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self inspection deficiency form- UA

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Self-Inspection Deficiency Summary Form
Laboratory Accreditation Program
Date of Self-Inspection:
Requirement ID
URN.22000
Laboratory name:
LAP or AU#:
Doctors Medical Center of Modesto
2406701
Phase
PHASE II
Brief Explanation
Urine Specimen Collection available in foreign language common to the
population served.
- Added Spanish version on proper collection of urine samples
URN.24355
PHASE II
Calibration/Calibration verification Criteria
- Added acceptability limits for calibration and acceptable difference between
2 analyzers on calibration data
URN.30425
PHASE II
Microscopic Exam Correlation
- Added an appendix for microscopic exam correlation with chemistry strip
results
URN.31425
PHASE II
Carryover Detection
-Added a policy for carryover studies
COM.04300
PHASE II
Comparability criteria of nonwaived instruments
- Amended acceptability criteria on correlations
For your records/next on-site inspection. Do not return to the CAP.
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