Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0013 - Clinical Laboratories, Licensure of
Chapter 6 - ENFORCEMENT
Section 6-2 - Specific Proceedings
Universal Citation: WY Code of Rules 6-2
Current through September 21, 2024
(a) Deficiencies noted on inspection reports.
(i) Reference
laboratories inspected for CLIA licensure, Medicare certification, JCAHO or CAP
accreditation shall formulate a plan of corrective action and complete such
plan in accordance with the requirements of that agency or
organization.
(ii) When the state
agency inspects a laboratory;
(A) All
deficiencies shall be brought to the attention of the laboratory director or
the supervisor at the end of the inspection;
(B) Within ten ( 10) days after the
inspection, the state agency shall forward a copy of the inspection report to
the laboratory director;
(C) Within
ten ( 10) days of receipt of the inspection report, the laboratory shall return
a plan of corrective action to the state agency and such plan; shall be
completed within sixty (60) days of the date when the corrective action plan
was sent to the state agency;
(D)
At the end of the sixty (60) day corrective action period, the state agency may
re-inspect the laboratory.
(iii) At any time during the corrective
action process, the laboratory may request, in writing, consultation or
assistance from the state agency in completing its corrective action
plan;
(iv) When the laboratory
demonstrates that it is unwilling or unable to take the necessary corrective
action, the state agency shall initiate proceedings as noted in Section 1 of
this Chapter.
(b) Unsatisfactory Performance on Proficiency Testing.
(i) When the laboratory performs
unsatisfactorily in one (1) or more test areas on one shipment, no action will
be taken.
(ii) When the laboratory
performs unsatisfactorily in one (1) or more test areas for two (2) consecutive
shipments, the state agency shall notify the laboratory director of the errors
and offer its consultative services to assist in taking corrective action. For
hospital laboratories only, such notice shall be made to the hospital
administrator.
(iii) When the
laboratory performs unsatisfactorily in one (1) or more test areas for three
(3) consecutive shipments, the state agency shall notify the laboratory
director by certified mail of the errors and indicate that proceedings noted in
Section 1 of this Chapter shall be initiated unless the laboratory director
responds to the notice within five (5) days of the mailing date of the notice.
For hospital laboratories only, such notice shall be made to the hospital
administrator who shall be responsible for reporting.
(iv) When the laboratory director or the
hospital administrator respond to the notice in (3) above, the state agency may
request that the laboratory suspend the provision of the test(s) in question
for no more than thirty (30) days, so that a disposition concerning the
laboratory's capability to perform the test(s) can be made.
(v) When the laboratory demonstrates that it
is unwilling or unable to take the necessary corrective action, the state
agency shall initiate proceedings as noted in Section 1 of this
Chapter.
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