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1 CLIA ANNUAL LABORATORY REGISTRY 2011 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 (5) A list of laboratories whose accreditation has been withdrawn or revoked and the reasons for the withdrawal or revocation.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 preceding the date the information is made available and also contains corrections of any erroneous statements of information that appeared in the previous registry. A final section includes other specific information that may be useful in evaluating the performance of laboratories, as specified in 42 CFR 493.1850(a). It also includes information provided by CLIA exempt states.

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Page 1: CLIA ANNUAL LABORATORY REGISTRY 2011 · CLIA ANNUAL LABORATORY REGISTRY 2011 ... together with circumstances of each case and the penalties ... MEDICAL ASSAY LABORATORY INC . 6006-A

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CLIA ANNUAL LABORATORY REGISTRY 2011

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 preceding the date the information is made available and also contains corrections of any erroneous statements of information that appeared in the previous registry. A final section includes other specific information that may be useful in evaluating the performance of laboratories, as specified in 42 CFR 493.1850(a). It also includes information provided by CLIA exempt states.

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2011 CLIA LAB REGISTRY (AS REQUIRED BY SECTION 353(N) OF THE PUBLIC HEALTH SERVICE ACT) ACTIVITY 01/01/2011 - 12/31/2011 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.) MUHAMMAD SALIM, DIRECTOR PROMISE HOSPITAL OF PHOENIX 433 EAST 6TH STREET MESA, AZ 85203 CLIA ID# 03D1022984 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: FEBRUARY 01, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING DAVID ORRINGER, DO, DIRECTOR VELO MED URGENT CARE, PC 2404 E RIVER ROAD STE 251 TUCSON, AZ 85718 CLIA ID# 03D1081758 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: JANUARY 31, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING THOMAS R POWELL, MD., DIRECTOR THOMAS R POWELL MD 1140 W LA VETA #610 ORANGE, CA 92868 CLIA ID# 05D0579031 SANCTION: LIMITATION OF CLIA CERTIFICATE EFECTIVE DATE: NOVEMBER 1, 2011 REASON: CONDITIONAL LEVEL NONCOMPLIANCE UNSUCCESSFUL PROFICIENCY TESTING

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CHRISTOPHER C DOTSON JR, DIRECTOR YOULOM MEDICAL CORPORATION DBA EVE SURGICAL CENTER – WEST LOS ANGELES 10150 NATIONAL BLVD LOS ANELES, CA 90034-3805 CLIA ID# 05D0872079 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFECTIVE DATE: NOVEMBER 11, 2011 NOVEMBER 11, 2011 REASON: CONDITIONAL LEVEL NONCOMPLIANCE UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION

BRIAN MINKUS DO, DIRECTOR PAN AMERICAN LABORATORY, INC 10656 ROSECRANE AVE # D NORWALK, CA 90650 CLIA ID# 05D0915924 SANCTION: REVOCATION OF CLIA CERTIFICATE SUSPENSION OF CLIA CERTIFICATE LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: MARCH 07, 2011 MARCH 07, 2011 MARCH 07, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE UNSUCCESSFUL PROFICIENCY TESTING RICHY AGAJANIAN, DIRECTOR AGAJANIAN INSTITUTE OF ONCOLOGY AND HEMATOLOGY 12291 WASHINGTON BLVD STE 201 WHITTIER, CA 90606 CLIA ID# 05D1089446 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: NOVEMBER 22, 2011 REASON: MEDICARE CANCELLATION/SUSPENSION

CONDITION LEVEL NONCOMPLIANCE UNSUCCESSFUL PROFICIENCY TESTING STATUS: LAB VOLUNTARILY CEASED TESTING

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SPANISH HILLS HEALTH SERVICES INC 4035 SAVIERS ROAD OXNARD, CA 93033 CLIA ID# 05D1094359 SANCTION: REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: NOVEMBER 12, 2011 REASON: MISREPRESENTATION IN OBTAINING CLIA CERTIFICATE XIAOMING WAN, DIRECTOR MPM IMMEDIATE CARE CENTERS LLC 1306 SEVEN SPRINGS BLVD NEW PORT RICHEY, FL 34655 CLIA ID# 10D1046271 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: OCTOBER 19, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION JAGDEEP SANDHU M.D., DIRECTOR CARE PLUS WALK IN CLINICS PA 13111 US HWY 301 S RIVERVIEW, FL 33578 CLIA ID# 10D1090515 SANCTION: SUSPENSION OF CLIA CERTIFICATE LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: AUGUST 14, 2011 AUGUST 14, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION

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MICHAEL MCDONALD MD, DIRECTOR UROLOGY CENTER OF CENTRAL FLORIDA 3208 HILLSDALE LN KISSIMMEE, FL 34741 CLIA ID# 10D1098757 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: JUNE 19, 2011 JUNE 19, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION STATUS: CERTIFICATE REINSTATED COMPLIANCE ACHIEVED ABOLLHASSAN YAMIN MD, DIRECTOR PEDIATRIC AND NEONATAL CLINICS PC 8503 CAMPBELLTON STREET DOUGLASVILLE, GA 30134 CLIA ID# 11D0890261 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: JANUARY 28, 2011 JANUARY 28, 2011 REASON: CANCELLATION OF MEDICARE APPROVAL SUSPENSION FAILURE TO CORRECT DEFICIENCIES FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION STATUS: COMPLIANCE ACHIEVED KOLAVENNU KRISHNAIAH, DIRECTOR GLASS CLINICAL LABS 17901 GOVERNORS HWY - #30 HOMEWOOD, IL 60430 CLIA ID# 14D0646517 SANCTION: REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: FEBRUARY 07, 2011 REASON: CANCELLATION OF MEDICARE APPROVAL SUSPENSION STATUS: COMPLIANCE ACHIEVED

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TIMOTHY CARAGHER PHD, DIRECTOR TASC INC - LABORATORY - AREA 2 401 W STATE ST STE 700 ROCKFORD, IL 61101 CLIA ID# 14D0927073 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: MARCH 16, 2011 MAY 20, 2011 MARCH 16, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEAPORTY STATUS: SUSPENSION AND LIMITATION LIFTED COMPLIANCE ACHIEVED BETH SUM, M D, DIRECTOR MIDWEST CENTER FOR WOMENS HEALTH 1875 DEMPSTER, STE 145 PARK RIDGE, IL 60068 CLIA ID# 14D0978923 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: OCTOBER 14, 2011 NOVEMBER 28, 2011 OCTOBER 14, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE CHRISTOPHER CHALOKWU, PHD FGS, DIRECTOR MEDICAL ASSAY LABORATORY INC 6006-A S CASS AVE WESTMONT, IL 60559 CLIA ID# 14D1044662 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: DECEMBER 02, 2011 DECEMBER 02, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEAPORTY

