clia annual laboratory registry 2010 once a year the

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CLIA ANNUAL LABORATORY REGISTRY 2010

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(5) A list of laboratories whose accreditation has been withdrawn or revoked and the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

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2010 CLIA LAB REGISTRY (AS REQUIRED BY SECTION 353(N) OF THE PUBLIC HEALTH SERVICE ACT) ACTIVITY 01/01/2010 - 12/31/2010 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 SANCTION, HAS BEEN INCLUDED IN THIS CATEGORY.) CHARLIE WILLIAMS MD, DIRECTOR PHYSICIAN CARE 620 QUINTARD DRIVE OXFORD, AL 36203 CLIA ID# 01D0923412 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: MARCH 27, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION CHARLIE WILLIAMS MD, DIRECTOR PHYSICIAN CARE 620 QUINTARD DRIVE OXFORD, AL 36203 CLIA ID# 01D0923412 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: JULY 03, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION STATUS: LAB VOLUNTARILY CEASED TESTING KENNETH LUCERO, MD, DIRECTOR KENNETH G LUCERO MD 205 N FIRST ST, SUITE A BLYTHE, CA 92225 CLIA ID# 05D0932438 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: JULY 18, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE UNSUCCESSFUL PROFICIENCY TESTING

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DANA YEE MD, DIRECTOR BIO TRANS LABORATORY INC 23101 SHERMAN PLACE, SUITE 221 WEST HILLS, CA 91307 CLIA ID# 05D1007675 SANCTION: REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: APRIL 28, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY OLUKEMI WALLACE MD, DIRECTOR HEALING HANDS ONCOLOGY & MEDICAL CARE 4455 W 117TH STREET, SUITE 402 HAWTHORNE, CA 90250 CLIA ID# 05D1010183 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: JUNE 1, 2010 (MEDICARE CANCELLATION) JUNE 1, 2010 (SUSPENSION OF CLIA CERTIFICATE)

JULY 26,2010 (REVOCATION OF CLIA CERTIFICATE) REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE

JEOPARDY IMPROPER PROFICIENCY TESTING REFERRAL ACTIVITIES

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HOWARD PFUPAJENA, DIRECTOR HUNTINGTON BEACH CLINICAL LABORATORY, INC 8071 SLATER AVENUE, #100 HUNTINGTON BEACH, CA 92647 CLIA ID# 05D1080532 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: SEPTEMBER 18, 2010 (MEDICARE CANCELLATION) DECEMBER 02, 2010 (REVOCATION) REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: REVOCATION FINAL AGAINST LABORATORY; DIRECTOR APPEALED-PROHIBITION AGAINST DIRECTOR STAYED PENDING ALJ DECISION

EMPIRE KETONE CENTER 7426 CHERRY AVE STE 210-213 FONTANA, CA 92336 CLIA ID# 05D1089640 SANCTION: REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: FEBRUARY 02, 2010 REASON: MISREPRESENTATION IN OBTAINING A CLIA CERTIFICATE CONSOLAB INC 6333 WOODMAN AVE STE K VAN NUYS, CA 91401 CLIA ID# 05D1090253 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: MARCH 25, 2010 (MEDICARE CANCELLATION)

MAY 10, 2010 (REVOCATION)

REASON: MISREPRESENTATION IN OBTAINING A CLIA CERTIFICATE

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SPANISH HILLS HEALTH SERVICES INC 4035 SAVIERS ROAD OXNARD, CA 93033 CLIA ID# 05D1094359 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL EFFECTIVE DATE: NOVEMBER 15, 2010 REASON: MISREPREESENTATION IN OBTAINING A CLIA CERTIFICATE SANTA ANITA MEDICAL EQUIPMENT INC 9245 RESEDA AVE STE 743 NORTHRIDGE, CA 91324 CLIA ID# 05D1101030 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: MARCH 25, 2010 (MEDICARE CANCELLATION) MAY 10, 2010 (REVOCATION) REASON: MISREPRESENTATION IN OBTAINING CLIA CERTIFICATE VALENTINE OGOKE, MD, DIRECTOR STEFANYS MEDICAL EQUIPMENT INC 14925 MAGNOLIA BLVD UNIT 223 SHERMAN OAKS, CA 91403 CLIA ID# 05D1102339 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: MARCH 25, 2010 (MEDICARE CANCELLATION) MAY 10, 2010 (REVOCATION) REASON: MISREPRESENTATION IN OBATINING CLIA CERTIFICATE

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PALM SPRINGS MEDICAL SUPPLIES INC 19301 SATICOY ST STE C336 RESEDA, CA 91335 CLIA ID# 05D1102651 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: MARCH 25, 2010 (MEDICARE CANCELLATION) MAY 10, 2010 (REVOCATION) REASON: MISREPRESENTATION IN OBTAINING A CLIA CERTIFCATE GULFPORT TESTING 9245 RESEDA BLVD SUITE 744 NORTHRIDGE, CA 91324 CLIA ID# 05D1104392 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: MARCH 24, 2010 (MEDICARE CANCELLATION)

MAY 08, 2010 (REVOCATION) REASON: MISREPRESENTATION IN OBATAINING CLIA CERTIFICATE MARCIE WOLINSKY-FRIEDLAND, DIRECTOR LIFE EXTENSION CENTER, LLC 425 MAIN STREET RIDGEFIELD, CT 06877 CLIA ID# 07D1099023 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: JUNE 22, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED

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CHARLES ROUAULT MD, DIRTECTOR COMMUNITY BLOOD CENTERS OF SOUTH FLORIDA INC LAUDERHILL 1883 NW 38TH AVENUE FORT LAUDERDALE, FL 33311 CLIA ID# 10D0284957 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: JANUARY 15, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE IMPROPER

PROFICIENCY TESTING REFERRAL ACTIVITIES YVELICE MORENO, DIRECTOR SACRED HEART MEDICAL HOME PA 17901 NW 5TH ST STE 205 PEMBROKE PINES, FL 33029 CLIA ID# 10D0889825 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: OCTOBER 21, 2010 REASON: FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION UNSUCCESSFUL PROFICIENCY TESTING BRIAN FERST MD, DIRECTOR AMERICAN CLINICAL LABORATORY INC 5500-B LILBURN STONE MOUNTAIN ROAD STONE MOUNTAIN, GA 30087 CLIA ID# 11D0700169 SANCTION: SUSPENSION OF CLIA CERTIFICATE LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: JULY 24, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION STATUS: CERTIFICATE REINSTATED

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ABOLLHASSAN YAMIN MD, DIRECTOR PEDIATRIC AND NEONATAL CLINICS PC 8503 CAMPBELLTON STREET DOUGLASVILLE, GA 30134 CLIA ID# 11D0890261 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: JANUARY 23, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION STATUS: LAB VOLUNTARILY CEASED TESTING RAMANA RAO MD, DIRECTOR LUNG DIAGNOSTICS LLC 801 THIRTEENTH AVENUE SUITE A ALBANY, GA 31701 CLIA ID# 11D0940007 SANCTION: SUSPENSION OF CLIA CERTIFICATE LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: FEBRUARY 20, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING JAMES FREEMONT MD, DIRECTOR ACCESS MEDICAL LABORATORY INCORPORATE 2227 GODBY ROAD, SUITE 115 COLLEGE PARK, GA 30349 CLIA ID# 11D1049541 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: MARCH 27, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION

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WILLIAM JACKSON MD, DIRECTOR BRIGHTPOINT URGENT CARE LLC 1365 ROCK QUARRY ROAD SUITE 200 STOCKBRIDGE, GA 30281 CLIA ID# 11D1063932 SANCTION: SUSPENSION OF CLIA CERTIFICATE LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: SEPTEMBER 11, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION AHMAD JINGO, DIRECTOR ATLANTA FAMILY PHYSICIANS PC 3424 FLAT SHOALS ROAD DECATUR, GA 30034 CLIA ID# 11D1083380 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: SEPTEMBER 17, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING CONDITION LEVEL NONCOMPLIANCE FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION STATUS: CERTIFICATE REINSTATED COMPLIANCE ACHIEVED

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BALBIR DHALIWAL, DIRECTOR DIAGNOSTICS MEDICAL LAB INC 4554 N BROADWAY ST, STE 317 CHICAGO, IL 60640 CLIA ID# 14D0646461 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL SUSPENSION OF CLIA CERTIFICATE REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: NOVEMBER 30, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION KOLAVENNU KRISHNAIAH, DIRECTOR GLASS CLINICAL LABS 17901 GOVERNORS HWY - #30 HOMEWOOD, IL 60430 CLIA ID# 14D0646517 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: DECEMBER 24, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED EDWARD KAPLAN MD, DIRECTOR EDWARD H KAPLAN MD AND ASSOCIATES 9631 GROSS POINT RD, STE 10 SKOKIE, IL 60076 CLIA ID# 14D0885113 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL SUSPENSION OF CLIA CERTIFICATE REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: JULY 15, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED

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VERNE SCHWAGER MD, DIRECTOR VERNE A SCHWAGER M D S C HEMATOLOGY LABORATORY SERVICES 1009 S EVERGREEN AVE ARLINGTON HEIGHTS, IL 60005 CLIA ID# 14D0938080 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL SUSPENSION OF CLIA CERTIFICATE REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: NOVEMBER 19, 2010 REASON: CANCELLATION OF MEDICARE APPROVAL REVOCATION 2 YEAR PROHIBIT FROM OWN, OPERATE, OR DIRECT REVOCATION OF CLIA CERTIFICATE FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION CAROLYN COULAM, DIRECTOR MILLENOVA IMMUNOLOGY LABORATORIES 233 E ERIE ST SUITE 510 CHICAGO, IL 60611 CLIA ID# 14D0970150 SANCTION: REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: FEBRUARY 17, 2010 REASON: 2 YEAR PROHIBIT FROM OWN, OPERATE, OR DIRECT ANTHONY BILOTTA, DIRECTOR WILLOWBROOK MEDICAL CENTER 535 PLAINFIELD RD, SUITE C WILLOWBROOK, IL 60527 CLIA ID# 14D1054875 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: FEBRUARY 13, 2010 REASON: CANCELLATION OF MEDICARE APPROVAL SUSPENSION STATUS: LAB VOLUNTARILY CEASED TESTING

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CAROLYN COULAM, DIRECTOR C A R I REPRODUCTIVE INSTITUTE LLC 233 E ERIE STREET, SUITE 520 CHICAGO, IL 60611 CLIA ID# 14D1056871 SANCTION: CANCEL MEDICARE/MEDICAID EFFECTIVE DATE: FEBRUARY 19, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE ROBERT PADRON, DIRECTOR BIO-RAD MEDICAL LAB INC 5817 W ROOSEVELT RD CICERO, IL 60804 CLIA ID# 14D1082850 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: FEBRUARY 12, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE FAILURE TO CORRECT DEFICIENCIES RICHARD SENN, DIRECTOR RICHARD T SENN MD INC 113 W SOUTHWAY BLVD PO BOX 6087 KOKOMO, IN 46902 CLIA ID# 15D0358602 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: APRIL 15, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED

