION: Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: February 9, 2015

    REASON: Condition Level Non-Compliance with IJ

    Failure to Correct Deficiencies

    Failure To Submit Acceptable POC or AOC

    ALBERTO GONZALEZ, DIRECTOR

    SOUTH TEXAS CLINICAL LABORATORY LLP

    418 SOUTH 6TH STREET

    KINGSVILLE, TX 78363

    CLIA ID# 45D1075228

  • SANCTION: Suspension of Part of Medicare/Medicaid

    EFFECTIVE DATE: September 25, 2015

    REASON: Condition Level Non-Compliance

    Unsuccessful PT

    YOLANDA LAWSON, MD, DIRECTOR

    MADEWELL OB GYN

    YOLANDA LAWSON, MD, PA

    3310 LIVE OAK, SUITE 210

    DALLAS, TX 75204

    CLIA ID# 45D1085262

    SANCTION: Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: September 14, 2015

    REASON: Condition Level Non-Compliance with IJ

    STATUS: Laboratory voluntarily Ceased Testing

  • QUIN SUN, DIRECTOR

    TEXAS PAIN SOLUTIONS

    3074 COLLEGE PARK DRIVE

    THE WOODLANDS, TX 77384

    CLIA ID# 45D1095162

    SANCTION: Civil Money Penalty

    EFFECTIVE DATE: April 22, 2015

    REASON: Condition Level Non-Compliance with IJ

    Failure to Correct Deficiencies

    Failure To Submit Acceptable POC or AOC

    JAMES JACKSON, DIRECTOR

    EMERGI CARE

    2409 FALCON PASS SUITE 100

    HOUSTON, TX 77062

    CLIA ID# 45D2000895

    SANCTION: Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: April 24, 2015

    REASON: Condition Level Non-Compliance

  • STATUS: Compliance Achieved

    MARIO QUINTANILLA, DIRECTOR

    BELLAIRE ER

    5302 BELLAIRE BLVD

    BELLAIRE, TX 77401

    CLIA ID# 45D2043149

    SANCTION: Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: April 23, 2015

    REASON: Condition Level Non-Compliance with IJ

    MURTAZA MUSSAJI, DIRECTOR

    SHADOW CREEK MEDICAL CLINIC

    11021 SHADOW CREEK PKWY #102

    PEARLAND, TX 77584

    CLIA ID# 45D2050056

    SANCTION: Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: April 23, 2015

    REASON: Condition Level Non-Compliance with IJ

  • DEBRA SMITH, DIRECTOR

    MEN'S PERFORMANCE HEALTH

    525 OAK CENTRE DRIVE, STE 230

    SAN ANTONIO, TX 78258

    CLIA ID# 45D2069709

    SANCTION: Civil Money Penalty

    Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: August 28, 2015

    September 14, 2015

    REASON: Condition Level Non-Compliance

    Failure to Correct Deficiencies

    STATUS: Revocation of CLIA Certificate

    GEORGE CHANG, DIRECTOR

    UNITED MEDICAL LABS INC

    1980 GALLOWS RD - SUITE 300

    VIENNA, VA 22182

    CLIA ID# 49D0222887

  • SANCTION: Civil Money Penalty

    EFFECTIVE DATE: May 11, 2015

    REASON: Condition Level Non-Compliance

    Failure to Correct Deficiencies

    Failure To Submit Acceptable POC or AOC

    STATUS: Compliance Achieved

    ALBERT HERRERA M.D., DIRECTOR

    MOUNT VERNON INTERNAL MEDICINE

    8109 HINSON FARM ROAD - SUITE 504

    ALEXANDRIA, VA 22306

    CLIA ID# 49D0224457

    SANCTION: Directed Plan of Correction (DPOC)

    EFFECTIVE DATE: March 6, 2015

    REASON: Condition Level Non-Compliance

    Unsuccessful PT

    STATUS: Compliance Achieved

  • ADNAN ALGHADBAN MD, DIRECTOR

    MED PLUS LLC

    48 VIP WAY PLEASANT VALLEY ROAD

    FAIRMONT, WV 26554

    CLIA ID# 51D1053306

    SANCTION: Directed Plan of Correction (DPOC)

    Civil Money Penalty

    EFFECTIVE DATE: May 18, 2015

    June 2, 2015

    REASON: Condition Level Non-Compliance

    Unsuccessful PT

    Failure to Correct Deficiencies

    STATUS: Compliance Achieved

  • 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)

    JOSHUA VACIK MD, DIRECTOR

    MEDICAL ASSOCIATES OF THE SHOALS

    1120 S JACKSON HWY SUITE 300

    SHEFFIELD, AL 35660

    CLIA ID# 01D0302711 COLA

    SANCTION: Cease Testing for Free Thyroxine (FT4)

    EFFECTIVE DATE: May 14, 2015

    REASON: Unsuccessful PT

    STATUS: Test Was Reinstated on November 16, 2015.

    GARY MCCULLOCH MD, DIRECTOR

    ECLECTIC FAMILY CARE LLC

    575 CLAUD ROAD SUITE 1000

    ECLECTIC, AL 36024

    CLIA ID# 01D0905035 COLA

    SANCTION: Cease Testing for RBC

    EFFECTIVE DATE: December 21, 2015

  • REASON: Unsuccessful PT

    STATUS: As of December 31, 2015 Cease Testing Still in Effect.

    BRUCE KIESSLING, DIRECTOR

    US HEALTHWORKS MEDICAL GROUP OF ALASKA, LLC

    4100 LAKE OTIS PARKWAY SUITE 322

    ANCHORAGE, AK 99508

    CLIA ID# 02D0640776 COLA

    SANCTION: Cease Testing for Streptococcus Group A

    EFFECTIVE DATE: October 2, 2015

    REASON: Unsuccessful PT

    STATUS: On October 20, 2015 Laboratory Removed the Test From Their Test Menu.

    JAMES TIESIGNA, DIRECTOR

    SAMUEL SIMMONDS MEMORIAL HOSPITAL LAB

    7000 UULA ST

    BARROW, AK 99723

    CLIA ID# 02D0641844 CAP

    SANCTION: Cease Testing for Compatibility Testing

  • EFFECTIVE DATE: October 6, 2015

    REASON: Unsuccessful PT

    STATUS: Laboratory Allowed To Resume Testing On

    December 23, 2015.