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JUDY LYZAK, DIRECTOR ALVERNO CLINICAL LABORATORIES LLC - HAMMOND 2434 INTERSTATE PLAZA DR HAMMOND, IN 46324 CLIA ID# 15D0355830 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: SEPTEMBER 20, 2011 SEPTEMBER 20, 2011 REASON: IMPROPER PROFICIENCY TESTING REFERRAL ACTIVITIES BAHRAM SEPEHRI, DIRECTOR PEDIATRIC ASSOCS OF SOUTHERN INDIANA 1425 STATE ST STE 100 NEW ALBANY, IN 47150 CLIA ID# 15D0359426 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: NOVEMBER 18, 2011 DECEMBER 06, 2011 NOVEMBER 18, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED BRUCE SAMUELS, DIRECTOR BRUCE S SAMUELS LLC 204 HIGHLAND PARK PLAZA COVINGTON, LA 70433 CLIA ID# 19D0457433 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: APRIL 12, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEAPORTY UNSUCCESSFUL PROFICIENCY TESTING

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RONALD PADGETT, DIRECTOR POINTE COUPEE GENERAL HOSPITAL 2202 FALSE RIVER DRIVE NEW ROADS, LA 70760 CLIA ID# 19D0462236 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: JANUARY 21, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED ALLEN SPIRES, MD, DIRECTOR ALLEN L. SPIRES, MD 301 DAVENPORT AVENUE MER ROUGE LA 71261 CLIA ID# 19D0464385

SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: MARCH 29, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED SAJAL CHOUDHURY MD, DIRECTOR DETROIT MEDICAL CENTER CLINICAL LABORATORIES INC 2888 W GRAND BLVD DETROIT, MI 48202 CLIA ID# 23D0369514 SANCTION: REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: NOVEMBER 28, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEAPORTY

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MARK HUGHES M.D., DIRECTOR GENESIS GENETICS INSTITUTE, LLC 5555 CONNER SUITE 1100 DETROIT, MI 48213 CLIA ID# 23D1036409 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: FEBRUARY 14, 2011 FEBRUARY 14, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: LAB VOLUNTARILY CEASED TESTING REGINALD SHARPE, DIRECTOR SHARPE FAMILY PLANNING 16738 E WARREN DETROIT, MI 48224 CLIA ID# 23D1086393 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: JUNE 06, 2011 JUNE 06, 2011 REASON: FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION

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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 CERTIFICATE EFFECTIVE DATE: MAY 04, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE IMPROPER PROFICENCEY TESTING REFERRAL ACTIVITEIS RONALD SHEPPARD MD, DIRECTOR CALLAWAY DISTRICT HOSPITAL 211 EAST KIMBALL CALLAWAY, NE 68825 CLIA ID# 28D0652658 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: MARCH 28, 2011 SANCTION: UNSUCCESSFUL PROFICIENCY TESTING EDUARDO CASTREJON MD, DIRECTOR EDUARDO A CASTREJON MD PA 1205 SOUTH SOLANO LAS CRUCES, NM 88011 CLIA ID# 32D0536994 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: FEBRUARY 23, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING

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LYLE NOORDHOEK, DIRECTOR UNION COUNTY GENERAL HOSPITAL 300 WILSON CLAYTON, NM 88415 CLIA ID# 32D0537796 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: MARCH 30, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING ORRIN MCLEOD, MD DIRECTOR MCLEOD MEDICAL CENTER 1108 US ROUTE 66 W MORIARTY, NM 87035 CLIA ID# 32D0979571 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: MARCH 25, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING JAMES SOLDANO MD, DIRECTOR AMERICAN HEALTH NETWORK OF OHIO PC 4882 EAST MAIN STREET SUITE 200 COLUMBUS, OH 43213 CLIA ID# 36D0903587 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: SEPTEMBER 23, 2011 SEPTEMBER 23, 2011 SEPTEMBER 23, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEAPORTY STATUS: COMPLIANCE ACHIEVED

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GABRIEL YANDAM MD, DIRECTOR LA FEMME OBSTETRICS & GYNECOLOGY LLC 656 CHESTNUT STREET COSHOCTON, OH 43812 CLIA ID# 36D0958281 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: AUGUST 05, 2011 AUGUST 05, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE CANCELLATION OF MEDICARE APPROVAL REVOCATION STATUS: REVOCATION OF CLIA CERTIFICATE BALA ARABOLU, MD, DIRECTOR BALA KRISHNA V ARABOLU, MD 1202 N 16TH DURANT, OK 74701 CLIA ID# 37D0673605 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: JANUARY 18, 2011 JANUARY 18, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: SUSPENSION AND LIMITATION LIFTED LAB VOLUNTARILY CEASED TESTING LAB CHANGED TO A PPMP CERTIFICATE 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: SEPTEMBER 05, 2011 SEPTEMBER 05, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION

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LORI BAXTER, DIRECTOR CEDAR CREEK PEDIATRIC & ADOLESC MED PC 616 SMITHVIEW DRIVE MARYVILLE, TN 37803 CLIA ID# 44D0977124 SANCTION: SUSPENSION OF CLIA CERTIFICATE LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: OCTOBER 03, 2011 OCTOBER 03, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE

PLAN OF CORRECTION GEORGE KUHN MD, DIRECTOR GEORGE T KUHN MD, PA DBA WOMEN'S HEALTH CARE ASSOC OF TEXAS 1315 ST JOSEPH PKWY, SUITE 1202 HOUSTON, TX 77002 CLIA ID# 45D0489224 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: FEBRUARY 01, 2011 FEBRUARY 01, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE FAILURE TO CORRECT DEFICIENCIES STATUS: REVOCATION OF CLIA CERTIFICATE MIDLAND HEALTH & SENIOR SERVICES 3303 WEST ILLINOIS, SPACE 22 MIDLAND, TX 79701 CLIA ID# 45D0679743 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: FEBRUARY 08, 2011 FEBRUARY 08, 2011 FEBRUARY 08, 2011 REASON: FAILURE TO CORRECT DEFICIENCIES

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WILFREDO AVILES, DIRECTOR KIDS MED (DELTA MEDICAL BRANCH) 209 W EDINBURG AVE ELSA, TX 78543 CLIA ID# 45D0925763 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: MARCH 14, 2011 MAY 10, 2011 MARCH 14, 2011 REASON: IMPROPER PROFICIENCY TESTING REFERRAL ACTIVITIES SAMUEL TYSON MD BSMT ASCP, DIRECTOR SAMUEL T TYSON MD BSMT (ASCP) 6898-B DONIPHAN/ PO3 2076 CANUTILLO, TX 79835 CLIA ID# 45D0928789 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: MAY 20, 2011 MAY 20, 2011 JULY 12, 2011

REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEAPORTY IMPROPER PROFICIENCY TESTING

REFERRAL ACTIVITIES 2 YEAR PROHIBIT FROM OWN, OPERATE OR DIRECT FRANCISCO GUERRA, DIRECTOR F J GUERRA MD PA 10965 BEN CRENSHAW DRIVE EL PASO, TX 79935 CLIA ID# 45D0965634 SANCTION: SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: APRIL 04, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO CORRECT DEFICIENCIES 2 YEAR PROHIBIT FROM OWN, OPERATE OR DIRECT STATUS: REVOCATION OF CERTICATE