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BALBIR DHALIWAL PHD, DIRECTOR HUMANA LABS INC 5490 BROADWAY SUITE 108 MERRILLVILLE, IN 46410 CLIA ID# 15D1106433 SANCTION: REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: AUGUST 20, 2010 REASON: 2 YEAR PROHIBIT FROM OWN, OPERATE, OR DIRECT REVOCATION OF CLIA CERTIFICATE ROBERT SHIPP, DIRECTOR FAMILY MEDICAL CENTER 1463 CAMPBELLSVILLE ROAD COLUMBIA, KY 42728 CLIA ID# 18D0977212 SANCTION: SUSPENSION OF CLIA CERTIFICATE LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: OCTOBER 17, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION ALLEN L. SPIRES, MD DIRECTOR ALLEN SPIRES, MD 301 DAVENPORT AVE MER ROUGE, LA 71261 CLIA ID# 19D0464385 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIE DATE: JULY 29, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING

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HERBERT ICHINOSE, MD, DIRECTOR HERBERT ICHINOSE MD 1365 ENGLEWOOD DRIVE SLIDELL, LA 70458 CLIA ID# 19D0922714 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: OCTOBER 13, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY IN THE SUBSPECIALITY OF CYTOLOGY BRIAN BROGLE, DIRECTOR BRIAN N BROGLE, MD, LLC 1057 PAUL MAILLARD ROAD, SUITE 220 LULING, LA 70070 CLIA ID# 19D0981497 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: DECEMBER 22, 2010 REASON: REVOCATION OF CLIA CERTIFICATE 2 YEAR PROHIBIT FROM OWN, OPERATE, OR DIRECT BRIAN BROGLE, MD, DIRECTOR BRIAN N BROGLE, MD, LLC 502 RUE DE SANTE, SUITE 103 LAPLACE, LA 70068 CLIA ID# 19D1007919 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: MAY 25, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY

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JAB FATIMA, DIRECTOR MOLANI FAMILY PRACTICE CLINIC 935 VERONE TERRACE LEESVILLE, LA 71446 CLIA ID# 19D1014652 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: JUNE 02, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE FAILURE TO CORRECT DEFICIENCIES CHERYL A, SMITH, MD DIRECTOR CHERYL A. SMITH, MD 1666 E. BERT KOUNS, STE 225 SHREVEPORT, LA 71105 CLIA ID# 19D1017675 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: OCTOBER 15, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: COMPLIANCE ACHIEVED DAVID HARTIG MD, DIRECTOR HUNT VALLEY FAMILY HEALTH 10155 YORK ROAD STE 200 COCKEYSVILLE, MD 21030 CLIA ID# 21D1036973 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: JULY 02, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: SUSPENSION AND LIMITATION LIFTED

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GISELLE MERY, DIRECTOR CANCER QUALITY CARE LLC 4416 EAST WEST HIGHWAY STE 410 BETHESDA, MD 20814 CLIA ID# 21D1057105 SANCTION: REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: JUNE 23, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE DAINTY JACKSON MD, DIRECTOR PRIME DIAGNOSTICS 4300 FORBES BLVD STE 234 LANHAM, MD 20706 CLIA ID# 21D1057808 SANCTION: REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: JANUARY 19, 2010 REASON: FAILURE TO CORRECT DEFICIENCIES JAYANT SHAH MD, DIRECTOR DETROIT BIO MEDICAL LABS 23955 FREEWAY PARK DRIVE FARMINGTON HILLS, MI 48335 CLIA ID# 23D0363260 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: APRIL 06, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: HEARING REQUESTED

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SAJAL CHOUDHURY MD, DIRECTOR DETROIT MEDICAL CENTER CLINICAL LABORATORIES INC 2888 W GRAND BLVD DETROIT, MI 48202 CLIA ID# 23D0369514 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: AUGUST 11, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY CLAUD YOUNG, DIRECTOR VIRGINIA PARK MEDICAL CENTER 8500 14TH STREET DETROIT, MI 48206 CLIA ID# 23D0369792 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL LIMITATION OF CLIA CERTIFICATE REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: JULY 26, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING PERFORMANCE FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION MOHAMED SALKINI, DIRECTOR IMMUNE & DIAGNOSTIC LAB 31700 W 12 MILE ROAD SUITE 220 FARMINGTON HILLS, MI 48334 CLIA ID# 23D0898446 SANCTION: REVOCATION OF CLIA CERTIFICATE CANCELLATION OF MEDICARE APPROVAL EFFECTIVE DATE: APRIL 21, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: HEARING REQUESTED

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JOWHER KHALEEL, DIRECTOR JOWHER KHALEEL MD PC 20000 FARMINGTON ROAD BUILDING E LIVONIA, MI 48154 CLIA ID# 23D0941245 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL SUSPENSION OF CLIA CERTIFICATE REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: AUGUST 18, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE REGINALD SHARPE DO, DIRECTOR WOMEN'S ADVISORY CENTER 43700 N WOODWARD, SUITE 104 BLOOMFIELD HILLS, MI 48302 CLIA ID# 23D0979850 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL LIMITATION OF CLIA CERTIFICATE REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: DECEMBER 17, 2010 REASON: CONDITON LEVEL NONCOMPLIANCE GREGORY MC NAMARA, DIRECTOR FAMILY MEDICAL CENTER 811 SE SECOND STREET SUITE A LITTLE FALLS, MN 56345 CLIA ID# 24D0405950 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: OCTOBER 07, 2010 REASON: IMPROPER PROFICIENCY TESTING REFERRAL

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ANGELA THOMPSON-BUSCH, DIRECTOR ALL ABOUT CHILDREN PEDIATRICS PA 12200 MIDDLESET ROAD SUITE 100 EDEN PRAIRIE, MN 55344 CLIA ID# 24D0972337 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: JULY 14, 2010 REASON: IMPROPER PROFICIENCY TESTING REFERRAL ELIZABETH BLAIR MD, DIRECTOR PARK PLACE PEDIATRICS 2070-B W ARLINGTON BLVD GREENVILLE, NC 27834 CLIA ID# 34D1009415 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: FEBRUARY 22, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION STATUS: LAB VOLUNTARILY CEASED TESTING DEBORAH WARD MD, DIRECTOR GREENE MEMORIAL HOSPITAL 1141 N MONROE DR XENIA, OH 45385 CLIA ID# 36D0656390 SANCTION: REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: DECEMBER 05, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY

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BLANCA VINAS, DIRECTOR LAB CLINICO MEDI-SERV INC 400 SANTANA ARECIBO, PR 00612 CLIA ID# 40D0667258 SANCTION: REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: FEBRUARY 08, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY IMPROPER PROFICIENCY TESTING REFERRAL ACTIVITIES WILLIAM SANDERS IV MD, DIRECTOR INTERNAL MEDICINE ASSOC OF TULLAHOMA PC 1805 N JACKSON ST SUITE 100 TULLAHOMA, TN 37388 CLIA ID# 44D0309810 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: JANUARY 08, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING CONDITION LEVEL NONCOMPLIANCE JOE BLACK III MD, DIRECTOR DRS BLACK & BENTON PEDIATRICS 4741 N BROADWAY KNOXVILLE, TN 37918 CLIA ID# 44D0669755 SANCTION: SUSPENSION OF CLIA CERTIFICATE LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: NOVEMBER 21, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION STATUS: SUSPENSION AND LIMITATION LIFTED COMPLIANCE ACHIEVED

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CAMILLA JOCHER MD, DIRECTOR PEDIATRIC CONSULTANTS OF EAST TN PC 1930 ALCOA HIGHWAY BLD A STE 145 KNOXVILLE, TN 37920 CLIA ID# 44D0894421 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: MARCH 01, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION STATUS: CERTIFICATE REINSTATED THOMAS CARUTHERS MD, DIRECTOR PREMIER WOMENS CARE 1995 HIGHWAY 51 SOUTH #112 COVINGTON, TN 38019 CLIA ID# 44D0963667 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: JANUARY 01, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION STATUS: COMPLIANCE ACHIEVED RICHARD MC GILL, DIRECTOR KIDS FIRST PEDIATRICS 5000 MONARCH POINTE GREENEVILLE, TN 37745 CLIA ID# 44D0982365 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: MARCH 01, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION

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H WAGNER, DIRECTOR BAY AREA UROLOGY 8 PROFESSIONAL PARK DRIVE WEBSTER, TX 77598 CLIA ID# 45D0497402 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: MARCH 17, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY FAILURE TO CORRECT DEFICIENCIES DOMINGO USEDA, DIRECTOR STARR COUNTY MEMORIAL HOSPITAL 2753 HOSPITAL COURT RIO GRANDE CITY, TX 78582 CLIA ID# 45D0660553 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: JUNE 21, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH

IMMEDIATE JEOPARDY UNSUCCESSFUL PROFICIENCY TESTING

STATUS: COMPLIANCE ACHIEVED ROGER SCHORLEMER, DIRECTOR CLINICAL PEDIATRICS ASSOCIATES 8355 WALNUT HILL LN #105 DALLAS, TX 75231 CLIA ID# 45D0663089 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: APRIL 08, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY UNSUCCESSFUL PROFICIENCY TESTING STATUS: COMPLIANCE ACHIEVED

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DONA COOPER-DOCKERY, DIRECTOR COOPER INTERNAL MEDICINE 801 E NOLANA STE 12 MCALLEN, TX 78504 CLIA ID# 45D0964429 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: APRIL 15, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY UNSUCCESSFUL PROFICIENCY TESTING STATUS: COMPLIANCE ACHIEVED ERNESTO NUNEZ-MUNIZ, MD, DIRECTOR PEDIATRIC CLINIC OF MESQUITE 929 N. GALLOWAY, STE 221 ESQUITE, TX 75149 CLIA ID# 45D0976597 SANCTION: LIMITATION OF CERTIFICATE EFFECTIVE DATE: OCTOBER 20, 2010

STATUS: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY UNSUCCESSFUL PROFICIENCY TESTING

CHARLES OHEARN, MD, DIRECTOR COPPELL MINOR EMERGENCY CENTER LLC 651 N DENTON TAP RD, SUITE 100 COPPELL, TX 75019 CLIA ID# 45D0996638 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: JUNE 22, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE

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WILLIAM CLARK, DIRECTOR CLARK MEDICAL CENTER 12130 GREENSPOINT DR HOUSTON, TX 77060 CLIA ID# 45D1020872 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: MARCH 09, 2010 REASON: LAB OWNER/OPER PROHIBITED FROM OWNING LAB WILLIAM CLARK, DIRECTOR TIDWELL MEDICAL CENTER 2312 TIDWELL RD HOUSTON, TX 77093 CLIA ID# 45D1020873 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: MARCH 02, 2010 REASON: LAB OWNER/OPERATOR PROHIBITED FROM OWNING LAB ROBERT RANKINS, DIRECTOR E-CARE EMERGENCY OF MCKINNEY,LP 2810 HARDIN BLVD MCKINNEY, TX 75070 CLIA ID# 45D1047404 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: SEPTEMBER 08, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING

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DENNIS THOMAS, MD, DIRECTOR PROVIDENCE FORGE MEDCARE 9010 POCAHONTAS TRAIL PROVIDENCE FORGE, VA 23140 CLIA ID# 49D0226443 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL EFFECTIVE DATE: MAY 27, 2010 REASON: IMPROPER PROFICIENCY TESTING REFERRAL ACTIVITIES MEDICARE CANCELLATION/SUSPENSION 2 YEAR PROHIBIT FROM OWN, OPERATE, OR DIRECT NEZIH HASANOGLU, DO, DIRECTOR NEZIH Z HASANOGLU, DO SC 13700 W NATIONAL AVE SUITE 116 NEW BERLIN, WI 53151 CLIA ID# 52D0389591 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: AUGUST 29, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE

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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 CHARLIE WILLIAMS MD, DIRECTOR PHYSICIAN CARE 620 QUINTARD DRIVE OXFORD, AL 36203 CLIA ID# 01D0923412 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: MARCH 27, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION CHARLIE WILLIAMS MD, DIRECTOR PHYSICIAN CARE 620 QUINTARD DRIVE OXFORD, AL 36203 CLIA ID# 01D0923412 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: JULY 03, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION STATUS: LAB VOLUNTARILY CEASED TESTING

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MARCY D'ADDIO, DIRECTOR LABORATORY CORPORATION OF AMERICA 4100 LAKE OTIS PARKWAY SUITE 306 ANCHORAGE, AK 99508 CLIA ID# 02D0640755 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: FEBRUARY 17, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING URGENT CARE LAKE LUCILLE 1885 EAST PARKS HIGHWAY WASILLA, AK 99654 CLIA ID# 02D0892730 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: OCTOBER 27, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE NORVIN PEREZ, DIRECTOR JUNEAU URGENT AND FAMILY CARE 8505 OLD DAIRY ROAD JUNEAU, AK 99801 CLIA ID# 02D1058864 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: SEPTEMBER 25, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE

30

GLENN NUDELMAN MD, DIRECTOR MIDWEST INTERNAL MEDICINE PLLC - LAB 1845 N MCCULLOCH BLVD STE B2 LAKE HAVASU CITY, AZ 86403 CLIA ID# 03D0534327 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: MARCH 16, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING CONDITION LEVEL NONCOMPLIANCE STATUS: LAB VOLUNTARILY CEASED TESTING LAZARO ALONSO MD, DIRECTOR LAZARO V ALONZO MD 15216 VANOWEN STREET VAN NUYS, CA 91405 CLIA ID# 05D0560085 SANCTION: CIVIL MONEY PENALTY DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JUNE 11, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE KENNETH LUCERO, MD, DIRECTOR KENNETH G LUCERO MD 205 N FIRST ST, SUITE A BLYTHE, CA 92225 CLIA ID# 05D0932438 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: JULY 18, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE UNSUCCESSFUL PROFICIENCY TESTING

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KOUROSH BAGHERI MD, DIRECTOR KOUROSH BAGHERI MD PROFESSIONAL CORP 1194 PACIFIC STREET SUITE 100 SAN LUIS OBISPO, CA 93401 CLIA ID# 05D1025069 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: DECEMBER 18, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING YVELICE MORENO, DIRECTOR SACRED HEART MEDICAL HOME PA 17901 NW 5TH ST STE 205 PEMBROKE PINES, FL 33029 CLIA ID# 10D0889825 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: OCTOBER 21, 2010 REASON: FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION UNSUCCESSFUL PROFICIENCY TESTING BRIAN FERST MD, DIRECTOR AMERICAN CLINICAL LABORATORY INC 5500-B LILBURN STONE MOUNTAIN ROAD STONE MOUNTAIN, GA 30087 CLIA ID# 11D0700169 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JULY 24, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION STATUS: CERTIFICATE REINSTATED

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BRIAN FERST MD, DIRECTOR AMERICAN CLINICAL LABORATORY INC 5500-B LILBURN STONE MOUNTAIN ROAD STONE MOUNTAIN, GA 30087 CLIA ID# 11D0700169 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JULY 24, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: CERIFICATE REINSTATED ABOLLHASSAN YAMIN MD, DIRECTOR PEDIATRIC AND NEONATAL CLINICS PC 8503 CAMPBELLTON STREET DOUGLASVILLE, GA 30134 CLIA ID# 11D0890261 SANCTION: SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: JANUARY 23, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION STATUS: LAB VOLUNTARILY CEASED TESTING RAMANA RAO MD, DIRECTOR LUNG DIAGNOSTICS LLC 801 THIRTEENTH AVENUE SUITE A ALBANY, GA 31701 CLIA ID# 11D0940007 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JANUARY 06, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING

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JAMES FREEMONT MD, DIRECTOR ACCESS MEDICAL LABORATORY INCORPORATE 2227 GODBY ROAD, SUITE 115 COLLEGE PARK, GA 30349 CLIA ID# 11D1049541 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: MARCH 27, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORECTION WILLIAM JACKSON MD, DIRECTOR BRIGHTPOINT URGENT CARE LLC 1365 ROCK QUARRY ROAD SUITE 200 STOCKBRIDGE, GA 30281 CLIA ID# 11D1063932 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: SEPTEMBER 11, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION AHMAD JINGO, DIRECTOR ATLANTA FAMILY PHYSICIANS PC 3424 FLAT SHOALS ROAD DECATUR, GA 30034 CLIA ID# 11D1083380 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: SEPTEMBER 17, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING CONDITION LEVEL NONCOMPLIANCE FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION STATUS: CERTIFICATE REINSTATED COMPLIANCE ACHIEVED

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KOLAVENNU KRISHNAIAH, DIRECTOR GLASS CLINICAL LABS 17901 GOVERNORS HWY - #30 HOMEWOOD, IL 60430 CLIA ID# 14D0646517 SANCTION: CIVIL MONEY PENALTY DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: DECEMBER 24, 2010 REASON: CANCELLATION OF MEDICARE APPROVAL SUSPENSION STATUS: COMPLIANCE ACHIEVED STEVEN GOETZ, DIRECTOR MERCY MEDICAL CENTER - NORTH IOWA EAST CAMPUS 1000 FOURTH STREET SW MASON CITY, IA 50401 CLIA ID# 16D0384014 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JANUARY 28, 2010 REASON: IMPROPER PROFICIENCY TESTING REFERRAL ACTIVITIES ROBERT SHIPP, DIRECTOR FAMILY MEDICAL CENTER 1463 CAMPBELLSVILLE ROAD COLUMBIA, KY 42728 CLIA ID# 18D0977212 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: OCTOBER 17, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAB OF CORRECTION

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GLORIA COKER, DIRECTOR HOOD MEMORIAL HOSPITAL 301 WEST WALNUT STREET AMITE, LA 70422 CLIA ID# 19D0048403 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: FEBRUARY 01, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY STATUS: COMPLIANCE ACHIEVED DAVID KUTOB, MD DIRECTOR SOUTH CAMERON MEMORIAL HOSPITAL 5360 W. CREOLE HIGHWAY CAMERON, LA 70631 CLIA ID3 19D0461919 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: NOVEMBER 5, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE ALLEN L. SPIRES, MD, DIRECTOR ALLEN L. SPIRES, MD 301 DAVENPORT AVE MER ROUGE, LA 71261 CLIA ID# 19D0464385 SANCTION: DIRECTOR PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: JULY 29, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING

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DONALD WEST, MD, DIRECTOR LAFAYETTE GENERAL MEDICAL CENTER PATHOLOGY 1214 COOLIDGE AVENUE LAFAYETTE, LA 70503 CLIA ID# 19D0648988 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: FEBRUARY 04, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY STATUS: COMPLIANCE ACHIEVED ALFREDO SUAREZ MD, DIRECTOR VILLA FELICIANA MEDICAL COMPLEX-LAB 4988 HIGHWAY 10 PO BOX 438 JACKSON, LA 70748 CLIA ID# 19D0649130 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: APRIL 08, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY STATUS: COMPLIANCE ACHIEVED HERBERT ICHINOSE, DIRECTOR HERBERT ICHINOSE MD 1365 ENGLEWOOD DRIVE SLIDELL, LA 70458 CLIA ID# 19D0922714 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION OF PART OF MEDICARE/MEDICAID EFFECTIVE DATE: OCTOBER 13, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY CYTOLOGY

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HERBERT ICHINOSE, MD DIRECTOR HERBERT ICHINOSE, MD 2138 HAMPSHIRE DR. SLIDELL, LA 70461 CLIA ID# 19D0922716 SANCTION: DIRECTOR PLAN OF CORRECTION EFFECTIVE DATE: OCTOBER 13, 2010

REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY IN SUBSPECIALITY

KELLY LONDEREE, DIRECTOR PONTCHARTRAIN PEDIATRICS, LLC 4405 HIGHWAY 190 SERVICE ROAD COVINGTON, LA 70433 CLIA ID# 19D0999066 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JULY 29, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED BRIAN BROGLE, MD, DIRECTOR BRIAN N BROGLE, MD, LLC 502 RUE DE SANTE, SUITE 103 LAPLACE, LA 70068 CLIA ID# 19D1007919 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: APRIL 07, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY

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CHERYL A. SMITH, MD DIRECTOR CHERYL A. SMITH, MD 1666 E BERT KOUNS, STE 225 SHREVEPORT, LA 71105 CLIA ID# 19D1017675 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: OCTOBER 15, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: COMPLIANCE ACHIEVED CHARLES REED, DIRECTOR WINNSBORO MEDICAL CLINIC 3326 FRONT STREET, SUITE B WINNSBORO, LA 71295 CLIA ID# 19D1023920 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: APRIL 15, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY STATUS: COMPLIANCE ACHIEVED HENRY BRADFORD, JR, PHD, DIRECTOR TMS BIOSCIENCE THERAPEUTIC MONITORING SERVICES LLC 134 LASALLE STREET SUITE 4 NEW ORLEANS, LA 70112 CLIA ID# 19D1067628 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: FEBRUARY 09, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED

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VICTOR PRIEGO, DIRECTOR CENTER FOR CANCER AND BLOOD DISORDERS PC 6420 ROCKLEDGE DR STE 4100 BETHESDA, MD 20817 CLIA ID# 21D0978822 SANCTION: CIVIL MONEY PENALTY DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: DECEMBER 02, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY CAROL VASCONCELLOS MD, DIRECTOR MCBRINE AND VASCONCELLOS MD PC 205 CHAUNCY STREET MANSFIELD, MA 02048 CLIA ID# 22D0074012 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: FEBRUARY 23, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: COMPLIANCE ACHIEVED REBECCA OSGOOD MD, DIRECTOR SPAULDING HOSPITAL FOR CONTINUING MEDICAL CARE CAMBRIDGE 1575 CAMBRIDGE ST CAMBRIDGE, MA 02138 CLIA ID# 22D0076157 SANCTION: CIVIL MONEY PENALTY EFFECTIVE DATE: OCTOBER 21, 2010 REASON: IMPROPER PROFICIENCY TESTING REFERRAL ACTIVITIES

40

JOSEPH URBANOWSKI, DIRECTOR MEDICAL DRUG TESTING LAB 427 PLYMOUTH AVENUE FALL RIVER, MA 02721 CLIA ID# 22D0081569 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JUNE 10, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE MEDICARE CANCELLATION/SUSPENSION FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION STATUS: COMPLIANCE ACHIEVED JAYANT SHAH MD, DIRECTOR DETROIT BIO MEDICAL LABS 23955 FREEWAY PARK DRIVE FARMINGTON HILLS, MI 48335 CLIA ID# 23D0363260 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: APRIL 06, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: HEARING REQUESTED KENNETH TUCKER, DIRECTOR OAKLAND MEDICAL GROUP PC DBA SOUTH MACOMB INTERNISTS 11900 E 12 MILE RD SUITE 300 WARREN, MI 48093 CLIA ID# 23D0366080 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: DECEMBER 23, 2010 REASON: FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORECTION STATUS: COMPLIANCE ACHIEVED

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SAJAL CHOUDHURY MD, DIRECTOR DETROIT MEDICAL CENTER CLINICAL LABORATORIES INC 2888 W GRAND BLVD DETROIT, MI 48202 CLIA ID# 23D0369514 SANCTION: CIVIL MONEY PENALTY OF $3,000 PER DAY DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: AUGUST 26, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE MARK OBRIEN MD, DIRECTOR MARK S O'BRIEN MD PLC 4070 LAKE DR SE, STE 201 GRAND RAPIDS, MI 49546 CLIA ID# 23D0697161 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: FEBRUARY 22, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: MEDICARE CANCELLATION RESCINDED JOWHER KHALEEL, DIRECTOR JOWHER KHALEEL MD PC 20000 FARMINGTON ROAD BUILDING E LIVONIA, MI 48154 CLIA ID# 23D0941245 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: MAY 04, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE REVOCATION OF CLIA CERTIFICATE STATUS: REVOCATION PENDING HEARING

42

REGINALD SHARPE DO, DIRECTOR WOMEN'S ADVISORY CENTER 43700 N WOODWARD, SUITE 104 BLOOMFIELD HILLS, MI 48302 CLIA ID# 23D0979850 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: DECEMBER 17, 2010 REASON: CANCELLATION OF MEDICARE APPROVAL REVOCATION KEVIN CAVANAGH, DIRECTOR HEALTH DEPT OF NORTHWEST MI - NORTHERN MICHIGAN REGIONAL LABORATORY 95 LIVINGSTON BLVD SUITE D GAYLORD, MI 49735 CLIA ID# 23D1038040 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: SEPTEMBER 21, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED MARK ROBIA, DIRECTOR NORTH COUNTRY REGIONAL HOSPITAL LAB 1300 ANNE STREET NW BEMIDJI, MN 56601 CLIA ID# 24D0041382 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: FEBRUARY 22, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED

43

DWIGHT GROTTE, DIRECTOR PARK NICOLLET METHODIST HOSPITAL - PRAIRIE CENTER 8455 FLYING CLOUD DR EDEN PRAIRIE, MN 55344 CLIA ID# 24D0400452 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JANUARY 21, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED ROSS SIMPSON MD, DIRECTOR PARK NICOLLET METHODIST HOSPITAL 19685 HWY 7 SHOREWOOD, MN 55331 CLIA ID# 24D0400513 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JANUARY 21, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE SUSAN BOWERS, DIRECTOR PARK NICOLLET METHODIST HOSPITAL - PRIOR LAKE CLIN 4670 PARK NICOLLET AVENUE SE PRIOR LAKE, MN 55372 CLIA ID# 24D0400769 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JANUARY 21, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED

44

SUSAN BOWERS MD, DIRECTOR PARK NICOLLET METHODIST HOSPITAL 1415 ST FRANCIS AVENUE SHAKOPEE, MN 55379 CLIA ID# 24D0400823 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: FEBRUARY 24, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE ROSS SIMPSON MD, DIRECTOR PARK NICOLLET METHODIST HOSPITAL WAYZATA 250 NORTH CENTRAL AVENUE WAYZATA, MN 55391 CLIA ID# 24D0400936 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JANUARY 21, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED JOHN MCCLURE MD, DIRECTOR PARK NICOLLET METHODIST HOSPITAL 2001 BLAISDELL AVE S MINNEAPOLIS, MN 55404 CLIA ID# 24D0401423 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: FEBRUARY 25, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED

45

ROSS SIMPSON, DIRECTOR PARK NICOLLET METHODIST HOSPITAL GOLDEN VALLEY CLINIC 8240 GOLDEN VALLEY ROAD MINNEAPOLIS, MN 55427 CLIA ID# 24D0402648 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: FEBRUARY 25, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED KEVIN KELLY, DIRECTOR RIVERSIDE FAMILY PHYSICIANS 606 24TH AVENUE SOUTH, SUITE 813 MINNEAPOLIS, MN 55454 CLIA ID# 24D0403517 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: FEBRUARY 19, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE DWIGHT GROTTE MD, DIRECTOR PARK NICOLLET METHODIST HOSPITAL 1885 PLAZA DRIVE EAGAN, MN 55122 CLIA ID# 24D0666567 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: FEBRUARY 24, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED

46

TIM MYERS, DIRECTOR PARK NICOLLET METHODIST HOSPITAL - PLYMOUTH 3007 HARBOR LANE PLYMOUTH, MN 55447 CLIA ID# 24D0666570 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: FEBRUARY 25, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED SUSAN BOWERS MD, DIRECTOR PARK NICOLLET METHODIST HOSPITAL 6500 EXCELSIOR BOULEVARD SAINT LOUIS PARK, MN 55426 CLIA ID# 24D0687292 SANCTION: CIVIL MONEY PENALTY DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JANUARY 08, 2010 REASON: IMPROPER PROFICIENCY TESTING REFERRAL ACTIVITIES STATUS: COMPLIANCE ACHIEVED MATT MCCOY, DIRECTOR PARK NICOLLET METHODIST HOSPITAL - BLOOMINGTON 5320 HIGHLAND GREENS DRIVE BLOOMINGTON, MN 55437 CLIA ID# 24D0723872 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JANUARY 29, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED

47

FRANK KONSTANTINIDES, DIRECTOR SCIENTIFIC RESEARCH CONSORTIUM, INC 1082 1/2 DIONNE STREET SAINT PAUL, MN 55113 CLIA ID# 24D0882688 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: OCTOBER 15, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE ELIZABETH BLAIR MD, DIRECTOR PARK PLACE PEDIATRICS 2070-B W ARLINGTON BLVD GREENVILLE, NC 27834 CLIA ID# 34D1009415 SANCTION: SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: JANUARY 24, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION STATUS: LAB VOLUNTARILY CEASED TESTING BARRY ROCKLER MD, DIRECTOR PERRY MEMORIAL HOSPITAL 501 14TH STREET PERRY, OK 73077 CLIA ID# 37D0470011 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JULY 29, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED

48

CHRIS MANSCHRECK, DIRECTOR CHRIS E MANSCHRECK, DO 301 N 2ND STREET, SUITE 205 MCALESTER, OK 74501 CLIA ID# 37D0475368 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JANUARY 28, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED BALA KRISHNA V. ARABOLU, MD DIRECTOR BALA KRISHNA V. ARABOLU, MD 1202 N. 16TH DURANT, OK 74701 CLIA ID# 37D0673605 SANCTION: DIRETOR PLAN OF CORRECTION EFFECTIVE DATE: NOVEMBER 1, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE ROBERT R. HORANZY, DO DIRECTOR FIRST CHOICE HEALTH CLINIC 302 W. MAIN STREET TISHOMINGO, OK 73460 CLIA ID# 37D1073365 SANCTION: DIRECTOR PLAN OF CORRECTION EFFECTIVE DATE: JULY 30, 2010

REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY

49

BLANCA VINAS, DIRECTOR LAB CLINICO MEDI-SERV INC 400 SANTANA ARECIBO, PR 00612 CLIA ID# 40D0667258 SANCTION: CIVIL MONEY PENLTY OF $3,050 EFFECTIVE DATE: JANUARY 9, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH

IMMEDIATE JEOPARDY IMPROPER PROFICIENCY TESTING REFERRAL ACTIVITIES

WILLIAM SANDERS IV MD, DIRECTOR INTERNAL MEDICINE ASSOC OF TULLAHOMA PC 1805 N JACKSON ST SUITE 100 TULLAHOMA, TN 37388 CLIA ID# 44D0309810 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: JANUARY 08, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING CONDITION LEVEL NONCOMPLIANCE JOE BLACK III MD, DIRECTOR DRS BLACK & BENTON PEDIATRICS 4741 N BROADWAY KNOXVILLE, TN 37918 CLIA ID# 44D0669755 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: NOVEMBER 21, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRETION STATUS: SUSPENSION AND LIMITATION LIFTED COMPLIANCE ACHIEVED

50

CAMILLA JOCHER MD, DIRECTOR PEDIATRIC CONSULTANTS OF EAST TN PC 1930 ALCOA HIGHWAY BLD A STE 145 KNOXVILLE, TN 37920 CLIA ID# 44D0894421 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: MARCH 01, 2010 REASON: UNSUCCESSFUL PROFICENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION STATUS: CERTIFICATE REINSTATED RICHARD MC GILL, DIRECTOR KIDS FIRST PEDIATRICS 5000 MONARCH POINTE GREENEVILLE, TN 37745 CLIA ID# 44D0982365 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: MARCH 01, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTNG FAILURE TO SUBMIT ACCEPTABLE PLAN AMY MD, DIRECTOR BAYLOR FAMILY MEDICINE AT UPTOWN 4161 MCKINNEY AVENUE, SUITE 300 DALLAS, TX 75204 CLIA ID# 45D0478946 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JULY 30, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH

IMMEDIATE JEOPARDY STATUS: LAB VOLUNTARILY CEASED TESTING

51

DONALD MCKAY MD, DIRECTOR DALLAS UROLOGY ASSOCS 7777 FOREST LN A-230 DALLAS, TX 75230 CLIA ID# 45D0480346 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JANUART 25. 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY STATUS: COMPLIANCE ACHIEVED ROXANA CRUZ, DIRECTOR COMMUNITY HEALTH SERVICE AGENCY 4311 WESLEY STREET GREENVILLE, TX 75401 CLIA ID# 45D0481880 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JULY 28, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY STATUS: COMPLIANCE ACHIEVED A THURMAN MD, DIRECTOR UROLOGY ASSOCIATES OF NORTH TEXAS LLP 1001 N WALDROP DRIVE, SUITE 715 ARLINGTON, TX 76012 CLIA ID# 45D0486083 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JANUARY 25, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY STATUS: COMPLIANCE ACHIEVED

52

GEORGE T. KUHN, MD DIRECTOR GEORGE T. KUHN, MD, PA 1315 ST. JOSEPH PKW6Y, STE 1202 HOUSTON, TX 77002 CLIA ID# 45D0489224 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JANURAY 29, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY JACK JANOE, DIRECTOR SOUTH SHORE MEDICAL CENTER PA 201 ENTERPRISE, SUITE 900 LEAGUE CITY, TX 77573 CLIA ID# 45D0497221 SANCTION: CIVIL MONEY PENALTY EFFECTIVE DATE: JANUARY 28, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED ALBERT SMITH MD, DIRECTOR DRS KRISTENSEN SMITH AND ROBINSON 165 SOUTH 6TH STREET RAYMONDVILLE, TX 78580 CLIA ID# 45D0503857 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: NOVEMBER 08, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY STATUS: COMPLIANCE ACHIEVED

53

DEAN SKELLEY, PH.D., DIRECTOR CENTER FOR DISEASE DETECTION, LLC 3370 NACOGDOCHES RD, STE 100 SAN ANTONIO, TX 78217 CLAI ID# 45D0660475 SANCTION: DIRECTED PLAN OF CORREDCTION EFFECTIVE DATE: MARCH 29, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED DOMINGO USEDA, DIRECTOR STARR COUNTY MEMORIAL HOSPITAL 2753 HOSPITAL COURT RIO GRANDE CITY, TX 78582 CLIA ID# 45D0660553 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: JUNE 21, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY UNSUCCESSFUL

PROFICIENCY TESTING STATUS: COMPLIANCE ACHIEVED ROGER SCHORLEMER, DIRECTOR CLINICAL PEDIATRICS ASSOCIATES 8355 WALNUT HILL LN #105 DALLAS, TX 75231 CLIA ID# 45D0663089 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: APRIL 08, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY UNSUCCESSFUL PROFICIENCY TESTING STATUS: COMPLIANCE ACHIEVED

54

EDWARD REED, DIRECTOR WELLMED AT GREENWAY PARK 2455 NE LOOP 410 100 SAN ANTONIO, TX 78217 CLIA ID# 45D0858106 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: APRIL 19, 2010

REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY STATUS: COMPLIANCE ACHIEVED LARRY GRAY MD, DIRECTOR WOODHILL PEDIATRIC ASSOCIATES 8335 WALNUT HILL LN #220 DALLAS, TX 75231 CLIA ID# 45D0878836 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JULY 29, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: LAB VOLUNTARILY CEASED TESTING H ALEJANDRO PRETI, DIRECTOR H ALEJANDRO PRETI MD PA 6560 FANNIN #1224 HOUSTON, TX 77030 CLIA ID# 45D0961149 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: MARCH 30, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: LAB VOLUNTARILY CEASED TESTING

55

DONA COOPER-DOCKERY, DIRECTOR COOPER INTERNAL MEDICINE 801 E NOLANA STE 12 MCALLEN, TX 78504 CLIA ID# 45D0964429 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: APRIL 15, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY UNSUCCESSFUL PROFICIENCY TESTING STATUS: COMPLIANCE ACHIEVED ERNESTO NUNEZ-MNIZ, MD DIRECTOR PEDIATRIC CLINIC OF MESQUITE 929 N. GALLOWAY, STE 221 MESQUITE, TX 75149 CLIA ID# 45D0976597 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: OCTOBER 20, 2010

REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY UNSUCCESSFUL PROFICIENCY TESTING

ELVIN R. GARCIA, MD DIRECTOR DR. ELVIN R. GARCIA, MD PAA 2108 S. M STREET, STE 3 MCALLEN, TX 78503 CLAI ID# 45D0986052 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: MARCH 31, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY STATUS: COMPLIANCE ACHIEVED

56

MILES E. MAHAN, MD DIRECTOR DBA/NORTHEAST WOMEN’S HEALTHCARE 20031 W. LAKE HOUSTON PARKWAY, STE 200 KINGWOOD, TX 77346 CLIA ID# 45D0993033 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: NOVEMBER 5, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE SANDRA BELLO, MD, DIRECTOR WEST TEXAS REPRODUCTIVE CENTER 703 N HANCOCK ODESSA, TX 79761 CLIA ID# 45D0995907 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: DECEMBER 27, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED AUSTIN OGWU MD, DIRECTOR ALPHA MEDICAL CENTER 2505 WEST BELTLINE ROAD LANCASTER, TX 75146 CLIA ID# 45D1010521 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: SEPTEMBER 10, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY STATUS: COMPLIANCE ACHIEVED

57

YURI COOK, DIRECTOR RAINTREE PEDIATRICS YURI COOK MD 919 MEDICAL DRIVE ALLEN, TX 75013 CLIA ID# 45D1040025 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JULY 01, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED JAMES MACKEY MD, DIRECTOR SOUTHLAKE ONCOLOGY PA 1545 E SOUTHLAKE BLVD SUITE 280 SOUTHLAKE, TX 76092 CLIA ID# 45D1040778 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JULY 29, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY STATUS: COMPLIANCE ACHIEVED AUDREY ROGERS MD, DIRECTOR CCPN-WILLOW PARK 136 EL CHICO TRAIL, SUITE 102 WILLOW PARK, TX 76087 CLIA ID# 45D1046364 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: APRIL 08, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY STATUS: LAB VOLUNTARILY CEASED TESTING

58

ROBERT RANKINS, DIRECTOR E-CARE EMERGENCY OF MCKINNEY,LP 2810 HARDIN BLVD MCKINNEY, TX 75070 CLIA ID# 45D1047404 SANCTION: SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: SEPTEMBER 08, 2010 REASON: UNSUCCESSFUL PROFICIENCY TESTING DONNA LAGER, DIRECTOR ETHICUS HOSPITAL-GRAPEVINE 4201 WILLIAM D TATE DRIVE GRAPEVINE, TX 76051 CLIA ID# 45D1073792 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: MAY 07, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY STATUS: COMPLIANCE ACHIEVED UZMA IQBAL, MD, DIRECTOR UZMA IQBAL, MD, PA 11307 FM 1960 WEST SUITE 330 HOUSTON, TX 77065 CLIA ID# 45D1077917 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: APRIL 14, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY STATUS: COMPLIANCE ACHIEVED

59

WAYNE LEEVES, MD, DIRECTOR JEFFERSON LIFE CENTER 219 N POLK ST JEFFERSON, TX 75657 CLIA ID# 45D1079447 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: MARCH 25, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED RICHARD DRUMMOND, DIRECTOR ACCESS CLINICAL LABORATORY, LLC 8311 KNIGHT RD HOUSTON, TX 77054 CLIA ID# 45D1096898 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JANUARY 25, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEOPARDY STATUS: COMPLIANCE ACHIEVED DENNIS THOMAS, MD, DIRECTOR PROVIDENCE FORGE MEDCARE 9010 POCAHONTAS TRAIL PROVIDENCE FORGE, VA 23140 CLIA ID# 49D0226443 SANCTION: CIVIL MONEY PENALTY DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: MAY 27, 2010 REASON: IMPROPER PROFICIENCY TESTING REFERRAL ACTIVITIES MEDICARE CANCELLATION/SUSPENSION 2 YEAR PROHIBIT FROM OWN, OPERATE, OR DIRECT

60

NEZIH HASANOGLU, DO, DIRECTOR NEZIH Z HASANOGLU, DO SC 13700 W NATIONAL AVE SUITE 116 NEW BERLIN, WI 53151 CLIA ID# 52D0389591 SANCTION: CIVIL MONEY PENALTY OF $3,000 PER DAY DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JULY 15, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: REVOCATION OF CLIA CERTIFICATE SUSAN RUSCH, MD, DIRECTOR WHEATON FRANCISCAN LABORATORIES WFMG BURLEIGH 5408 W BURLEIGH ST MILWAUKEE, WI 53210 CLIA ID# 52D0977218 SANCTION: CIVIL MONEY PENALTY DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: MAY 10, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED

61

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) TOKSOOK BY SUBREGIONAL CLINIC-LAB 101 AIRPORT ROAD TOKSOOK BAY, AK 99637 CLIA ID# 02D0640854 CAP SANCTION: CEASE TESTING MYCOLOGY EFFECTIVE DATE: NOVEMBER 17, 2010 REASON: REGULATED ANALYTE REPORTED CRITICAL CONWAY REGIONAL MEDICAL CENTER CLINICAL LABORATORY 2302 COLLEGE AVE CONWAY, AR 72034-6297 CLIA ID# 04D0466269 CAP SANCTION: CEASE TESTING PTT

EFFECTIVE DATE: OCTOBER 27, 2010 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED NOVEMBER 18, 2010

TRI-VALLEY CLINICAL LAB 1876 E. SABIN DR. BLDG C STE 3 CASA GRANDE, AZ 85122 CLIA ID# 03D1025925 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: MAY 7, 2010

REASON: FAILURE TO ADHERE TO COLA IMPOSED REQUIRED IMPROVEMENTS

62

YASUSHI TAMURA, MD, DIRECTOR BELLFLOWER MEDICAL CENTER 9542 E ARTESIA BLVD BELLFLOWER, CA 90706 CLIA ID# 05D0059546 TJC SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: DECEMBER 1, 2010

REASON: NON-COMPLIANCE DUE TO UNSUCCESSFUL PARTICIPATION IN PROFICIENCY TESTING

STATUS: CEASE TESTING ISSUED DECEMBER 1, 2010

LOS ALAMITOS HEMATOLOGY ONCOLOGY 3801 KATELLA AVE STE 207 LOS ALAMITOS, CA 90720-3348 CLIA ID# 05D0553321 COLA SANCTION: DENIAL OF ACCREDITATION EFFETIVE DATE: JANUARY 6, 2010 REASON: FAILURE TO COMPLY WITH REASONABLE REQUEST OF COLA STATUS: NO LONGER ACCREDITED BY COLA STEPHEN D. TAUS MD INC 1366 W 7TH STREET SAN PEDRO, CA 90732-3517 CLIA ID# 05D0553606 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: JANUARY 25, 2010 REASON: FAILURE TO COMPLY WITH REASONABLE REQUEST OF COLA STATUS: NO LONGER ACCREDITED BY COLA