    ARNOLD LOERA, DIRECTOR

    BRISTOL BAY AREA HEALTH CORPORATION

    6000 KANAKANAK ROAD

    DILLINGHAM, AK 99576

    CLIA ID# 02D0668921 CAP

    SANCTION: Probation

    EFFECTIVE DATE: September 8, 2015

    REASON: Quality and Severity of Deficiencies is Significant Enough

    to Question Ability to Sustain Corrections; Corrective

    Actions Fails to Support Implementation and Prevention of

    Recurrence in One or More Areas of the Laboratory.

    STATUS: As of February 12, 2016 Probation Still In Effect.

  • DHIREN JOSHIPURA M.D., DIRECTOR

    COLMED COLLECTION SERVICES, LLC

    1724 W 4TH ST

    TEMPE, AZ 85281

    CLIA ID# 03D1105967 COLA

    SANCTION: Cease Testing for Triiodothyronine (T3U)

    EFFECTIVE DATE: September 8, 2015

    REASON: Unsuccessful PT

    STATUS: On November 23, 2015 The Laboratory Withdrew From

    COLA. Laboratory Is No Longer Accredited By COLA.

    MARSHALL FICHMAN, DIRECTOR

    MARSHALL FICHMAN MD

    8635 W 3RD #292W

    LOS ANGELES, CA 90048

    CLIA ID# 05D0544401 COLA

    SANCTION: Denial of Accreditation

    EFFECTIVE DATE: December 23, 2015

    REASON: Failure to Adhere to COLA Imposed Required

    Improvements

  • STATUS: Laboratory No Longer Accredited By COLA.

    MARK SCHOLZ, DIRECTOR

    PROSTATE ONCOLOGY SPECIALIST, INC

    4676 ADMIRALTY WAY STE 101

    MARINA DEL REY, CA 90292

    CLIA ID# 05D0547251 COLA

    SANCTION: Denial of Accreditation

    EFFECTIVE DATE: December 21, 2015

    REASON: Failure to Adhere to COLA Imposed Required

    Improvements

    STATUS: Laboratory No Longer Accredited by COLA.

    LEONARD LAZARUS, MD, DIRECTOR

    BIRD ROCK LABORATORY

    6515 LA JOLLA BLVD

    LA JOLLA, CA 92037

    CLIA ID# 05D0567262 COLA

    SANCTION: Cease Testing for Sodium

  • EFFECTIVE DATE: July 24, 2015

    REASON: Unsuccessful PT

    STATUS: As Of December 31, 2015 Cease Testing Still In Effect.

    ART HUFFAKER, MD, DIRECTOR

    SHARP CORNADO HOSP & HEALTHCARE CENTER

    250 PROSPECT PL

    CORONADO, CA 92118

    CLIA ID# 05D0570915 CAP

    SANCTION: Cease Testing for Compatibility Testing

    EFFECTIVE DATE: March 18, 2015

    REASON: Unsuccessful PT

    STATUS: Laboratory Allowed To Resume Testing On

    April 23, 2015.

    ERNEST HOLBERT, DIRECTOR

    SOUTHWEST HEALTHCARE SYSTEM CLINICAL

    LABORATORY

    36485 INLAND VALLEY DRIVE

    WILDOMAR, CA 92595

    CLIA ID# 05D0574725 CAP

  • SANCTION: Probation

    EFFECTIVE DATE: April 14, 2015

    REASON: Quality and Severity of Deficiencies is Significant Enough

    to Question Ability to Sustain Corrections; Corrective

    Actions Fails to Support Implementation and Prevention of

    Recurrence in One or More Areas of the Laboratory.

    STATUS: As of February 12, 2016 Probation Still In Effect.

    ROBERT JAMES MD, DIRECTOR

    SANTA PAULA HOSPITAL,A CAMPUS OF VENTURA COUNTY

    MEDICAL CENTER LABORATORY

    825 NORTH TENTH STREET

    SANTA PAULA, CA 93060

    CLIA ID# 05D0584055 CAP

    SANCTION: Probation

    EFFECTIVE DATE: March 24, 2015

    REASON: Quality and Severity of Deficiencies is Significant Enough

    to Question Ability to Sustain Corrections; Corrective

    Actions Fails to Support Implementation and Prevention of

    Recurrence in One or More Areas of the Laboratory.

  • STATUS: Laboratory Removed From Probation November 10, 2015.

    RADHEY BANSAL, MD, DIRECTOR

    COMPREHENSIVE MEDICAL GROUPOF KERN COUNTY

    1230 JEFFERSON ST

    DELANO, CA 93215

    CLIA ID# 05D0585142 COLA

    SANCTION: Denial of Accreditation

    EFFECTIVE DATE: February 5, 2015

    REASON: Failure to Adhere to COLA Imposed Required

    Improvements

    STATUS: Laboratory No Longer Accredited By COLA.

    ROBERT ROSSER MD, DIRECTOR

    DESERT REGIONAL MEDICAL CENTER CLINICAL LAB

    1150 N INDIAN CANYON DRIVE

    PALM SPRINGS, CA 92262

    CLIA ID# 05D0665986 CAP

    SANCTION: Probation

    EFFECTIVE DATE: February 10, 2015

  • REASON: Quality and Severity of Deficiencies is Significant Enough

    to Question Ability to Sustain Corrections; Corrective

    Actions Fails to Support Implementation and Prevention of

    Recurrence in One or More Areas of the Laboratory.

    STATUS: As of February 12, 2016 Probation Still In Effect.

    ROBERT JAMES III MD PHD, DIRECTOR

    VENTURA COUNTY MEDICAL CENTER LAB

    3291 LOMA VISTA ROAD

    VENTURA, CA 93003

    CLIA ID# 05D0701603 CAP

    SANCTION: Probation

    EFFECTIVE DATE: October 13, 2015

    REASON: Quality and Severity of Deficiencies is Significant Enough

    to Question Ability to Sustain Corrections; Corrective

    Actions Fails to Support Implementation and Prevention of

    Recurrence in One or More Areas of the Laboratory.

    STATUS: As of February 12, 2016 Probation Still In Effect.

  • RAYMUNDO PUNZALAN, DIRECTOR

    SIERRA ENDOCRINE ASSOCIATES MED GROUP

    7230 NORTH MILLBROOK AVENUE

    FRESNO, CA 93720

    CLIA ID# 05D0945179 COLA

    SANCTION: Cease Testing for Sodium

    EFFECTIVE DATE: July 24, 2015

    REASON: Unsuccessful PT

    STATUS: As Of December 31, 2015 Cease Testing Still In Effect.