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CHARLES OHEARN, DIRECTOR SOUTHLAKE EMERGENCY CARE CENTER 711 EAST SOUTHLAKE BLVD #300 SOUTHLAKE, TX 76092 CLIA ID# 45D1021990 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: JANUARY 10, 2011 JANUARY 10, 2011 REASON: REVOCATION OF CLIA CERTIFICATE 2 YEAR PROHIBIT FROM OWN, OPERATE, OR DIRECT STATUS: REVOCATION OF CLIA CERTIFICATE APPEAL FILED BY LAB DONALD BLAIR, MD, DIRECTOR TRINITY WOMEN'S CENTER 3450 W WHEATLAND RD POB II SUITE 235 DALLAS, TX 75237 CLIA ID# 45D1032943 SANCTION: SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: MAY 14, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEAPORTY EBERECHUKWU AJIWE, DIRECTOR CITY CLINICAL LAB 6300 HILLCROFT SUITE 100B HOUSTON, TX 77081 CLIA ID# 45D1044915 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: MARCH 25, 2011 JUNE 02, 2011 MARCH 25, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEAPORTY MEDICARE CANCELLATION/SUSPENSION STATUS: APPEAL FILED BY LAB HEARING DECISION SUSTAINED CMS DETERMINED

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JORGE ZAMORA MD, DIRECTORR ANGELES MULTI SPECIALTY CLINIC 7838 BARLITE SAN ANTONIO, TX 78224 CLIA ID# 45D1055715 SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: AUGUST 25, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED DAVID SOLOY, DIRECTOR HARRIS HEALTH CARE GROUP PLLC 8323 SOUTHWEST FREEWAY, SUITE 561 HOUSTON, TX 77074 CLIA ID# 45D1097528 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: MARCH 22, 2011 MARCH 22, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEAPORTY GEORGE KUHN MD, DIRECTOR WOMEN’S HEALTHCARE ASSOCIATES 1213 HERMANN DR SUITE 630 HOUSTON, TX 77004 CLIA ID# 45D1104377 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE EFFECTIVE DATE: JULY 19, 2011 JULY 19, 2011 REASON: 2 YEAR PROHIBIT FROM OWN, OPERATE, OR DIRECT MEDICARE CANCELLATION/SUSPENSION

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MICHAEL COLLINS, DIRECTOR DEPT OF NEUROLOGY MUSCLE NERVE LAB RM 1132 FMLH-WEST 9200 W WISCONSIN AVE MILWAUKEE, WI 53226 CLIA ID# 52D0724271 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: OCTOBER 31, 2011 OCTOBER 31, 2011 OCTOBER 31, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE JAMES FOGARTY, DIRECTOR FOGARTY SURGICAL SERVICES & FAMILY CARE CLINIC 43570 KAVANAUGH RD CABLE, WI 54821 CLIA ID# 52D1102593 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: MAY 31, 2011 JULY 15, 2011 MAY 31, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED JAMES FOGARTY, DIRECTOR FOGARTY SURGICAL SERVICES & FAMILY CARE CLINIC 405 BRUCE LAKE RD BRUCE, WI 54819 CLIA ID# 52D2012007 SANCTION: CANCEL MEDICARE/MEDICAID APPROVAL REVOCATION OF CLIA CERTIFICATE SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: JUNE 02, 2011 JULY 18, 2011 JUNE 02, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEAPORTY STATUS: RESCISSION OF MEDICARE CANCEL/CLIA SUSPENSION COMPLIANCE ACHIEVED

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

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4. A LIST OF LABORATORIES ON WHICH ALTERNATIVE SANCTIONS HAVE BEEN IMPOSED, SHOWING - (I) THE EFFECTIVE DATE OF THE SANCTIONS (II) THE REASON FOR IMPOSING THEM (III) ANY CORRECTIVE ACTION TAKEN BY THE LABORATORY AND (IV) IF LABORATORY HAS ACHIEVED COMPLIANCE, THE VERIFIED DATE OF THE COMPLIANCE NICK SARRIMANOLIS, DIRECTOR NICK SARRIMANOLIS MD LLC 1867 AIRPORT WAY SUITE 145B FAIRBANKS, AK 99701 CLIA ID# 02D1036810 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: DECEMBER 21, 2011 DECEMBER 21, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: COMPLIANCE ACHIEVED MUHAMMAD SALIM, DIRECTOR PROMISE HOSPITAL OF PHOENIX 433 EAST 6TH STREET MESA, AZ 85203 CLIA ID# 03D1022984 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: JANUARY 29, 2011 FEBRUARY 01, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING

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DAVID ORRINGER, DO, DIRECTOR VELO MED URGENT CARE, PC 2404 E RIVER ROAD STE 251 TUCSON, AZ 85718 CLIA ID# 03D1081758 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: JANUARY 29, 2011 JANUARY 31, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING STEPHEN STURDIVANT, DIRECTOR BRADLEY COUNTY MEDICAL CENTER LAB 404 SOUTH BRADLEY STREET WARREN, AR 71671 CLIA ID# 04D0465446 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: AUGUST 29, 2011 REASON: CONDITIONCONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEAPORTY STATUS: COMPLIANCE ACHIEVED THOMAS R POWELL, MD, DIRECTOR THOMAS R POWELL MD 1140 W LA VETA #610 ORANGE, CA 92868 CLIA ID# 05D0579031 SANCTION: DIRECTED PLAN OF CORRECTION

MEDICARE SUPSENSION EFECTIVE DATE: OCTOBER 28, 2011

NOVEMBER 1, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE

UNSUCCESSFUL PROFICIENCY TESTING

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ARON B BICK SYNERGY HEMATOLOGY ONCOLOGY MEDICAL ASSOCIATES LABORATORY 5901 W OLYMPIC BLVD STE 420 LOS ANGELES, CA 90036 – 4669 CLIA ID# 05D0724185 SANCTION: DIRECTED PLAN OF CORRECTION EFECTIVE DATE: AUGUST 13, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING GARY HAFFNER, DIRECTOR SURPRISE VALLEY HOSPITAL LABORATORY 741 MAIN ST CEDARVILLE, CA 96104 CLIA ID# 05D0618601 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: FEBRUARY 22, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING CHRISTOPHER C DOTSON JR, DIRECTOR YOULOM MEDICAL CORPORATION DBA EVE SURGICAL CENTER – WEST LOS ANGELES 10150 NATIONAL BLVD LOS ANGELES, CA 90034-3805 CLIA ID# 05D0872079 SANCTION: DIRECTED PLAN OF CORRECTION CIVIL MONEY PENALTY $ 3,000 PER DAT EFECTIVE DATE: NOVEMBER 9, 2011 NOVEMBER 9, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION STATUS: REVOCATION OF CLIA CERTIFICATE JANUARY 12, 2012.