63

JAMEEL HOURANI, MD DIRECTOR HOLLYWOOD COMMUNITY HOSPITAL 6245 DELONGPRE AVENUE HOLLYWOOD, CA 90028 CLIA ID# 05D0710220 TJC SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: MAY 21, 2010


STATUS: NO CHANGE AS OF DECEMBER 31, 2010 PRECISION DIAGNOSTIC LAB INC 12634 HOOVER ST. GARDEN GRIVE, CA 92841-4165 CLIA ID# 05D1059094 CAP SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: AUGUST 24, 2010 REASON: LABORATORY PERFORMANCE DOES NOT MEET LAP STANDARDS PRABHIJIT S PUREWAL, MD INC 200 COTTAGE AVENUE SUITE 201 MANTECA, CA 95336 CLIA ID# 05D1069295 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: DECEMBER 29, 2010 REASON: FAILURE TO COMPLY WITH REASONABLE REQYEST OF COLA STATUS: NO LONGER ACCREDITED BY COLA

64

BLAIR PRESTI, MD, DIRECTOR MOUNT SAN RAFAEL HOSPITAL 410 BENEDICTA AVENUE TRINIDAD, CO 81082 CLIA ID# 06D0644452 TJC SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: JANUARY 21, 2010


STATUS: REINSTATED SEPTEMBER 15, 2010

THAMES UROLOGY CENTER LLC 3 SHAW COVE, STE 206 NEW LONDON, CT 06320 CLIA ID# 07D0095246 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: MARCH 1, 2010 REASON: FAILURE TO COMPLY WITH REASONABLE REQUEST OF COLA STATUS: NO LONGER ACCREDITED BY COLA

BEEBE MEDICAL CENTER POINT OF CARE TESTING 424 SAVANNAH RD LEWES, DE 19958-1462 CLIA ID# 08D1016011 CAP SANCTION: CEASE TESTING OF CREATININE EFFECTIVE DATE: MAY 5, 2010 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: PERMANENTLY CEASED TESTING 5/6/2010

65

MEDSTAR GEORGETOWN MEDCTR-DBA GEORGETOWN UNIV HOSP DEPT OF PATH LAB MED-DENT BLDG SW201 3900 RESERVOIR RD NW WASHINGTON, DC 20007-2126 CLIA ID# 09D0682571 CAP SANCTION: PROBATION EFFECTIVE DATE: SEPTEMBER 14, 2010

REASON: QUALITY AND SEVERITY OF DEFICIENCIES IS SIGNIFICANT ENOUGH TO QUESTION ABILITY TO SUSTAIN CORRECTIONS; CORRECTIVE ACTION FAILS TO SUPPORT IMPLEMENTATION & PREVENTION OF RECURRENCE IN ONE OR MORE AREAS OF THE LABORATORY.

LAWNWOOD REG MED CTR HEART INST-IRL LABORATORY 1700 S 23RD ST FORT PIERCE, FL 34950-4803 CLIA ID# 10D0663746 CAP SANCTION: PROBATION EFFECTVE DATE: MARCH 23, 2010

REASON: QUALITY AND SEVERITY OF DEFICIENCIES IS SIGNIFICANT ENOUGH TO QUESTION ABILITY TO SUSTAIN CORRECTIONS; CORRECTIVE ACTION FAILS TO SUPPORT IMPLEMENTATION & PREVENTION OF RECURRENCE IN ONE OR MORE AREAS OF THE LABORATORY.

STATUS: PENDING

BAPTIST URGENT CARE ARLINGTON 1021 CESERY BLVD JACKSONVILLE, FL 32211-5609 CLIA ID# 10D0269047 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: AUGUST 2, 2010


66

SOUTHWEST GA REGIONAL MED CTR-LABORATORY 361 RANDOLPH ST CUTHBERT, GA 39840-6127 CLIA ID# 11D0266067 CAP

SANCTION: PROBATION

EFFECTIVE DATE: NOVEMBER 09, 2010

REASON: QUALITY AND SEVERITY OF DEFICIENCIES IS

SIGNIFICANT ENOUGH TO QUESTION ABILITY TO SUSTAIN CORRECTIONS; CORRECTIVE ACTION FAILS TO SUPPORT IMPLEMENTATION & PREVENTION OF RECURRENCE IN ONE OR MORE AREAS OF THE LABORATORY

ARNOLD SEID, MD 960 CENTER STREET WAHIAWA, HI 96786 CLIA ID# 12D0898361 COLA SANCTION: DENIAL OF ACCREDITATION

EFFECTIVE DATE: MARCH 10, 2010 REASON: FAILURE TO COMPLY WITH REASONABLE REQUEST OF COLA

PORTNEUF MEDICAL CENTER EAST CAMPUS LABORARORY 777 HOSPITAL WAY POCATELLO, ID 83201-5162 CLIA ID# 13D0520361 CAP SANCTION: PROBATION EFFECTIVE DATE: NOVEMBER 9, 2010

REASON: QUALITY AND SEVERITY OF DEFICIENCIES IS SIGNIFICANT ENOUGH TO QUESTION ABILITY TO SUSTAIN CORRECTIONS; CORRECTIVE ACTION FAILS TO SUPPORT IMPLEMENTATION & PREVENTION OF RECURRENCE IN ONE OR MORE AREAS OF THE LABORATORY

STATUS: PENDING

67

WESTERN PATHOLOGY LLC 1950 E CLARK ST STE D-E POCATELLO, ID 83201-3314 CLIA ID# 13D0520374 CAP SANCTION: PROBATION EFFECTIVE DATE: NOVEMBER 9, 2010


STATUS: PENDING ADVENTIST BOLINGBROOK HOSPITAL ADVENTIST LAB PARTNERS 500 REMINGTON BLVD BOLINGBROOK, IL 60440-4988 CLIA ID# 14D0419397 CAP SANCTION: CEASE TESTING DIGOXIN EFFECTIVE DATE: DECEMBER 6, 2010 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED DECEMBER 22, 2010 MERCY HOSPITAL AND MEDICAL CENTER DEPARTMENT PF PATHOLOGY & LABORAOTRY MEDICINE 2525 MICHIGAN AVE CHICAGO, IL 60616-2333 CLIA ID# 14D0424747 CAP SANCTION: CEASE TESTING PROTHROMBIN TIME EFFECTIVE DATE: APRIL 5, 2010 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED APRIL 20, 2010

68

DOLPH HAEGE, MD DIRECTOR TOUCHETTE REGIONAL HOSPITAL 5900 BOND AVENUE CENTREVILLE, IL 62207 CLIA ID# 14D0433834 TJC SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: FEBRUARY 25, 2010


STATUS: NO CHANGE AS OF DECEMBER 31, 2010

THOREK HOSPITAL & MEDICAL CENTER CARDIORWSPIRATORY DEPARTMENT 850 W IRVING PARK RD CHICAGO, IL 60613-3099 CLIA ID# 14D0697388 CAP SANCTION: PROBATION EFFECTIVE DATE: FEBRUARY 23, 2010


RIVERVIEW HOSPITAL LABORATORY 395 WESTFIELD RD NOBLESVILLE, IN 46060-1425 CLIA ID# 15D0034333 CAP SANCTION: CEASE TESTIN ANTIBODY IDENTIFIACTION EFFECTIVE DATE: OCTOBER 25, 2010 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED DECEMBER 3, 2010

69

DEKALB MEMORIAL HOSPITAL BUTLIER MEDICAL CLINIC LABORATORY 409 E WASHINGTON ST BUTLER, IN 48721-1175 CLIA ID# 15D0897364 CAP SANCTION: CEASE TESING PROTHROMBIN TIME EFFECTIVE DATE: NOVEMBER 10, 2010 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED DECEMBER 15, 2010 DEKALB MEMORIAL HOSPITAL MEDIAL ARTS CENTER 128 N RANDOLPH ST GARRETT, IN 46738-1138 CLIA IN# 15D0948206 CAP SANCTION: CEASE TESTING PROTHROMBIN TIME EFFECTIVE DATE: APRIL 13, 2010 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED JUNE 17, 2010 DEKALB MEMORIAL HOSPITAL MEDICAL ARTS CENTER 128 N RANDOLPH ST GARRETT, IN 46738-1138 CLIA ID# 15D0948206 CAP SANCTION: CEASE TESTING PROTHROMBIN TIME EFFECTIVE DATE: NOVEMBER 8, 2010 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED DECEMBER 15, 2010

70

MERCY MEDICAL CENTER CLINTON LABORATORY 1410 N 4TH ST CLINTON, IA 52732-2940 CLIA ID# 16D0387650 CAP SANCTION: CEASE TESTING COMPATIBILITY TESTING EFFECTIVE DATE: MAY 24, 2010 REASON: REGULATED ANALATED ANALYTE REPORTED CRITICAL STATUS: REINSATED JULY 2, 2010 CENTRAL KANSAS MEDICAL CENTER LABORATORY 3515 BROADWAY AVE GREAT BEND, KS 67530-3633 CLIA ID# 17D0452730 CAP SANCTION: CEASE TESTING MYCOLOGY EFFECTIVE DATE: NOVEMBER 10, 2010 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: PERMANETLY CEASE TESING NOVEMBERR 12, 2010 FAMILY MEDICAL SPECIALTY CLINIC 12 JACKSON HEIGHTS DR. JACKSON, KY 41339 CLIA ID# 18D1003602 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: JANUARY 6, 2010 REASON: FAILURE TO COMPLY WITH REASONABLE REQUEST OD COLA STATUS: NO LONGER ACCREDITED BY COLA

71

OCHSNER BAPTIST MED CTR RESPIRATORY CARE LABORATORY 2700 NAPOLEON AVE NEW ORLEANS, LA 70115-6914 CLIA ID# 19D0695784 CAP SANCTION: CEASE TESTING p02 EFFECTIVE DATE: MAY 18, 2010 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED JUNE 10, 2010 INTERNAL MEDICINE CLINIC 1011 AVENUE F BOGAUSA, LA 70427 CLIA ID# 19D0887774 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: JULY 20, 2010 REASON: FAILURE TO COMPLY WITH REASONABLE REQUEST OF COLA STATUS: NO LONGER ACCREDITED BY COLA US LABORATORY & RADIOLOGY INC 2 JONATHAN DR BROCKTON, MA 02301-5549 CLIA ID# 22D0080468 CAP SANCTION: PROBATION EFFECTIVE DATE: FEBRUARY 23, 2010