    DENNIS LEWIS, MD, DIRECTOR

    SCV QUALITY CARE

    23823 VALENCIA BLVD, SUITE 160

    VALENCIA, CA 91355

    CLIA ID# 05D0952603 COLA

    SANCTION: Cease Testing for Influenza A/B

    EFFECTIVE DATE: November 6, 2015

    REASON: Unsuccessful PT

    STATUS: On November 20, 2015 The Laboratory Removed The Test

    From Their Test Menu.

  • ANTHONY GIORGIO MD, DIRECTOR

    ANTHONY J GIORGIO MD HEMATOLOGY

    1360 WEST 6TH STREET # G

    SAN PEDRO, CA 90732

    CLIA ID# 05D1015112 COLA

    SANCTION: Cease Testing for WBC Differential

    EFFECTIVE DATE: September 4, 2015

    REASON: Unsuccessful PT

    STATUS: On September 23, 2015 The Laboratory Withdrew From

    COLA. Laboratory Is No Longer Accredited By COLA.

    NELSON KANEISHI, DIRECTOR

    SUTTER SURGICAL HOSPITAL - NORTH VALLEY

    455 PLUMAS BLVD

    YUBA CITY, CA 95991

    CLIA ID# 05D1092874 CAP

    SANCTION: Cease Testing for Prothrombin Time

    EFFECTIVE DATE: September 1, 2015

    REASON: Unsuccessful PT

  • STATUS: As Of February 12, 2016 Cease Testing Still In Effect.

    HELEN STOSEL, MD, DIRECTOR

    HELEN STOSEL, MD INC

    25982 PALA STE 140

    MISSION VIEJO, CA 92691

    CLIA ID# 05D1099390 COLA

    SANCTION: Denial of Accreditation

    EFFECTIVE DATE: November 25, 2015

    REASON: Failure to Adhere to COLA Imposed Required

    Improvements

    STATUS: Laboratory No Longer Accredited By COLA.

    CRAIG SHAPIRO, DIRECTOR

    PARKVIEW MEDICAL CENTER/RESP CARE

    400 W 16TH ST

    PUEBLO, CO 81003

    CLIA ID# 06D0056075 CAP

    SANCTION: Cease Testing for Glucose, Whole Blood

    EFFECTIVE DATE: November 17, 2015

  • REASON: Unsuccessful PT

    STATUS: As Of February 12, 2016 Cease Testing Still In Effect.

    BRIAN PECK MD DIRECTOR, DIRECTOR

    ARTHRITIS CENTER OF CONNECTICUT

    RHEUMATOLOGY DIVISION

    1389 W MAIN ST STE 120

    WATERBURY, CT 06708

    CLIA ID# 07D0100055 COLA

    SANCTION: Cease Testing for WBC

    Denial of Accreditation

    EFFECTIVE DATE: May 27, 2015

    December 23, 2015

    REASON: Unsuccessful PT

    Failure to Comply with Reasonable Requests of COLA.

    STATUS: Laboratory was Denied Accreditation on December 23,

    2015. Laboratory No Longer Accredited by COLA.

  • CHRISTOPHER BRETON, DIRECTOR

    PFIZER NEW HAVEN CRU SAFETY LABORATORY

    1 HOWE STREET

    NEW HAVEN, CT 06511

    CLIA ID# 07D2021138 COLA

    SANCTION: Cease Testing for HIV 1&2 Antibodies, Hepatitis B

    Surface Antigen (HBsAg)

    EFFECTIVE DATE: July 24, 2015

    REASON: Unsuccessful PT

    STATUS: On October 26, 2015 The Laboratory Removed The Test

    From Their Test Menu.

    RONALD GIFFLER M.D., DIRECTOR

    HENDRY REGIONAL MEDICAL CENTER CLINICAL LABORATORY

    524 W SAGAMORE AVE

    CLEWISTON, FL 33440

    CLIA ID# 10D0287885 CAP

    SANCTION: Probation

    EFFECTIVE DATE: March 10, 2015

    REASON: Quality and Severity of Deficiencies is Significant Enough

  • to Question Ability to Sustain Corrections; Corrective

    Action Fails to Support Implementation and Prevention of

    Recurrence in One or More Areas of the Laboratory.

    STATUS: Laboratory Removed From Probation On January 12, 2016.

    ANGELICA RAMIREZ, DIRECTOR

    ANGELICA RAMIREZ MD PA

    880 NW 13TH ST STE 3-B

    BOCA RATON, FL 33486

    CLIA ID# 10D0288951 COLA

    SANCTION: Cease Testing for Chloride

    EFFECTIVE DATE: March 24, 2015

    REASON: Unsuccessful PT

    STATUS: As of December 31, 2015 Cease Testing Still In Effect.

    JANINA BANAS-STYPEREK, DIRECTOR

    JANUARIUSZ L STYPEREK MD PA

    2314 S SEACREST BLVD STE 102

    BOYNTON BEACH, FL 33435

    CLIA ID# 10D0683309 COLA

  • SANCTION: Denial of Accreditation

    EFFECTIVE DATE: September 17, 2015

    REASON: Failure to Adhere to COLA Imposed Required

    Improvements.

    STATUS: Laboratory No Longer Accredited By COLA.

    ELIZABETH REILLY-HAYS M.D., DIRECTOR

    MARIANO D CIBRAN MD CORP D/B/A

    ST PETERSBURG PEDIATRIC

    1012 4TH ST S

    SAINT PETERSBURG, FL 33701

    CLIA ID# 10D0688750 COLA

    SANCTION: Cease Testing for RBC and Hematocrit

    EFFECTIVE DATE: October 14, 2015

    REASON: Unsuccessful PT

    STATUS: As of December 31, 2015 Cease Testing Still In Effect.

  • LOUIS SNYDER M.D., DIRECTOR

    CARDIOLOGY CENTER OF PALM BEACH COUNTY INC, THE

    16244 S MILITARY TRL STE 560

    DELRAY BEACH, FL 33484

    CLIA ID# 10D0692226 COLA

    SANCTION: Cease Testing for Hematocrit

    EFFECTIVE DATE: April 22, 2015

    REASON: Unsuccessful PT

    STATUS: As Of December 31, 2015 Cease Testing Still In Effect.

    FREDERIC PORCASE JR D.O., DIRECTOR

    FAMILY MEDICAL CENTERS

    14011 BEACH BLVD STE 120

    JACKSONVILLE, FL 32250

    CLIA ID# 10D0880372 COLA

    SANCTION: Cease Testing for WBC Differential

    EFFECTIVE DATE: January 5, 2015

    REASON: Unsuccessful PT

  • STATUS: Test Was Reinstated On July 6, 2015.