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ROUPEN YAGHSEZIAN, DIRECTOR PRECISION DIAGNOSTIC LABORATORY INC 12634 HOOVER ST GARDEN GROVE, CA 92841 CLIA ID# 05D1059094 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: FEBRUARY 22, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING RICHY AGAJANIAN, DIRECTOR AGAJANIAN INSTITUTE OF ONCOLOGY AND HEMATOLOGY 12291 WASHINGTON BLVD STE 201 WHITTIER, CA 90606 CLIA ID# 05D1089446 SANCTION: CIVIL MONEY PENALTY OF $3,000 PER DAY STATE ONSITE MONITORING DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: NOVEMBER 22 12, 2011 NOVEMBER 22, 2011 NOVEMBER 22 12, 2011 NOVEMBER 22 14, 2011 REASON: MEDICARE CANCELLATION/SUSPENSION CONDITION LEVEL NONCOMPLIANCE UNSUCCESSFUL PROFICIENCY TESTING STATUS: LAB VOLUNTARILY CEASED TESTING MEHDI TAHSINI TORRANCE URGENT AND FAMILY CARE INC 2573-B PACIFIC COAST HWY TORRANCE, CA 90505 - 7950 CLIA ID# 05D2007204 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: August 20, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING CONDITION LEVEL NONCOMPLIANCE

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XIAOMING WAN, DIRECTOR MPM IMMEDIATE CARE CENTERS LLC 1306 SEVEN SPRINGS BLVD NEW PORT RICHEY, FL 34655 CLIA ID# 10D1046271 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: OCTOBER 19, 2011 OCTOBER 19, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION JAGDEEP SANDHU M.D., DIRECTOR CARE PLUS WALK IN CLINICS PA 13111 US HWY 301 S RIVERVIEW, FL 33578 CLIA ID# 10D1090515 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: AUGUST 14, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION JEREMIAH WATKINS, DIRECTOR UNION GENERAL HOSPITAL 35 HOSPITAL ROAD BLAIRSVILLE, GA 30512 CLIA ID# 11D0021418 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: MAY 11, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED LAB VOLUNTARILY CEASED TESTING

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BETH SUM, M D, DIRECTOR MIDWEST CENTER FOR WOMENS HEALTH 1875 DEMPSTER, STE 145 PARK RIDGE, IL 60068 CLIA ID# 14D0978923 SANCTION: CIVIL MONEY PENALTY DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: OCTOBER 14, 2011 OCTOBER 14, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE CANCELLATION OF MEDICARE APPROVAL SUSPENSION CHRISTOPHER CHALOKWU, PHD FGS, DIRECTOR MEDICAL ASSAY LABORATORY INC 6006-A S CASS AVE WESTMONT, IL 60559 CLIA ID# 14D1044662 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: DECEMBER 02, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEAPORTY STATUS: SUSPENSION AND LIMITATION LIFTED COMPLIANCE ACHIEVED BAHRAM SEPEHRI, DIRECTOR PEDIATRIC ASSOCS OF SOUTHERN INDIANA 1425 STATE ST STE 100 NEW ALBANY, IN 47150 CLIA ID# 15D0359426 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: NOVEMBER 18, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED

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BRUCE SAMUELS, DIRECTOR BRUCE S SAMUELS LLC 204 HIGHLAND PARK PLAZAS COVINGTON, LA 70433 CLIA ID# 19D0457433 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: APRIL 12, 2011 APRIL 12, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEAPORTY UNSUCCESSFUL PROFICIENCY TESTING JAKE HOLLEN, DIRECTOR SOUTH CAMERON MEMORIAL HOSPITAL FRONTIER HOSPITALS, INC 5360 WEST CREOLE HIGHWAY CLIA ID# 19D0461919 SANCTION: CIVIL MONEY PENALTY EFFECTIVE DATE: JUNE 22, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED RONALD PADGETT, DIRECTOR POINTE COUPEE GENERAL HOSPITAL 2202 FALSE RIVER DRIVE NEW ROADS, LA 70760 CLIA ID# 19D0462236 SANCTION: CIVIL MONEY PENALTY SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: JANUARY 21, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED

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ALLEN L. SPIRES, MD 301 DAVENPORT AVENUE MER ROUGE, LA 71261 CLIA ID# 19D0464385 SANCTION: SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: MARCH 29, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED MADONNA BACHMAN, DIRECTOR MEDICAL ASSOCIATES OF CENTRAL LOUISIANA 3717 PRESCOTT ROD ALEXANDRIA, LA 71301 CLIA ID# 19D2010622 SANCTION: DIRECTOR PLAN OF CORRECTION EFFECTIVE DATE: JUNE 1, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEAPORTY STATUS: COMPLIANCE ACHIEVED HARSHAD PATEL M.D., DIRECTOR TAUNTON WALK-IN HEALTH CLINIC INC 58 TREMONT STREET TAUNTON, MA 02780 CLIA ID# 22D0914370 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: APRIL 15, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEAPORTY STATUS: COMPLIANCE ACHIEVED

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O MATTHEWS, DIRECTOR O L MATTHEWS MD 3011 W GRAND BLVD SUITE 466 FISHER BUILDING DETROIT, MI 48202 CLIA ID# 23D0701946 SANCTION: CIVIL MONEY PENALTY EFFECTIVE DATE: OCTOBER 12, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED EDWIN WEATHINGTON, DIRECTOR WOMEN'S MEDICAL CENTER 3212 EASTERN AVE, SE GRAND RAPIDS, MI 49508 CLIA ID# 23D0884860 SANCTION: CIVIL MONEY PENALTY OF $1,500 PER DAY DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: NOVEMBER 15, 2011 NOVEMBER 15, 2011 REASON: FAILURE TO SUBMIT ACEPTABLE PLAN OF CORRECTION MARK HUGHES M.D., DIRECTOR GENESIS GENETICS INSTITUTE, LLC 5555 CONNER SUITE 1100 DETROIT, MI 48213 CLIA ID# 23D1036409 SANCTION: CIVIL MONEY PENALTY OF $3,000 PER DAY EFFECTIVE DATE: FEBRUARY 14, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: LAB VOLUNTARILY CEASED TESTING

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DAVID KYLLO M.D., DIRECTOR YANKEE SQUARE FAMILY PRACTICE 3460 WASHINGTON DR #102 EAGAN, MN 55122 CLIA ID# 24D0399836 SANCTION: CIVIL MONEY PENALTY OF $3,000 PER DAY DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JULY 18, 2011 JULY 18, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED TIMOTHY WELLAND M.D., DIRECTOR WARREN COMMUNITY HOSPITAL DBA NORTH VALLEY HEALTH CENTER 109 SOUTH MINNESOTA STREET WARREN, MN 56762 CLIA ID# 24D0863151 SANCTION: CIVIL MONEY PENALTY OF $3,000 PER DAY DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: AUGUST 18, 2011 AUGUST 18, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED KARI RABIE M.D., DIRECTOR NATIVE AMERICAN COMMUNITY CLINIC 1213 EAST FRANKLIN AVENUE MINNEAPOLIS, MN 55404 CLIA ID# 24D1003005 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JULY 12, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED

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RONALD SHEPPARD MD, DIRECTOR CALLAWAY DISTRICT HOSPITAL 211 EAST KIMBALL CALLAWAY, NE 68825 CLIA ID# 28D0652658 SANCTION: SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: MARCH 28, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING SONYA SCHWAEGERLE MD, DIRECTOR PORTSMOUTH REGIONAL HOSPITAL LABORATORY 333 BORTHWICK AVE PORTSMOUTH, NH 03801 CLIA ID# 30D0086896 SANCTION: CIVIL MONEY PENALTY EFFECTIVE DATE: JULY 07, 2011 REASON: IMPROPER PROFICIENCY TESTING REFERRAL ACTIVITIES STATUS: LAB VOLUNTARILY CEASED TESTING EDUARDO CASTREJON MD, DIRECTOR EDUARDO A CASTREJON MD PA 1205 SOUTH SOLANO LAS CRUCES, NM 88011 CLIA ID# 32D0536994 SANCTION: SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: FEBRUARY 23, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING LYLE NOORDHOEK, DIRECTOR UNION COUNTY GENERAL HOSPITAL 300 WILSON CLAYTON, NM 88415 CLIA ID# 32D0537796 SANCTION: SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: MARCH 30, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING

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JEREMY EDMONDS, DIRECTOR MCLEOD MEDICAL CENTER 1108 US ROUTE 66 W MORIARTY, NM 87035 CLIA ID# 32D0979571 SANCTION: SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: MARCH 25, 2011 REASON: UNSUCCESSFUL PROFICENCY TESTING JAMES SOLDANO MD, DIRECTOR AMERICAN HEALTH NETWORK OF OHIO PC 4882 EAST MAIN STREET SUITE 200 COLUMBUS, OH 43213 CLIA ID# 36D0903587 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: SEPTEMBER 23, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEAPORTY STATUS: COMPLIANCE ACHIEVED GABRIEL YANDAM MD, DIRECTOR LA FEMME OBSTETRICS & GYNECOLOGY LLC 656 CHESTNUT STREET COSHOCTON, OH 43812 CLIA ID# 36D0958281 SANCTION: CIVIL MONEY PENALTY OF $1,000 PER DAY DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: OCTOBER 20, 2011 AUGUST 05, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE CANCELLATION OF MEDICARE APPROVAL REVOCATION

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LAYTH MADLOOD M.D., DIRECTOR IDA FAMILY CLINIC 3160 LEWIS AVENUE IDA, MI 48140 CLIA ID# 36D1003983 SANCTION: CIVIL MONEY PENALTY OF $3,000 PER DAY DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: APRIL 13, 2011 MARCH 29, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEAPORTY STATUS: COMPLIANCE ACHIEVED JAY BELT, DO, DIRECTOR PHYSICIANS HOSPITAL IN ANADARKO, THE 1002 E ENTRAL BOULEVARD HIGHWAY 62 EAST ANADARKO, OK 73005 CLIA ID# 37D0472340 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: AUGUST 29, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED RICHARD BOATSMAN, MD, DIRECTOR JEFFERSON COUNTY HOSPITAL US HIGHWAYS 81 & 70 WAURIKA, OK 73573 CLIA ID# 37D0472340 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: NOVEMBER 14, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEAPORTY REASON: COMPLIANCE ACHIEVED

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WILLIAM BARNES, MD DIRECTOR YOUTH CARE/SAME DAY CARE 525 E BLUE STARR DRIVE CLAREMORE, OK 74017 CLIA ID# 37D0473148 SANCTION: DIRECTOR PLAN OF CORRECTION EFFECTIVE DATE: NOVEMBER 14, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED 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: SEPTEMBER 05, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE

PLAN OF CORRECTION LORI BAXTER, DIRECTOR CEDAR CREEK PEDIATRIC & ADOLESC MED PC 616 SMITHVIEW DRIVE MARYVILLE, TN 37803 CLIA ID# 44D0977124 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: OCTOBER 03, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE

PLAN OF CORRECTION

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ALEC LAW, DIRECTOR EAST TEXA PHYSICIAN’S ALLIANCE LLP 3201 S LOOP 256 SUITE 810 PALESTINE, TX 75801 CLIA ID# 45D0483768 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: AUGUST 19, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEAPORTY STATUS: COMPLIANCE ACHIEVED RICHARD SPINNATO, DIRECTOR CARE FOR WOMEN 22999 HWY 59N, STE #142 KINGWOOD, TX 77339 CLIA ID# 45D0494937 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: MAY 05, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE CHARLES LIVELY, DIRECTOR CHARLES A LIVELY MD PA 608 NORTH MUSKINGUM ODESSA, TX 79761 CLIA ID# 45D0881498 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: FEBRUARY 15, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JJEAPORTY STATUS: COMPLIANCE ACHIEVED

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BARRY MIRTSCHING MD, DIRECTOR CENTER FOR ONCOLOGY RESEARCH AND TREATMENT PA 7777 FOREST LANE SUITE B242 DALLAS, TX 75230 CLIA ID# 45D0895657 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JUNE 25, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED MARIAN SACKLER, MD, DIRECTOR ARTHRITIS CENTERS OF TEXAS 712 NORTH WASHINGTON SUITE 300 DALLAS, TX 75246 CLIA ID# 45D0931266 SANCTION: SUSPENSION PART OF MEDICARE/MEDICAID EEFECTIVE DATE: AUGUST 2, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING STATUS: COMPLIANCE ACHIEVED KEVIN HOMER, DIRECTOR PROLAB DBA PROLAB 2718-20 SOUTHEAST LOOP 820 FORT WORTH, TX 76140 CLIA ID# 45D0942000 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: APRIL 27, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED

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FRANCISCO GUERRA, DIRECTOR F J GUERRA MD PA 10965 BEN CRENSHAW DRIVE EL PASO, TX 79935 CLIA ID# 45D0965634 SANCTION: SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: APRIL 04, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING FAILURE TO SUBMIT ACCEPTABLE PLAN OF CORRECTION 2 YEAR PROHITBIT FROM OWN, OPERATE, OR DIIRECT CONDITION LEVEL NONCOMPLIANCE FAILURE TO CORRECT DEFICIENCES STATUS: REVOCATION OF CLIA CERTIFICATE MILES MAHAN MD, DIRECTOR MILES E MAHAN, MD, PA DBA NORTHEAST WOMEN'S HEALTHCARE 20031 W LAKE HOUSTON PARKWAY, SUITE 200 KINGWOOD, TX 77346 CLIA ID# 45D0993033 SANCTION: CIVIL MONEY PENALTY EFFECTIVE DATE: APRIL 29, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED RAMIN SAMADI, DIRECTOR TRINITYXPRESSMED 5900 OVERTON RIDGE SUITE 110 FORT WORTH, TX 76132 CLIA ID# 45D1010617 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JUNE 1, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: LAB VOLUNTARILY CEASED TESTING

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ANTONIO SERRANO, DIRECTOR EXPRESS CARE MEDICAL CLINIC ANTONIO P SERRANO MD, PA 100 W PIONEER PKWY, SUITE 111 ARLINGTON, TX 76010 CLIA ID# 45D1047153 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: SEPTEMBER 27, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEAPORTY STATUS: COMPLIANCE ACHIEVED JORGE ZAMORA MD, DIRECTOR ANGELES MULTI SPECIALTY CLINIC 7838 BARLITE SAN ANTONIO, TX 78224 CLIA ID# 45D1055715 SANCTION: SUSPENSION PART OF MEDICARE/MEDICAID EEFECTIVE DATE: AUGUST 25, 2011 REASON: UNSUCCESSFUL PROFICIENCY TESTING CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED LAWRENCE DAHM, DIRECTOR SOLARA HOSPITAL HARLINGEN 508 VICTORIA LANE HARLINGEN, TX 78550 CLIA ID# 45D1059113 SANCTION: CIVIL MONEY PENALTY EFFECTIVE DATE: AUGUST 26, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED

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VALERIE SLOCUM, DO, DIRECTOR SURETEST LABORATIRY 4609 CR 919 CROWLEY, TX 76036 CLIA ID# 45D1092429 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: NOVEMBER 17, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEAPORTY STATUS: COMPLIANCE ACHIEVED SALLY BECKER, DIRECTOR PREMIER FAMILY CARE URGENT CARE 2501 W ILLINOIS SUITE E MIDLAND, TX 79701 CLIA ID# 45D1093227 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JUNE 03, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEAPORTY STATUS: COMPLIANCE ACHIEVED MICHAEL COLLINS, DIRECTOR DEPT OF NEUROLOGY MUSCLE NERVE LAB RM 1132 FMLH-WEST 9200 W WISCONSIN AVE MILWAUKEE, WI 53226 CLIA ID# 52D0724271 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: OCTOBER 31, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE

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JAMES FOGARTY, DIRECTOR FOGARTY SURGICAL SERVICES & FAMILY CARE CLINIC 43570 KAVANAUGH RD CABLE, WI 54821 CLIA ID# 52D1102593 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: MAY 31, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE STATUS: COMPLIANCE ACHIEVED JAMES FOGARTY, DIRECTOR FOGARTY SURGICAL SERVICES & FAMILY CARE CLINIC 405 BRUCE LAKE RD BRUCE, WI 54819 CLIA ID# 52D2012007 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: JUNE 02, 2011 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEAPORTY STATUS: RESCISSION OF MEDICARE CANCEL/CLIA SUSPENSION COMPLIANCE ACHIEVED

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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) GREENE COUNTY HOSPITAL 509 WILSON AVENUE EUTAW, AL 35462 CLIA ID# 01D0301897 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: NOVEMBER 1. 2011 REASON: FAILURE TO COMPLY WITH REASONABLE REQUEST OF COLA

NOLAND HOSPITAL BRIMINGHAM LAORATORY 50 MED PARK EAST DR 8TH FLR BRIMINGHAM, AL 35235 CLIA ID# 01D1009847 CAP SANCTION: CEASE TESTING p02, pC02AND Ph, BLOOD GAS EFFECTIVE DATE: MAY 5, 2011 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED MAY 5, 2011 ST LUKE’S MED CTR-PHOENIX CLINICAL LABORATORY 1800 E VAN BUREN ST PHOENIX, AZ 85006-3742 CLIA ID# 03D0526290 CAP SANCTION: PROBATION EFFECTIE DATE: SEPTEMBER 20, 2011

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

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ST LUKE’S HOSPITAL TEMPE-MAIN LABORATORY 1500 S MILL AVE TEMPE, AZ 85281-6699 CLIA ID# 03D0530411 CAP SANCTION: PROBATION EFFECTIVE DATE: SEPTEMBER 20, 2011

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

TUCSON MEDICAL CENTER-TMC LABORATORY 5301 E GRANT RD TUCSON, AZ 85712-2805 CLIA ID# 03D0532968 CAP

SANCTION: PROBATION EFFECTIVE DATE: JUNE 6, 2011 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

CELERION INC-CLINICAL LABORATORY 2420 W BASELINE RD TEMPE, AZ 85283-1040 CLIA ID# 03D0878637 CAP SANCTION: CEASE TESTING PTT EFFECTIVE DATE: APRIL 4, 2011 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED APRIL 15, 2011

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RED ROCK HEALTHCARE LLC 5990 S HOSPITAL DRIVE GLOBE, AZ 85501 CLIA ID# 03D0987218 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: JULY 6, 2011 REASON: FAILURE TO COMPLY WITH REASONABLE REQUESTS OF COLA NEA BAPTIST MEMORIAL HOSPITAL LABORATORY 3024 STADIIUM BLVD JONESBORO, AR 72401-7415 CLIA ID# 04D0467983 CAP SANCTION: CEASE RESTING THYROXINE EFFECTIVE DATE: JUNE 6, 2011 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED JUNE 26, 2011 CHANDRIKA SENEVIRATNE, MD DIRECTOR PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD SUN VALLEY, CA 91352 CLIA ID# 05D0060008 TJC SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: NOVEMBER 30, 2011 REASON: NON-COMPLIANCE DUE TO UNSUCCESSFUL PARTICIPATION IN PROFICIENCY TESTING STEFAN UNTERHALTER, MD 9001 WILSHIRE BLVD., STE 203 BEVERLY HILLS, CA 90211 CLIA ID# 05D0546595 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: JULY 29, 2011 REASON: FAILURE TO ADHERE TO COLA IMPOSED REQUIRED IMPROVEMENTS

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SCRIPPS MEMORIAL HOSPITAL ENCINITAS-LABORATORY 354 SANTA FE DR. ENCINITAS, CA 92024-5142 CLIA ID#05D0663108 CAP SANCTION: CEASE TESTING SODIUM EFFECTIVE DATE: DECEMBER 12, 2011 REASON: REGULATED ANALYTED REPORTED CRITICAL STATUS: REINSTATED DECEMBER 16, 2011 KAISER PERMANENTE-SOUTH BAY-RESPIRATORY CARE BLOOD GAS LABORATORY 25825 VERMONT AVE HARBOR CITY, CA CLIA ID# 05D0686400 CAP SANCTION: CEASE TESTING HEMOGLOBIN EFFECTIVE DATE: AUGUST 29, 2011 REASON: REGULATED ANALYE REPORTED CRITICAL MARK G. BYRNE, MD 30 BRENNAN STREET WATSONVILLE, CA 95076 CLIA ID# 05D0973378 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: MARCH 16, 2011 REASON: FAILURE TO COMPLY WITH REASONABLE REQUESTS OF COLA UNVERSITY FERTILITY CENTER LABORATORY 23550 HAWTHORN BLVD STE 210 TORRANCE, CA 90505-4738 CLIA ID# 05D1058699 CAP SANCTION: ACCREDITATION REVOKED EFFECTIVE DATE: SEPTEMBER 20, 2011 REASON: LABORATORY PERFORMANCE DOES NOT MEET CAP STANDARDS OF ACCREDITATION

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AGAJANIAN INSTITUTE OF ONCOLOGY AND HEMATOLOGY 11480 BROOKSHIRE AVE., STE 309 DOWNEY, CA 90241 CLIA ID# 05D1076983 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: NOVEMBER 10, 2011 REASON: FAILURE TO COMPLY WITH REASONABLE REQUESTS OF COLA AGAJANIAN INSTITUTE OF ONCOLOGY AND HEMATOLOGY 111 WEST BEVERLY BLVD, STE.105 CLIA ID# 05D1076989 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: NOVEMBER 10, 2011 REASON: FAILURE TO COMPLY WITH REASONABLE REQUESTS OF COLA KEVIN HANLEY, MD DIRECTOR BOULDER COMMUNITY HOSPITAL PO BOX 9019 BOULDER, CO 80304 CLIA ID# 06D0510935 TJC SANCTION: LIMITATION OF CERTIFICATE EFFECTIVE DATE: SEPTEMBER 14, 2011 REASON: NON-COMPLIANCE DUE TO UNSUCCESSFUL PARICIPATION IN PROFICIENCY TESTING ROBERT COLLINS, MD DIRECTOR THE MEMORIAL HOSPITAL 750 HOSPITAL LOOP CRAIG, CO 81625 CLIA ID# 06D0519557 TJC SANCTION: LIMITATION OF CLIA CERTIFICATE VOLUNTARY D/C EFFECTIVE DATE: MAY 5, 2011 REASON: NON-COMPLIANCE DUE TO UNSUCCESSFUL PARTICIPATION IN PROFICIENCY TESTING STATUS: REINSTATED OCTOBER 19, 2011