STATUS: REMOVED DECEMBER 14, 2010

72

CAPE COD HOSPITAL MAIN LABORATORY 27 PARK ST HYANNIS, MA 02601-5230 CLIA ID# 22D0080965 CAP

SANCTION: CEASE TESTING ABO GROUP

EFFECTIVE DATE: JULY 27, 2010

REASON: REGULATED ANALYTE REPORTED CRITICAL

STATUS: REINSTATED JULY 29, 2010

CAMBRIDGE BIOMEDICAL INC 1320 SOLDIERS FIELD RD BOSTON, MA 02135-1020 CLIA ID# 22D0926993 CAP

SANCTION: CEASE TESTING BACTERIOLOGY

EFFECTIVE DATE: AUGUST 18, 2010

REASON: REGULATED ANALYTE REPORTED CRITICAL

STATUS: PERMANENTLY CEASED TESTING

STRATA PATHOLOGY SERVICES LABORATORY 1 CRANBERRY HL STE 103 LEXINGTON, MA 0242-7397 CLIA ID# 22D1043442 CAP

SANCTION: PROBATION WITH IMMEDIATE JEOPARY

EFFECTIVE DATE: AUGUST 13, 2010

REASON: QUALITY AND SEVERITY OF DEFICIENCIES IS

SIGNIFICANT ENOUGH TO QUESTION ABILITY TO SUSTAIN CORRECTIONS; CORRECTIVE ACTION FAILS TO SUPPORT IMPLEMENTATION & PERVENTATION OF RECURRENCE IN ONE OR MORE AREAS OF THE LABORATORY


73

PROVIDENCE PARK HOSPITAL ST JOHN HLTH SYSTEM CLINICAL LABS 47601 GRAND RIVER AVE NOVI, MI 48374-1233 CLIA ID# 23D0372615 CAP SANCTION: CEASE TESTING MAGNESIUM EFFECTIVE DATE: JUNE 2, 2010 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED JUNE 7, 2010 MCKENIZE MEMORIAL HOSPITAL LABORATORY SERVICES DEPARTMENT 120 N DELAWARE ST SANDUSKY, MI 48471-1009 CLIA ID# 23D0668762 CAP

SANCTION: ROBATION EFFECTIVE DATE: MARCH 9, 2010 REASON: QUALITY AND SEVERITY OF DEFICIENCIES IS


EFFECTIVE DATE: MARCH 9, 2010 STATUS: PENDING

O.L. MATTHEWA, MD THE FISHER BLDG 3011 W GRAND BLVD SUITE 466 DETROIT, MI 48202 CLIA ID# 23D0701946 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: JANUARY 6, 2010 REASON: FAILURE TO COMPLY WITH RASONABLE REQUEST OF COLA STATUS: NO LONGER ACCREDITED BY COLA

74

HIGHLAND COMMUNITY HOSPITAL RESPIRATORY DEPT LAB 801 GOODYEAR BLVD PICAYUNE, MS 39466-3221 CLIA ID# 25D1011163 CAP SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: APRIL 19, 2010 REASON: LABORATORY PERFORMANCE DOES NOT MEET LAP STANDARDS

LINCOLN COUNTY MEDICAL CENTER LABORATORY 1000 E CHERRY ST TROY, MO 63379-1513 CLIA ID# 26D0045627 CAP SANCTION: CEASE TESTING DIGOXIN EFFECTIVE DATE: JUNE 0, 2010 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED JUNE 23, 2010 BLACKFEET COMMUNITY HOSPITAL 760 PIGAN STREET BROWNING, MT 59417 CLIA ID# 27D0410108 CAP SANCTION: PROBATION WIT IMMEDIATE JEOPARDY EEFECTIVE DATE: JUNE 11, 2010


STATUS: IMMEDIATE JEOPARDY REMOVED 7/13/2010 ON PROBATION

75

WENTWORTH DOUGLASS HOSPITAL MAIN CLINICAL LABORATORY 789 CENTRAL AVE DOVE, NH 03820-2526 CLIA ID# 30D0087112 CAP

SANCTION: PROBATION EFFECTVIE DATE: FEBRUARY 9, 2010 REASON: QUALITY AND SEVERITY OF DEFICIENCIES IS

SIGNIFICANT ENOUGH TO QUESTION ABLIITY TO SUSTAIN CORRECTIONS; CORRECTIVE ACTION FAIL TO SUPPORT IMPLEMENTATION & PREVENTION OF RECURRENCE IN ONE OR MORE AREAS OF THE LABORATORY

STATUS: REMOVED AUGUST 24, 2010

UPPER CONNECTICUT VALLEY HOSPITAL LABORATORY 181 CORLISS LN COLEBROOK, NH 03576-3207 CLIA ID# 30D0652824 CAP SANCTION: CEASE TESTING T3 TRIIODOTHYRONINE EFFECTIVE DATE: AUGUST 18, 2010 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED OCTOBER 5, 2010 ST MICHAELS MEDICAL CENTER CLINICAL LAB 111 CENTRAL AVE NEWARK, NJ 07102-1909 CLIA ID# 31D0107985 CAP SANCTION: CEASE TESTING UREA NITROGEN EFFECTIVE DATE: JUNE 2, 2010 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED 14, 2010

76

ST JOSEPHS REG MED CTR MAIN LABORTORY 703 MAIN ST PATERSON, NJ 07503-2621 CLIA ID# 31D0111268 CAP SANCTION: CEASE TESTING PARASITOLOGY EFFECTIVE DATE: JULY 21, 2010 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED SEPTEMBER 28, 2010 OVERLOOK HOSPITAL LABORATORY 99 BEAUVOIR AVE SUMMIT, NJ 07901-3533 CLIA ID# 31D0116133 CAP SANCTION: CEASE TESTING IGA EFFECTIVE DATE: NOVEMBER 9, 2010 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED DECEMBER 1, 2010 ST JOSEPHS MEDICAL CENTER MAIN LABORATORY 127 BROADWAY YONKERS, NY 10701-4006 CLIA ID# 33D0006985 CAP SANCTION: PROBATION EFFECTIVE DATE: SEPTEMBER 14, 2010


STATUS: PENDING

77

NYU HOSPITAL FOR JOINT DISEASES PATH & LAB MEDICINE 301 E 17TH ST NEW YORK, NY 1003-3804 CLIA ID# 33D0126552 CAP SANCTION: PROBATION WITH IMMEDIATE JEOPARDY EFFECTIVE DATE: MAY 25, 2010

REASON: QUALITY AND SEVERITY OF DEFICIENCIES IS SIGNIFICANT ENOUGH TO QUESTION ABILITY TO SUSTAIN CORRECTIONS; CORRECTIVE ACTION FAILS TO SUPPORT IMPLEMENTATION & PREVENTION OF RECURRECNE IN ONE OR MORE AREAS OF THE LABORATORY

STATUS: REMOVED SEPTEMBER 14, 2010

ADIRONDACK MED CTR LABORATORY AT TUPPER LAKE 7 STETSON RD TUPPER LAKE, NY 12986-1502 CLIA ID# 33D0165161 CAP SANCTION: PROBATION EFFECTIVE DATE: NOVEMBER 9, 2010


STATUS: PENDING

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ST JOSEPH’S HOSPITAL NURSING HOME LABORATORY 127 S BROADWAY YONKERS, NY 10701-4080 CLIA ID# 33D0702890 CAP

SANCTION: PROBATION EFFECTIVE DATE: SEPTEMBER 14, 2010 REASON: QUALITY AND SEVERITY OF DEFICIENCIES IS


STATUS: PENDING

JOSEPH MOTTA, MD., PC 1200 SOUTH AVE STE 301 STATEN ISLAND, NY 10314 CLIA ID# 33D0710580 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: MARCH 1, 2010 REASON: DENIAL OF ACCREDITATION STATUS: ON LONGER ACCREDITED BY COLA ST JOSEPH’S MEDICAL CENTER RESPIRAORY ABG LAB 127 S BROADWAY YONKERS, NY 10701-4006 CLIA ID# 33D0877750 CAP SANCTION: PROBATION EFFECTIVE DATE: SEPTEMBER 14, 2010

REASON: QUALITY AND SEVERITY OF DEFICIENCES IS SIGNIFICANT ENOUGH TO QUESTION ABILITY TO SUSTAIN CORRECTIONS; CORRRECTIVE ACTION FAILS TO SUPPORT IMPLEMENTATION & PREVENTION OF RECURRENCE IN ONE OR MORE AREAS OF THE LABORATORY

STATUS: PENDING

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WEST SIDE URGENT CARE 564 NIAGARA STREET BUFFALO, NY 14021 CLIA ID# 33D0921028 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: JULY 20, 2010 REASON: FAILURE TO COMPLY WITH REASONABLE OF COLA STATUS: NO LONGER ACCREDITED BY COLA FAMILY HLTH CTR OF ST JOSEPH’S MED CTR LABORATORY 81 S BROADWAY YONKERS, NY 10701-4004 CLIA ID# 33D0953344 CAP

SANCTION: PROBATION EFFECTIVE DATE: SEPTEMBER 14, 2010 REASON: QUALITY AND SEVERITY OF DEFICIENCES IS

SIGNIFICANT ENOUGH TO QUESTION ABILITY TO SUSTAIN CORRECTIONS; CORRECTIVE ACTION FAILS TO SUPPORT IMPLEMENTATION & PREVENTION OR RECURRENCE IN ONE OR MORE AREAS OF THE LABORATORY

STATUS: PENDING

ISMAIL OZCAN, MD 95 CHURCH STREET RONKONKOMA, NY 11779 CLIA ID# 33D1064227 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: MARCH 10, 2010 REASON: FAILURE TO COMPLY WITH REASONABLE REQUEST STATUS: NO LONGER ACCREDITED BY COLA

80

CATAWBA VALLEY MEDICAL CENTER LABORATORY 810 FAIRGROVE CHURCH RD HICKORY, NC 28602-9617 CLIA ID# 34D0246731 CAP SANCTION: PROBATION EFFECTIVE DATE: JANUARY 26, 2010

REASON: QUALITY AND SEVERITY OF DEFICIENCESS IS SIGIFICANT ENOUGH TO QUESTION ABILITY TO SUSTAIN CORRECTIONS; CORRECTIVE ACTION FAILS TO SUPPORT IMPLEMENTATION & PREVENTION OR RECURRENCE IN ONE OR MORE AREAS OF THE LABORATORY

STATUS: REMOVED JUNE 22, 2010

BETHESDA NORTH HOSPITAL LABORATORY 10500 MONTGOMERY RD CINCINNATI, OH 45242-4415 CLIA ID# 36D0347757 CAP SANCTION: CEASE TESTING UREA NITROGEN EFFECTIVE DATE: AUGUST 18, 2010 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED SEPTEMBER 1, 2010 BLANCHARD VALLEY HLTH SYSTEM-BLUFFTON HOSPITAL CAMPUS 139 GARAU ST BLUFFTON, OHIO 45817-1027 CLIA ID# 36D0351534 CAP SANCTION: CEASE TESTING PHENYTOIN EFFECTIVE DATE: AUGUST 18, 2010 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED SEPTEMBER 8, 2010