    JOSHUA SHIPLEY M.D., DIRECTOR

    PRIMARY CARE OF THE TREASURE COAST INC

    1265 36TH ST

    VERO BEACH, FL 32960

    CLIA ID# 10D0886381 COLA

    SANCTION: Cease Testing for Aerobic &/or Anaerobic Organisms –

    Unlimited Sources

    EFFECTIVE DATE: September 4, 2015

    REASON: Unsuccessful PT

    STATUS: As of December 31, 2015 Cease Testing Still In Effect.

    MICHAEL GLICK M.D., DIRECTOR

    MICHAEL GLICK MD PA

    1501 HWY 441 N STE 1102

    THE VILLAGES, FL 32159

    CLIA ID# 10D0949946 COLA

    SANCTION: Cease Testing for Sodium

    Cease Testing for Creatine Kinase

  • EFFECTIVE DATE: March 11, 2015

    December 21, 2015

    REASON: Unsuccessful PT

    STATUS: As of December 31, 2015 Cease Testing Still In Effect.

    RAVI GUPTA M.D., DIRECTOR

    MID FLORIDA PRIMARY CARE PA

    401 N BLVD W

    LEESBURG, FL 34748

    CLIA ID# 10D0998398 COLA

    SANCTION: Cease Testing for Thyroid Stimulating Hormone (TSH)

    EFFECTIVE DATE: December 21, 2015

    REASON: Unsuccessful PT

    STATUS: As of December 31, 2015 Cease Testing Still In Effect.

    DANIEL JACOBS, DIRECTOR

    CM LAB INC

    20861 JOHNSON ST #117

    PEMBROKE PINES, FL 33029

    CLIA ID# 10D1046281 COLA

  • SANCTION: Cease Testing for Rotavirus, Giardia Lambia,

    Cryptosporidium, All Conventional Organism

    Identification (ID) – Aerobic &/or Anaerobic Organisms –

    Blood Cultures.

    EFFECTIVE DATE: October 30, 2015

    REASON: Unsuccessful PT

    STATUS: As of December 31, 2015 Cease Testing Still In Effect.

    GUY STRAUSS, DIRECTOR

    SOUTHERN INTERNAL MEDICINE PLLC

    404 HALL OF FAME DRIVE

    LAKE CITY, FL 32055

    CLIA ID# 10D1082519 COLA

    SANCTION: Cease Testing for Rheumatoid Factor (RF)

    EFFECTIVE DATE: June 5, 2015

    REASON: Unsuccessful PT

    STATUS: On June 16, 2015 The Laboratory Removed The Test From

    Their Test Menu.

  • KURT STONESIFER, DIRECTOR

    FLORIDA HOSPITAL AT CONNERTON LONG TERM

    ACUTE CARE HOSPITAL

    9441 HEALTH CENTER DR

    LAND O LAKES, FL 34637

    CLIA ID# 10D1095427 CAP

    SANCTION: Cease Testing for Estimated Hemoglobin

    EFFECTIVE DATE: June 29, 2015

    REASON: Unsuccessful PT

    STATUS: Laboratory Permanently Ceased Testing For Analyte On

    October 19, 2015.

    RICARDO ESTAPE M.D., DIRECTOR

    RICHARDO ESTAPE LLC

    8585 SUNSET DR STE 202

    MIAMI, FL 33143

    CLIA ID# 10D1102159 COLA

    SANCTION: Cease Testing for Lactate Dehydrogenase (LDH)

    EFFECTIVE DATE: March 18, 2015

    REASON: Unsuccessful PT

  • STATUS: As of December 31, 2015 Cease Testing Still In Effect.

    MARIANO CIBRAN, DIRECTOR

    EVENING PEDIATRICS INC

    12190 SEMINOLE BLVD

    LARGO, FL 33778

    CLIA ID# 10D2023459 COLA

    SANCTION: Cease Testing for WBC Differential

    EFFECTIVE DATE: October 14, 2015

    REASON: Unsuccessful PT

    STATUS: As of December 31, 2015 Cease Testing Still In Effect.

    MARC ZUMBERG, DIRECTOR

    NCF DIAGNOSTICS & DNA TECHNOLOGIES

    12085 RESEARCH DR

    ALACHUA, FL 32615

    CLIA ID# 10D2042485 CAP

    SANCTION: Probation

    EFFECTIVE DATE: August 11, 2015

  • REASON: Quality and Severity of Deficiencies is Significant Enough

    to Question Ability to Sustain Corrections; Corrective

    Action Fails to Support Implementation and Prevention of

    Recurrence in One or More Areas of the Laboratory.

    STATUS: As of February 12, 2016 Probation Still In Effect.

    WAYNE CAI M.D., DIRECTOR

    WHOLE HEALTH LLC

    1705 S FEDERAL HWY STE A4

    DELRAY BEACH, FL 33483

    CLIA ID# 10D2049563 COLA

    SANCTION: Cease Testing for WBC Differential

    EFFECTIVE DATE: May 12, 2015

    REASON: Unsuccessful PT

    STATUS: As of December 31, 2015 Cease Testing Still In Effect.

    SHAZIA ZAFAR M.D., DIRECTOR

    SHAZIA ZAFAR MD LLC

    603 N FLAMINGO DR STE 260

    PEMBROKE PINES, FL 33028

    CLIA ID# 10D2051369 COLA

  • SANCTION: Cease Testing for WBC (Diff), WBC, RBC, Hemoglobin,

    Hematocrit, Platelet Count

    EFFECTIVE DATE: January 8, 2015

    REASON: Unsuccessful PT

    STATUS: Test Was Reinstated On July 8, 2015.

    MAURIN JIMENEZ M.D., DIRECTOR

    THE MEDICAL CITY

    3595 W 20TH AVE # 145

    HIALEAH, FL 33012

    CLIA ID# 10D2066765 COLA

    SANCTION: Cease Testing for WBC (Diff), WBC, RBC, Hemoglobin,

    Hematocrit, Platelet Count

    EFFECTIVE DATE: May 27, 2015

    REASON: Unsuccessful PT

    STATUS: As of December 31, 2015 Cease Testing Still In Effect.

  • MICHAEL RUBIN, DIRECTOR

    CARDIAC CATH LAB OF FORT MYERS LP

    1550 BARKLEY CIR STE 110

    FORT MYERS, FL 33907

    CLIA ID# 10D2083737 COLA

    SANCTION: Cease Testing for Hemoglobin

    EFFECTIVE DATE: December 21, 2015

    REASON: Unsuccessful PT

    STATUS: As of December 31, 2015 Cease Testing Still In Effect.