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LEHIGH REGIONAL MEDICAL CENTER-CLINICAL LABORATORY 1500 LEE BLVD LEHIGH ACRES, FL 33936-4835 CLIA ID# 10D0693948 TJC SANCTION: PROBATION WITH IMMEDIATE JEOPARDY EFFECTIVE DATE: AUGUST 26, 2011 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 PERRY HOSPITAL-MAIN LABORATORY 1120 MORNINGSIDE DR PERRY, GA 31069-2906 CLIA ID# 11D0263767 CAP SANCTION: CEASE TESTING VALPROIC ACID EFFECTIVE DATE: DECEMBER 13, 2011 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED DECEMBER 30, 2011 SOUTHWEST GEORGIA REGIONAL MEDICAL CENTER LABORATORY 361 RANDOLPH ST CUTHBERT, GA 39840-6127 CLIA ID# 11D0266067 CAP SANCTION: ACCREDITATION REVOKED EFFECTIVE DATE: JUNE 28, 2011 REASON: LABORATORY PERFORMANCE DOES NOT MEET CAP STANDARDS OF ACCREDITATION

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FAYETTE COUNTY HOSPITAL LABORATORY 650 W TAYLOR ST VANDALIA, IL 62471-1227 CLIA ID# 14D0434963 CAP SANCTION: PROBATION EFFECTIVE DATE: SEPTEMBER 27, 2011 REASON: QUALITY AND SEVERITY OF DEFICIENCIES IS SIGNIFICANT ENOUGH TO QUESTION ABILITY TO SUSTAIN CORRECTIONS; CORRECTIVE ACTION FAILS TO SUPPORT IMPLEMENTATION & PERVENTION OR RECURRENCE IN ONE OR MORE AREAS OF THE LABORATORY STATUS: PENDING SACRED HEART HOSPITAL ENCINITAS-LABORATORY 3240 W FRANKLIN BLVD CHICAGO, IL 60624-1511 CLIA ID# 14D0694820 CAP SANCTION: CEASE TESTING p02 EFFECTIVE DATE: DECEMBER 6, 2011 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED JANUARY 16, 2012 LIFESCAN LABORATORY INC 5255 GOLF RD SKOKIE, IL 60077-1106 CLIA ID# 14D0913834 CAP SANCTION: PROBATION EFFECTIVE DATE: JANUARY 25, 2011 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: REMOVED JULY 26, 2011

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ONCOLOY OF NORTH SHORE 5131 NORTH LINCOLN AVENUE CHICAGO, IL 60625 CLIA ID# 14D0996289 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: AUGUST 25, 2011 REASON: FAILURE TO COMPLY WITH REASONABLE REQUESTS OF COLA MEDICAL ASSAY LABORATORY, INC 6006 A SOUTH CASS AVENUE WESTMONT, IL 60559 CLIA ID# 14D1044662 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: JUNE 29, 2011 REASON: FAILURE TO ADHERE TO COLA IMPOSED REQUIRED IMPROVEMENTS CENTRAL KANSAS MEDICAL CTR-ST ROSE AMBULATORY & SURGERY CTR-LABORATORY 3515 BROADWAY AVE GREAT BEND, KS 67530-3633 CLIA ID# 17D0452730 CAP SANCTION: CEASE TESTING MYCOLOGY EFFECTIVE DATE: MAY 5, 2011 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED MAY 26, 2011 DMC UNIVERSITY LABORATORIES-HARPER UNIVERSITY HOSPITAL LABORATORY 3990 JOHN R ST DETROIT, MI 48201-2018 CLIA ID# 23D0036458 CAP SANCTION: CEASE TESTING BACTERIOLOGY EFFECTIVE DATE: JUNE 6, 2011 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED JUNE 29, 2011

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ERIC REIMUND, MD, DIRECTOR DELTA REGIONAL MEDICAL CENTER 1400 EAST UNION STREET GREENVILLE, MS 38704 CLIA ID# 25D0316753 TJC SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: JULY 1, 2011 REASON: NON-COMPLIANCE DUE TO UNSUCCESSFUL PARTICIPATION IN PROFICIENCY TESTING STATUS: REINSTATED FEBRUARY 21, 2012 OZARKS MEDICAL CENTER MAIN CLINICAL LABORATORY 1100 N KENTUCKY AVE WEST PLAINS, MO 65775-2029 CLIA ID# 26D0668824 CAP SANCTION: CEASE TESTING TOBRAMYCIN EFFECTIVE DATE: AUGUST 2, 2011 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED JANUARY 16, 2012 RENOWN SOUTH MEADOWS MEDICAL CENTER-CLINICAL LABORATORY 10101 DOUBLE R BLVD RENO, NV 89521-5931 CLIA ID# 29D0956086 CAP SANCTION: CEASE TESTING PRITEIN TOTAL EEFECTIVE DATE: MAY 11, 2011 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED MAY 26, 2011

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SAINT CLARE’S HOSPITAL-DOVER DOVER GENERAL CAMPUS LABORATORY 400 W BLACKWELL ST DOVER, NJ 07801-2525 CLIA ID# 31D0005048 CAP SANCTION: PROBATION WITH IMMEDIATE JEOPARDY EFFECTIVE DATE: JUNE 28, 2001 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: IMMEDIATE JEOPARDY LIFTED 7/12/2011 PROBATION PENDING SAINT CLARE’S HOSPITAL SUSSEX-CLINICAL LABORATORIES 20 WALNUT ST SUSSEX, NJ 07461-2537 CLIA ID# 31D0110766 CAP SANCTION: PROBATION WITH IMMEDIATE JEOPARDY EFFECTIVE DATE: JUNE 28, 2011 REASON: QUALIITY 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: IMMEDIATE JEOPARDY LIFTED 7/12/2011 PROBATION PENDING

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SAINT CLARE’S HOSPITAL DENVILLE-CLINICAL LABORATORIES 25 POCONO RD DENVILLE, NJ 07834-2954 CLIA ID# 31D0115471 CAP SANCTION: PROBATION WITH IMMEDIATE JEOPARDY EFFECTIVE DATE: JUNE 28, 2011 REASON: QUALITY AND SEVERITY OF DEFICIENCIES IS SIGNIFICANT ENOUGH TO QUESTION ABILITY TO SUSTAIN CORRECTIONS; CORRECTIVE ACTION FAILS TO SUPPPORT IMPLEMENTATION & PREVENTION OF RECURRENCE IN ONE OR MORE AREAS OF THE LABORATORY STATUS: IMMEDIATE JEOPARDY LIFTED 7/12/2011 PROBATION PENDING SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER LABORATORY 1505 W SHERMAN AVE VINELAND, NJ 08360-6912 CLIA ID# 31D0121108 CAP SANCTION: CEASE TESTING CK EFFECTIVE DATE: AUGUST 3, 2011 REASON: REGULATED ANALYTE REPORTED CRITICAL SUNRISE MEDICAL LABORATORIES 250 MILLER PL HICKSVILLE, NY 11801-1826 CLIA ID# 33D0654120 CAP SANCTION: PROBATION EFFECTIVE DATE: MAY 24, 2011 REASON: QUALITY AND SEVERITY OF DEFICIENCIES IS SIGNIFICANT ENOUGH TO QUESTION ABILITY TO SUSTAIN CORRECTONS; CORRECTIVE ACTION FAILS TO SUPPORT IMPLEMENTATION & PREVENTION OF RECURRENCE IN ONE OR MORE AREAS OF THE LABORATORY STATUS: REMOVED 7/12/2011