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UROLOGY OF NORTHERN OHIO 5319 HOAG DRIVE, SUITE 240 ELYRIA, OH 44035 CLIQA ID# 36D0874747 COLA SANCTION: DENILA OF ACCREDITATION EFFECTIVE DATE: JANURAY 25, 2010 REASON: FAILURE TO COMPLY WITH REASONABLE REQUEST OF COLA STATUS: NO LONGER ACCREDITED BY COLA UROLOGY OF NORTHERN OHIO, INC 3600 KOLBE ROAD STE 220 LORAIN, OH 44053 CLIA ID# 36D1006901 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: JANUARY 6, 2010 REASON: FAILURE TO COMPLY WITH REASONABLE REQUEST OF COLA STATUS: NO LONGER ACCREDITED BY COLA MEL ROBIN, DO 1415 N. WATTS STREET SAYRE, OK 73662 CLIA ID# 37D0671551 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: DECEMBER 29, 2010


STATUS: NO LONGER ACCREDITED BY COLA

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MUSKOGEE COMMUNITY HOSP-LABORATORY 2900 N MAIN ST MUSKOGEE, OK 74401-4078 CLIA ID# 37D1092861 CAP SANCTION: PROBATION EFFECTIVE DATE: SEPTEMBER 14, 2010


STATUS: PENDING

ROCKY TOP MEDICAL CENTER 1105 OAK CLUSTER DRIVE SEVIERVILLE, TN 37862 CLIA ID# 44D0938556 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: JANUARY 25, 2010 REASON: FAILURE TO COMPLY WITH REASONABLE REQUEST OF COLA STATUS: NO LONGER ACCREDITED BY COLA TENNESSEE PEDIATRICS SPRINGHILL 2206 SPEDALE COURT SPRINGHILL, TN 37174 CLIA ID# 44D1025200 COLA SANCTION: DENIAL IF ACCREDITATION EFFFECTIVE DATE: FEBRUARY 19, 2010 REASON: FAILURE TO COMPLY WITH REASONABLE REQUEST OF COLA STATUS: NO LONGER ACCREDITED BY COLA

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MEDICAL CENTER OF MCKINNEY CLINICAL LABORATORY 4500 MEDICAL CENTER DR MCKINNEY, TX 75069-1652 CLIA ID# 45D0477376 CAP SANCTION: CEASE TESTING PO2 EFFECTIVE DATE: DECEMBER 6, 2010 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED DECEMBER 22, 2010 JAMES OGBURN, MD, DIRECTOR SHELBY REGIONAL MEDICAL CENTER 602 HURST STREET CENTER, TX 75935 CLIA ID# 45D0484005 TJC SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: APRIL 19, 2010



RONALD HEARNE, MD, DIRECTOR NACOGDOCHES MEDICAL CENTER 4920 NE STALLINGS DRIVE NACOGDOCHES, TX 75965 CLIA ID# 45D0484177 TJC SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: MARCH 22, 2010



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LABORATORY CORPORATION OF AMERICA 6603 FIRST PARK TEN BLVD SAN ANTONIO, TX 78213-4303 CLIA ID# 45D0500432 CAP SANCTION: PROBATION EFFECTIVE DATE: AUGUST 10, 2010


STATUS: PENDING

SIGNATURE PAMPA HOSPITAL LP PAMPA REGIONAL MEDICAL CENTER ONE MEDICAL PLAZA PAMPA, TX 79065 CLIA ID# 45D0506682 CAP SANCTION: PROBATION EFFECTIVE DATE: SEPTEMBER 14, 2010

REASON: QUALITY AND SEVERITY OF DEFICIENCEIES IS SIGNIFICANT ENOUGH TO QUESTION ABILITY TO SUSTAIN CORRECTIONS; CORRECTIVE ACTION FAILS TO SUPPORT IMPLEMENTATION & PREVENTION OF RECURRECNE IN ONE OR MORE AREAS OF THE LABORATORY

STATUS: PENDING

85

CENTER FOR DISEASE DETECTION LLC-LABORATORY 11603 CROSSDWINDS WAY STE 100 SAN ANTNIO, TX 78233 CLIA ID# 45D0660475 CAP SANCTION: PROBATION WITH IMMEDIATE JEOPARDY EFFECTIVE DATE: JULY 13, 2010

REASON: QUALITY AND SEVERITY OF DEFICIENCIES IS SIGNIFICANT ENOUGH TO QUESTION ABILITY TO SUSTAIN CORRECTION; CORRECTIVE ACTION FAILS TO SUPPORT IMPLEMENTATION & PREVENTION OF RECURRENCE IN ONE OR MORE AREAS OF THE LABORATORY


RIO VISTA MEDICAL CENTER 2209 BEDELL AVENUE DEL RIO, TX 78840 CLIA ID# 45D0951731 COLA

SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: JANUARY 25, 2010 REASON: FAILURE TO ADHERE TO COLA IMPOSED REQUIRED

IMPROVEMENTS STATUS: NO LONGER ACCREDITED BY COLA

CITY CLINICAL LAB,INC. 6300 HILLCROFT #100B HOUSTON, TX 77081 CLIA ID# 45D1044915 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: DECEMBER 29, 2010 REASON: FAILURE TO COMPLY WITH REASONABLE REQUEST OF COLA STATUS: NO LONGER ACCREDITED BY COLA

86

CACHE VALLEY SPECIALITY HOSPITAL LABORATORY 2380 N 400 E NORTH LOGAN, UT 84341-6000 CLIA ID# 46D0978066 CAP SANCTION: PROBATION EFFECTIVE DATE: JUNE 22, 2010

REASOON: QUALITY AND SEVERITY OF DEFICIENCIES IS SIGNIFICANT ENOUGH TO QUESTION ABILITY TO SUSTAIN CORRECTIONS; CORRECTIVE ACTION FAILS TO SUPPORT IMPLEMENTATION & PREVENTION OF RECURRENCE IN ONE OR MORE AREAS OF THE LABORATORY

STATUS: PENDING

INOVA ALEXANDRIA HOSPITAL DEPT OF LABORATORY SERVICES 4320 SEMINARY RD ALEXANDRIA, VA 22304-1535 CLIA ID# 49D0015371 CAP SANCTION: CEASE TESTING COMPATIBILITY TESTING EFFECTIVE DATE: MARCH 29, 2010 REASON: REGULATED ANALYTE REPORTED CRITICAL

REASON: REINSTATED MARCH 30, 2010

HALIFAX REGIONAL HOSPITAL MAIN CLINICAL LABORATORY 2204 WILBORN AVE SOUTH BOSTON, VA 24592-1645 CLIA ID# 49D0233332 CAP SANCTION: CEASE TESTING PCO2 EFFETIVE DATE: MAY 5, 2010 REASON: REGULATED ANALYTE REPORTED CRITICAL

STATUS: REINSTATED MAY13, 2010

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BARBAARA POST, MD, DIRECTOR COMMUNITY MEDICINE UNIVERITY OF VIRGINIA 2955 IVY ROAD STE 205 CHARLOTTESVILLE, VA 22908 CLIA ID# 49D0984404 TJC SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: JULY 22, 2010


STATUS: CEASE TESTING JULY 22, 2010

CHILDRENS HOSPITAL OF KINGS DAUGHTERS-CHILDREN’S HEALTH CTR OYSTER POINT LABORATORY 11783 ROCK LANDING RD NEWPORT NEWS, VA 23606 CLIA ID# 49D1022653 CAP SANCTION: CEASE TESTING CHLORIDE EFFECTIVE DATE: NOVEMBER 10, 2010 REASON: REGULATED ANALYTE CRITICAL STATUS: DECEMBER 7, 2010 CAPITAL MEDICAL CENTER MAIN LABORATORY 3900 CAPITAL MALL DR SW OLYMPIA, WA 98502-8654 CLIA ID# 50D0661530 CAP SANCTION: CEASE TESTING CK EFFECTIVE DATE: DECEMBER 8, 2010 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED DECEMBER 22, 2010

88

ROGER SAUX HEALTH CENTER 1505 KLA-OOOK-WAH TAHOLAH, WA 98587 CLIA ID# 50D0669305 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: JANUARY 6, 2010 REASON: FAILURE TO COMPLY WITH REASONABLE REQUEST TO COLA STATUS: NO LONGER ACCREDITED BY COLA GREAT LAKES GENETICS SC 11711 W NORTH AVE MILKWAUKEE, WI 53226-2131 CLIA ID# 52D0391723 CAP

SANCTION: PROBATION WITH IMMEDIATE JEOPARDY SUSPENSION OF CHEMISTRY SECTION

EFFECTIVE DATE: DECEMBER 14, 2010 REASON: QUALITY AND SEVERITY OF DEFICIENCIES IS


STATUS: PENDING

RICHARD VEIGA, MD, DIRECTOR NEW LONDON FAMILY MEDICAL CENTER 1405 MILL STREET NEW LONDON, WI 54961 CLIA ID# 52D0397909 TJC SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: MAY 25, 2010


STATUS: REINSTATED NOVEMBER 24, 2010

89

LUTHER MIDELORT NORTHLAND RICE LAKE LABORATORY 331 S MAIN ST STE H RICE LAKE, WI 54868-2253 CLIA ID# 52D1071723 CAP SANCTION: CEASE TESTING HEMOGLOBIN EFFECTIVE DATE: NOVEMBER 9, 2010 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED NOVEMBER 12, 2010 HEMOSTASIS REFERENCE LABORATORY 15 WING SECOND FL HAMILTON, ONTARIO L8V 1C3 CLIA ID# 99D1002793 CAP SANCTION: PROBATION EFFECTIVE DATE: MARCH 9, 2010

REASON: QUALITY AND SEVERITY OF DEFICIENCIES IS SIGNIFICANT ENOUGH TO QUESTION ABILITY TO SUSTAIN CORRECTION; CORRECTIVE ACTION FAILS TO SUPPORT IMPLEMENTATION & PREVENTION OF RECURRECNE IN ONE OR MORE AREAS OF THE LABORATORY

STATUS: DISCONTINUED CLINICAL TESTING MARCH 19, 2010

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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/DOWNLOADS/HEARINGINDEX2010.PDF

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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 2009 REGISTRY THE FOLLOWING ACTION WAS INANVERTENTLY OMITTED FROM THE 2008 REGISTRY: KAREN A MILLER, MD DIRECTOR (SHE WAS DIRECTOR AT THE TIME OF ACTION) SONORA QUEST LABORATORIES LLC 1255 WEST WASHINGTON ST TEMPE, AZ 85281 CLIA ID# 03D0528878 SANCTION: CIVIL MONEY PEMALTY EFFECTIVE DATE: MARCH 20, 2008 REASON: CONDITION LEVEL NONCOMPLIANCE

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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 2010 once a year the

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