    STEPHEN ADAMS DO, DIRECTOR

    DOCTORS HOSPITAL OF AUGUSTA

    3651 WHEELER ROAD

    AUGUSTA, GA 30909

    CLIA ID# 11D0021788 CAP

    SANCTION: Cease Testing for Parasitology

    EFFECTIVE DATE: May 12, 2015

    REASON: Unsuccessful PT

    STATUS: Laboratory Allowed To Resume Testing On May 29, 2015.

  • D DELAY, DIRECTOR

    DALTON FAMILY PRACTICE PC

    1114 PROFESSIONAL BLVD

    DALTON, GA 30720

    CLIA ID# 11D0262360 COLA

    SANCTION: Cease Testing for WBC Differential

    EFFECTIVE DATE: May 27, 2015

    REASON: Unsuccessful PT

    STATUS: As of December 31, 2015 Cease Testing Still In Effect.

    JACKSON GATES, DIRECTOR

    K & S CLINICAL DIAGNOSTICS

    5607 GLENRIDGE DRIVE, SUITE 150

    ATLANTA, GA 30342

    CLIA ID# 11D2053177 CAP

    SANCTION: Revocation of Accreditation

    EFFECTIVE DATE: October 28, 2015

    REASON: Laboratory Performance Does Not Meet CAP Standards of

    Accreditation

  • STATUS: As Of February 12, 2016 Laboratory Not Accredited By

    CAP.

    JEROME KALTMAN MD, DIRECTOR

    LAKE FOREST PEDIATRICS

    917 SHERWOOD DR

    LAKE BLUFF, IL 60044

    CLIA ID# 14D0412981 COLA

    SANCTION: Cease Testing for Adenovirus

    EFFECTIVE DATE: February 18, 2015

    REASON: Unsuccessful PT

    STATUS: On February 23, 2015 The Laboratory Removed The Test

    From Their Test Menu. On September 23, 2015 The

    Laboratory Voluntarily Withdrew From COLA.

    Laboratory Is No Longer Accredited By COLA.

    JEROME KALTMAN MD, DIRECTOR

    LAKE FOREST PEDIATRICS - VERNON HILLS OFFICE

    870 WEST END CT, STE 100

    VERNON HILLS, IL 60061

    CLIA ID# 14D0413523 COLA

  • SANCTION: Cease Testing for Adenovirus

    EFFECTIVE DATE: February 18, 2015

    REASON: Unsuccessful PT

    STATUS: On February 23, 2015 The Laboratory Removed The Test

    From Their Test Menu. On September 23, 2015 The

    Laboratory Voluntarily Withdrew From COLA.

    Laboratory Is No Longer Accredited By COLA.

    JEREMIAH PLACIDO MD, DIRECTOR

    KISHWAUKEE COMMUNITY HOSPITAL

    ONE KISH HOSPITAL DRIVE

    DEKALB, IL 60115

    CLIA ID# 14D0415300 CAP

    SANCTION: Probation

    EFFECTIVE DATE: October 13, 2015

    REASON: Quality and Severity of Deficiencies is Significant Enough

    to Question Ability to Sustain Corrections; Corrective

    Action Fails to Support Implementation and Prevention of

    Recurrence in One or More Areas of the Laboratory.

  • STATUS: As of February 12, 2016 Probation Still In Effect.

    ROBERT NASH MD, DIRECTOR

    RICHLAND MEMORIAL HOSPITAL

    800 E LOCUST

    OLNEY, IL 62450

    CLIA ID# 14D0434892 AOA - HFAP

    SANCTION: Cease Testing for NT-Pro BNP

    EFFECTIVE DATE: April 21, 2015

    REASON: Unsuccessful PT

    STATUS: Laboratory Resumed Testing For NT-Pro BNP On August

    24, 2015

    JEROME KALTMAN MD, DIRECTOR

    LAKE FOREST PEDIATRICS

    2592 WEST GRAND AVENUE

    LINDENHURST, IL 60046

    CLIA ID# 14D0993097 COLA

    SANCTION: Cease Testing for Adenovirus

    EFFECTIVE DATE: February 18, 2015

  • REASON: Unsuccessful PT

    STATUS: On February 23, 2015 The Laboratory Removed The Test

    From Their Test Menu. On September 23, 2015 The

    Laboratory Voluntarily Withdrew From COLA.

    Laboratory Is No Longer Accredited By COLA.

    ENRIQUE ARANA MD, DIRECTOR

    FULLERTON-KIMBALL MEDICAL SURGICAL CTR

    3412 W FULLERTON AVE

    CHICAGO, IL 60647

    CLIA ID# 14D1047993 COLA

    SANCTION: Cease Testing for Total Bilirubin

    Denial of Accreditation

    EFFECTIVE DATE: March 11, 2015

    June 25, 2015

    REASON: Unsuccessful PT

    Denial of Accreditation

    STATUS: Laboratory Was Denied Accreditation On June 25, 2015.

    Laboratory No Longer Accredited By COLA.

  • EMAD JABER, DIRECTOR

    O'HARE CLINICAL LAB SERVICES INC

    1922 PLAINFIELD ROAD

    CREST HILL, IL 60435

    CLIA ID# 14D1051792 COLA

    SANCTION: Cease Testing for Cholesterol

    EFFECTIVE DATE: December 21, 2015

    REASON: Unsuccessful PT

    STATUS: As of December 31, 2015 Cease Testing Still In Effect.

    HISHAM GREISS, DIRECTOR

    FERTILITY & CRYOGENICS LAB

    8635 LEMONT RD

    DOWNERS GROVE, IL 60516

    CLIA ID# 14D1078862 CAP

    SANCTION: Cease Testing for Chloride

    Probation

    EFFECTIVE DATE: April 28, 2015

    September 22, 2015

    REASON: Unsuccessful PT

  • Quality and Severity of Deficiencies is Significant Enough

    to Question Ability to Sustain Corrections; Corrective

    Action Fails to Support Implementation and Prevention of

    Recurrence in One or More Areas of the Laboratory.

    STATUS: Laboratory Allowed To Resume Testing On September 9,

    2015.

    As of February 12, 2016 Laboratory Probation Still in Effect.

    JAMIE WEYDERT, DIRECTOR

    MCFARLAND CLINIC PC-AMES

    1215 DUFF AVENUE

    AMES, IA 50010

    CLIA ID# 16D0382533 COLA

    SANCTION: Cease Testing for Rubella

    EFFECTIVE DATE: June 15, 2015

    REASON: Unsuccessful PT

    STATUS: As of December 31, 2015 Cease Testing Still In Effect.

    MATTHEW HERRMANN M.D., DIRECTOR

    UNITYPOINT CLINIC

    FAMILY MEDICINE - WEST DES MOINES

    6010 MILLS CIVIC PARKWAY, SUITE 200

  • WEST DES MOINES, IA 50266

    CLIA ID# 16D0663327 COLA

    SANCTION: Cease Testing for WBC (Diff), WBC, RBC, Hemoglobin,

    Hematocrit, Platelet Count, Streptococcus Group A

    EFFECTIVE DATE: November 17, 2015

    REASON: Unsuccessful PT

    STATUS: As of December 31, 2015 Cease Testing Still In Effect.

    SALVATORE CILIBERTI MD, DIRECTOR

    GREATER LOUISVILLE INTERNAL MEDICINE PSC

    250 E LIBERTY STREET STE 410

    LOUISVILLE, KY 40202

    CLIA ID# 18D0320824 COLA

    SANCTION: Cease Testing for Endocrinology – Triiodothyroxine

    (T3U), Thyroxine (T4), Thyroid Stimulating Hormone

    (TSH), Free Thyroxine (FT4)

    EFFECTIVE DATE: July 14, 2015

    REASON: Unsuccessful PT

    STATUS: As of December 31, 2015 Cease Testing Still In Effect.

  • ROBERT GOODMAN MD, DIRECTOR

    ARTHRITIS & RHEUMATOLOGY CLINIC APMC

    740 JORDAN

    SHREVEPORT, LA 71101

    CLIA ID# 19D0463378 COLA

    SANCTION: Cease Testing for T Uptake

    EFFECTIVE DATE: March 12, 2015

    REASON: Unsuccessful PT

    STATUS: Test Was Reinstated On November 19, 2015.

    DIRK RAINWATER, DIRECTOR

    LOUISIANA FAMILY MEDICINE CLINIC

    103 WATTS STREET

    JONESBORO, LA 71251

    CLIA ID# 19D2043474 COLA

    SANCTION: Cease Testing for Estradiol, Folate, Follicle Stimulating

    Hormone (FSH), Luteinizing Hormone (LH), Progesterone,

    Prolactin, Thyroid Stimulating Hormone (TSH), Free

    Thyroxine (FT4), Free Triiodothyronine (FT3), B-Type

    Natriuretic Peptide (BNP), Anti-Citrullinated Cyclic

    Peptide (Anti-CCP), Ferritin, Prostatic Specific Antigen

    (PSA), Thyroid Stimulating Hormone (TSH), Testosterone,

    Vitamin B12.

  • EFFECTIVE DATE: October 12, 2015

    REASON: Unsuccessful PT

    STATUS: As of December 31, 2015 Cease Testing Still In Effect.

    DALE DENNIS, DIRECTOR

    ST CATHERINE LTAC

    14500 HAYNE BOULEVARD 1FIRST FLOOR ABG LAB

    NEW ORLEANS, LA 70128

    CLIA ID# 19D2071845 COLA

    SANCTION: Cease Testing for PO2

    EFFECTIVE DATE: December 21, 2015

    REASON: Unsuccessful PT

    STATUS: As of December 31, 2015 Cease Testing Still In Effect.

    RONALD SROKA MD, DIRECTOR

    CROFTON FAMILY PRACTICE

    1684 VILLAGE GREEN

    CROFTON, MD 21114

    CLIA ID# 21D0215484 COLA

  • SANCTION: Cease Testing for Aerobic &/or Anaerobic Organisms –

    Unlimited Resources

    EFFECTIVE DATE: April 22, 2015

    REASON: Unsuccessful PT

    STATUS: Test Was Reinstated On December 10, 2015.

    VICTOR PRIEGO, DIRECTOR

    CENTER FOR CANCER AND BLOOD DISORDERS PC

    6410 ROCKLEDGE DR STE 660

    BETHESDA, MD 20817

    CLIA ID# 21D0978822 CAP

    SANCTION: Probation

    EFFECTIVE DATE: April 28, 2015

    REASON: Quality and Severity of Deficiencies is Significant Enough

    to Question Ability to Sustain Corrections; Corrective

    Action Fails to Support Implementation and Prevention of

    Recurrence in One or More Areas of the Laboratory.

    STATUS: Revocation Of Accreditation On January 12, 2016.

  • JOON YIM, DIRECTOR

    THERANOSTIX INC

    8000 VIRGINIA MANOR ROAD STE 170

    BELTSVILLE, MD 20705

    CLIA ID# 21D1058230 CAP

    SANCTION: Probation

    EFFECTIVE DATE: December 23, 2015

    REASON: Quality and Severity of Deficiencies is Significant Enough

    to Question Ability to Sustain Corrections; Corrective

    Action Fails to Support Implementation and Prevention of

    Recurrence in One or More Areas of the Laboratory.

    STATUS: As of February 12, 2016 Probation Still In Effect.

    JULIANA SZAKACS, DIRECTOR

    DEDHAM MEDICAL ASSOCIATES-NORWOOD

    1177 PROVIDENCE HIGHWAY

    NORWOOD, MA 02062

    CLIA ID# 22D0074287 CAP

    SANCTION: Cease Testing for Bacteriology

    EFFECTIVE DATE: December 8, 2015

    REASON: Unsuccessful PT

  • STATUS: Laboratory Permanently Ceased Testing For Specialty On

    December 8, 2015.

    GARY FALLER, DIRECTOR

    GOOD SAMARITAN MEDICAL CENTER

    235 NORTH PEARL STREET

    BROCKTON, MA 02301

    CLIA ID# 22D0080440 CAP

    SANCTION: Probation

    EFFECTIVE DATE: April 14, 2015

    REASON: Quality and Severity of Deficiencies is Significant Enough

    to Question Ability to Sustain Corrections; Corrective

    Action Fails to Support Implementation and Prevention of

    Recurrence in One or More Areas of the Laboratory.

    STATUS: Laboratory Removed From Probation On September 8,

    2015.

    ROXANNE LATIMER, DIRECTOR

    DRX NATICK PC DBA DOCTORS EXPRESS

    945 WORCESTER ST

    NATICK, MA 01760

    CLIA ID# 22D2038820 COLA

  • SANCTION: Cease Testing for Sodium

    EFFECTIVE DATE: December 21, 2015

    REASON: Unsuccessful PT

    STATUS: As Of December 31, 2015 Cease Testing Still In Effect.

    A MARTIN LERNER, DIRECTOR

    A MARTIN LERNER MD

    32804 PIERCE ROAD

    BEVERLY HILLS, MI 48025

    CLIA ID# 23D0362899 COLA

    SANCTION: Cease Testing for Sodium

    EFFECTIVE DATE: September 4, 2015

    REASON: Unsuccessful PT

    STATUS: On October 19, 2015 The Laboratory Voluntarily

    Withdrew From COLA. Laboratory Is No Longer

    Accredited By COLA.

  • GOBIND GARG, DIRECTOR

    PHYSICIAN OFFICE LABORATORY SERVICES, LLC

    24361 GREENFIELD ROAD SUITE 109

    SOUTHFIELD, MI 48075

    CLIA ID# 23D0364884 COLA

    SANCTION: Cease Testing for Iron

    EFFECTIVE DATE: September 4, 2015

    REASON: Unsuccessful PT

    STATUS: As of December 31, 2015 Cease Testing Still In Effect.

    SAIMA KHAN, DIRECTOR

    FAMILY PRACTICE CARE PLLC

    28351 SCHOENHERR ROAD

    WARREN, MI 48088

    CLIA ID# 23D0365545 COLA

    SANCTION: Cease Testing for Sodium, Potassium, Free Thyroxine

    (FT4), Triiodothyronine (T3) and Thyroid Stimulating

    Hormone – high sens (TSH-HS)

    EFFECTIVE DATE: April 22, 2015

    REASON: Unsuccessful PT

  • STATUS: FT4, T3 And TSH-HS Were Reinstated On December 21,

    2015. As of December 31, 2015 Cease Testing Still In

    Effect For Sodium And Potassium.

    AYMAN SOUBANY, DIRECTOR

    HARPER UNIVERSITY HOSPITAL

    3990 JOHN R STREET

    DETROIT, MI 48201

    CLIA ID# 23D0712458 CAP

    SANCTION: Revocation of Accreditation

    EFFECTIVE DATE: December 8, 2015

    REASON: Laboratory Performance Does Not Meet CAP Standards of

    Accreditation

    STATUS: As Of February 12, 2016 Laboratory Not Accredited By

    CAP.

    KAMAL OSMAN, PH D, DIRECTOR

    FORD BIO MEDICAL LABORTORY

    5601 SCHAEFER ROAD

    DEARBORN, MI 48126

    CLIA ID# 23D0960256 COLA

  • SANCTION: Cease Testing for Hematocrit

    EFFECTIVE DATE: May 27, 2015

    REASON: Unsuccessful PT

    STATUS: As of December 31, 2015 Cease Testing Still In Effect.

    A BALA SETTY, DIRECTOR

    A BALA SETTY, MD, PC

    33116 PALMER ROAD, SUITE D

    WESTLAND, MI 48186

    CLIA ID# 23D1000232 COLA

    SANCTION: Cease Testing for Iron

    EFFECTIVE DATE: December 14, 2015

    REASON: Unsuccessful PT

    STATUS: As of December 31, 2015 Cease Testing Still In Effect.

  • NAVEED MAHFOOZ, DIRECTOR

    CARO HEALTH PLAZA

    1525 W CARO ROAD

    CARO, MI 48723

    CLIA ID# 23D1008625 COLA

    SANCTION: Cease Testing for Chloride, Glucose, Potassium, Sodium,

    Direct Bilirubin, Total Bilirubin, CO2, Cholesterol, Total

    Protein, Albumin, Creatinine, Triglyceride, Calcium,

    Aspartate Aminotransferase (AST)(SGOT), Alanine

    Aminotransferase (ALT)(SGPT), Urea (BUN), Alkaline

    Phosphatase (ALP), HDL Cholesterol, Glycosylated

    Hemoglobin (Hgb A1C), WBC (Diff), WBC, RBC,

    Hemoglobin, Hematocrit, Platelet Count.

    EFFECTIVE DATE: November 19, 2015

    REASON: Unsuccessful PT

    STATUS: As of December 31, 2015 Cease Testing Still In Effect.

    NAVEED MAHFOOZ, DIRECTOR

    GREAT LAKE LABORATORIES LLC

    1525 W CARO ROAD

    CARO, MI 48723

    CLIA ID# 23D2089643 COLA

  • SANCTION: Cease Testing for WBC (Diff), WBC, RBC, Hemoglobin,

    Hematocrit, Platelet Count

    EFFECTIVE DATE: November 19, 2015

    REASON: Unsuccessful PT

    STATUS: As of December 31, 2015 Cease Testing Still In Effect.

    LYN CHAPMAN, DIRECTOR

    CHILDREN'S CLINIC NETWORK

    3910 EXCELSIOR BOULEVARD

    SAINT LOUIS PARK, MN 55416

    CLIA ID# 24D0401675 COLA

    SANCTION: Cease Testing for WBC Differential

    EFFECTIVE DATE: September 4, 2015

    REASON: Unsuccessful PT

    STATUS: As of December 31, 2015 Cease Testing Still In Effect.

  • DONALD GUNDERSON, DIRECTOR

    NE IA SHING CLINIC

    43500 MIGIZI DRIVE

    ONAMIA, MN 56359

    CLIA ID# 24D0882694 COLA

    SANCTION: Cease Testing for Sodium

    EFFECTIVE DATE: March 24, 2015

    REASON: Unsuccessful PT

    STATUS: Test Was Reinstated On September 24, 2015.

    BHAVINI CARNS, DIRECTOR

    MAYO CLINIC HEALTH SYSTEM IN FARIBAULT

    924 FIRST STREET NE

    FARIBAULT, MN 55021

    CLIA ID# 24D0914043 COLA

    SANCTION: Cease Testing for WBC Differential

    EFFECTIVE DATE: March 11, 2015

    REASON: Unsuccessful PT

    STATUS: As of December 31, 2015 Cease Testing Still In Effect.

  • JOHN CHRISTOPHER HANCOCK, DIRECTOR

    UMMC - DEPARTMENT OF PATHOLOGY

    2500 NORTH STATE STREET

    JACKSON, MS 39216

    CLIA ID# 25D0708959 CAP

    SANCTION: Probation

    EFFECTIVE DATE: September 8, 2015

    REASON: Quality and Severity of Deficiencies is Significant Enough

    to Question Ability to Sustain Corrections; Corrective

    Action Fails to Support Implementation and Prevention of

    Recurrence in One or More Areas of the Laboratory.

    STATUS: As Of February 12, 2016 Probation Still In Effect.

    AUSTIN TINSLEY MD, DIRECTOR

    POPLAR BLUFF REGIONAL MEDICAL CTR-NORTH CAMPUS

    3100 OAK GROVE RD

    POPLAR BLUFF, MO 63901

    CLIA ID# 26D0673854 COLA

    SANCTION: Cease Testing for pCO2

    EFFECTIVE DATE: January 30, 2015

  • REASON: U


JOHN FLAMSTEED 1646-1719

JOHN FLAMSTEED 1646-1719

Joliet Junior College 1215 Houbolt Road Joliet, IL 60431 · 2017-12-12 · DATE: February 6, 2017 Joliet Junior College 1215 Houbolt Road Joliet, IL 60431 TO: Prospective Respondents

Joliet Junior College 1215 Houbolt Road Joliet, IL 60431 · 2017-12-12 · DATE: February 6, 2017 Joliet Junior College 1215 Houbolt Road Joliet, IL 60431 TO: Prospective Respondents

Supervisor Trustee Trustee - Plainfield Townshipplainfield-township.com/wp-content/uploads/2018/12/...1619 W. Jefferson Street, Joliet, IL 60435 815-730-4000; To report abuse or neglect

Supervisor Trustee Trustee - Plainfield Townshipplainfield-township.com/wp-content/uploads/2018/12/...1619 W. Jefferson Street, Joliet, IL 60435 815-730-4000; To report abuse or neglect

FORMER NAPA AUTO PARTS...Retail Property For Lease FORMER NAPA AUTO PARTS 1416 JEFFERSON ST, JOLIET, IL 60435 CATON COMMERCIAL REAL ESTATE GROUP // 1296 RICKERT DR, SUITE 200, NAPERVILLE,

FORMER NAPA AUTO PARTS...Retail Property For Lease FORMER NAPA AUTO PARTS 1416 JEFFERSON ST, JOLIET, IL 60435 CATON COMMERCIAL REAL ESTATE GROUP // 1296 RICKERT DR, SUITE 200, NAPERVILLE,

Math Redesign Project Laura Egner Developmental Math Coordinator Joliet Junior College legner@jjc.edu Joliet Junior College Michael Sullivan Joliet Junior.

Math Redesign Project Laura Egner Developmental Math Coordinator Joliet Junior College [email protected] Joliet Junior College Michael Sullivan Joliet Junior.

JOLIET JUNIOR COLLEGE · 2018-01-05 · joliet junior college community college district no. 525 joliet, illinois comprehensive annual financial report june 30, 2015 contents special

JOLIET JUNIOR COLLEGE · 2018-01-05 · joliet junior college community college district no. 525 joliet, illinois comprehensive annual financial report june 30, 2015 contents special

1719-UM001D-EN-E 1719 Ex I/O User Manual · Describes how to install and wire the 1719 Ex I/O input and output modules 1719 Ex I/O Technical Data, publication 1719-TD001 Provides

1719-UM001D-EN-E 1719 Ex I/O User Manual · Describes how to install and wire the 1719 Ex I/O input and output modules 1719 Ex I/O Technical Data, publication 1719-TD001 Provides

In this issue… Welcome from the Deanlibrary.stfrancis.edu/newsletter/fall2013final3.pdf · 2013-09-13 · 600 Taylor St., Joliet, IL 60435 University of St. Francis, 600 Taylor

In this issue… Welcome from the Deanlibrary.stfrancis.edu/newsletter/fall2013final3.pdf · 2013-09-13 · 600 Taylor St., Joliet, IL 60435 University of St. Francis, 600 Taylor

RX 70 Technical Data Diesel Forklift Trucks - · PDF file6 mm 2697 2697 2697 2697 4.8 Seat height rel. to SIP h 7 mm 1719 1719 1719 1719 4.12 Coupling height h 10 mm 510/660 510/660

RX 70 Technical Data Diesel Forklift Trucks - · PDF file6 mm 2697 2697 2697 2697 4.8 Seat height rel. to SIP h 7 mm 1719 1719 1719 1719 4.12 Coupling height h 10 mm 510/660 510/660

Guidelines 1719

Guidelines 1719

Slovak Spectator 1719

Slovak Spectator 1719

UNITED UNION OF ROOFERS, WATERPROOFERS … Roofers...PARTNERSHIP FOR A DRUG FREE WORKPLACE ScreenSafe, Inc. “ / 2364 Essington Rd., Suite 128, Joliet, IL. 60435 Phone 1-877-727-3369

UNITED UNION OF ROOFERS, WATERPROOFERS … Roofers...PARTNERSHIP FOR A DRUG FREE WORKPLACE ScreenSafe, Inc. “ / 2364 Essington Rd., Suite 128, Joliet, IL. 60435 Phone 1-877-727-3369

B OUNCE B ACK S OCIAL S ERVICES Address: 1256 W. Jefferson St. Suite 101 Joliet, IL 60435 Phone: (815) 782-6040 Fax: (815) 782-6041 Email: pwbouncebacksocialservice@gmail.compwbouncebacksocialservice@gmail.com.

B OUNCE B ACK S OCIAL S ERVICES Address: 1256 W. Jefferson St. Suite 101 Joliet, IL 60435 Phone: (815) 782-6040 Fax: (815) 782-6041 Email: [email protected]@gmail.com.

Jill Stover Owner - ChamberMastercloud.chambermaster.com/.../2207/File/JolietChamber...Joliet, IL 60435 (815) 729-2490 Complete HEALTHcare for you and your family Rick Lozano rick@myimpressprinting.com

Jill Stover Owner - ChamberMastercloud.chambermaster.com/.../2207/File/JolietChamber...Joliet, IL 60435 (815) 729-2490 Complete HEALTHcare for you and your family Rick Lozano [email protected]

2001 Jefferson St. • Joliet, IL 60435 • T: 800.613.3450 ... · Dealer’s Choice Concours Hawk Chevrolet Corvette Show SUNDAY July 12, 2015 Non-NCCC member participants and workers

2001 Jefferson St. • Joliet, IL 60435 • T: 800.613.3450 ... · Dealer’s Choice Concours Hawk Chevrolet Corvette Show SUNDAY July 12, 2015 Non-NCCC member participants and workers

John Bankes 1650 – 1719

John Bankes 1650 – 1719

Marquette & Joliet

Marquette & Joliet

BID DOCUMENTS - Joliet Park District · joliet, il 60435 . invitation to bid . project title: 2020 golf courses tee & green supply . bid form and specifications for said bid stated

BID DOCUMENTS - Joliet Park District · joliet, il 60435 . invitation to bid . project title: 2020 golf courses tee & green supply . bid form and specifications for said bid stated

Joliet Correctional Center Redevelopment

Joliet Correctional Center Redevelopment

Daniel Defoe 1719 [Robinson Crusoe]

Daniel Defoe 1719 [Robinson Crusoe]