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CENTRAL CAROLINA HOSPITAL 1135 CARTHAGE ST SANFORD, NC 27330-4162 CLIA ID# 34D0238637 CAP SANCTION: PROBATION EFFECTIVE DATE: MARCH 8, 2011 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 CATAWBAVALLEY MEDICAL CENTER LABORATORY 810 FAIRGROVE CHURCH RD HICKORY, NC 28602-9617 CLIA ID# 34D0246731 CAP SANCTION: PROBATION EFFECTIVE DATE: JULY 12, 2011 REASON: QUALITY AND SEVERITY OF DEFICIENCIES IS SIGNFICICANT ENOUGH TO QUESTION ABILITY TO SUSTAIN CORRECTIONS; CORRECTIVE ACTION FAILS TO SUPPORT IMPLEMENTATION & PERVENTION OF RECURRENCE IN ONE OR MORE AREAS OF THE LABORATORY STATUS: PENDING CAROLINAS MEDICAL CENTER LABORATORY 1000 BLYTHE BLVD CHARLOTTE, NC 28203-5812 CLIA ID# 34D0655338 CAP SANCTION: CEASE TESTING ETHANOL EFFECTIVE DATE: NOVEMBER 9, 2011 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED DECEMBER 1, 2011

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PRESBYTERIAN HOSPITAL BLOOD GAS LABORATORIES 200 HAWTHORNE LANE CHARLOTTE, NC 28204-2515 CLIA ID# 34D0655340 CAP SANCTION: CEASE TESTING HEMATOCRIT EFFECTIVE DATE: DECEMBER 28, 2011 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED JANUARY 6, 2012 CAPE FEAR VALLEY MEDICAL CENTER LABORATORY 1638 OWEN DR FAYETTEVILLE, NC 28304-3424 CLIA ID# 34D0655351 CAP SANCTION: CEASE TESTING LITHIUM EFFECTIVE DATE: MAY 10, 2011 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED MAY 16, 2011 SANFORD HEMATOLOGY ONCOLOGY-FIRST HEALTH UNC HCS LLC LABORATORY 1212 CENTRAL DR STE 201 SANFORD, NC 24330-4170 CLIA ID# 34D0904145 CAP SANCTION: CEASE TESTING ERYTHROCYTE COUNT EFFECTIVE DATE: AUGUST 2, 2011 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED AUGUST 23, 2011

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CHILDRENS HOSPITAL MEDICAL CENTER CINCINNATI CHILDREN’S LIBERTY LABORATORY 7777 YANKEE RD RM 110 LIBERTY TOWNSHIP, OH 45044-3500 CLIA ID# 36D1087513 CAP SANCTION: CEASE TESTING URIC ACID EFFECTIVE DATE: MAY 11, 2011 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED MAY 20, 2011 MARIAN COMMUNITY HOSPITAL CENTRAL LABORATORY 100 LINCOLIN AVE CARBONDALE, PA 18407-2116 CLIA ID# 39D0191914 CAP SANCTION: PROBATION EFFECTIVE DATE: JANUARY 11, 2011 REASON: QUALITY AND SEVERITY OF DEFICIENCIES IS SIGNIFICANT ENOUGH TO QUESTION ABILITY TO SUSTAIN CORRECTIONS; CORRECTIVE ACTION AILS TO SUPPORT IMPLEMENTATION & PREVENTION OF RECURRENCE IN ONE OR MORE AREAS OF THE LABORATORY STATUS: PENDING MIGUEL A. MARRERO, MD, PC 533 WASHINGTON AVE., STE 205 BRIDGEVILLE, PA 15017 CLIA ID# 39D0988016 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: JULY 5, 2011 REASON: FAILURE TO COMPLY WITH REASONABLE REQUESTS OF COLA

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CHESTER REGIONAL MEDICAL CENTER LABORATORY 1 MEDICAL PARK DR CHESTER, SC 29706-9769 CLIA ID# 42D0253342 CAP SANCTION: CEASE TESTING TSH EFFECTIVE DATE: SEPTEMBER 7, 2011 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED SEPTEMBER 22, 2011 BLALOCK FAMILY & URGENT CARE 1405 BEN SAWYER BLVD MT PLEASANT, SC 29464 CLAI ID# 42D1063779 COLA SANCTION: DENIAL OF ACCREDITATION EFFECTIVE DATE: MARCH 23, 2011 REASON: FAILURE TO COMPLY WITH REASONABLE REQUESTS OF COLA PHILLIP R. BOWDEN MDPA LABORATORY 1417 MONROE AVE MEMPHIS, TN 38104-3634 CLIA ID# 44D0912700 CAP SANCTION: ACCREDITATION DENIED EFFECTIVE DATE: SEPTEMBER 20, 2011 REASON: LABORATORY PERFORMANCE DOES NOT MEET CAP STANDARDS OF ACCREDITATION

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MEDICAL CENTER OF MCKINNEY CLINICAL LABORATORY 4500 MEDICAL CENTER DR MCKINNEY, TX 75069-1650 CLIA ID# 45D0477376 CAP SANCTION: CEASE TESTING p02 EFFECTIVE DATE: APRIL 20, 2011 REASON: REGULATED ANALYTE REPOPRTED CRITICAL STATUS: PERMANENTLY CEASED TESTING APRIL 22, 2011 MAINLAND MEDICAL CENTER LABORATORY 6801 EMMETT F LOWRY EXPY TEXAS CITY, TX 77591-2500 CLIA ID# 45D0497162 CAP SANCTION: CEASE TESTING hCG, Serum, Quant EFFECTIVE DAE: JULY 19, 2011 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED AUGUST 4, 2011 SPRING BRANCH MEDICAL CENTER MAIN LABORATORY 8850 LONG POINT RD HOUSTON, YX 77055-3006 CLIA ID# 45D0665896 CAP SANCTION: CEASE TESTING BACTERIOLOGY EFFECTIVE DATE: SEPTEMBER 13, 2011 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED DECEMBER 2, 2011

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MICHAEL DUREN, MD, DIRECTOR CHRISTUS-JASPER MEMORIAL HOSPITAL 1275 MARVIN HANCOCK DIRVE JASPER, TX 75951 CLIA ID# 45D088180 TJC SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: SEPTEMBER 14, 2011 REASON: NON-COMPLIANCE DUE TO UNSUCCESSFUL PARTICIPATION IN PROFICIENCY TESTING STATUS: NO CHANGE EAST EL PASO PHYSICIANS MEDICAL CENTER LLC LABORATORY 1416 GEORGE DIETER DR EL PASO, TX 79936-7601 CLIA ID# 45D1013008 CAP SANCTION: PROBATION WITH IMMEDIATE JEOPARDY EFFECTIVE DATE: SEPTEMBER 27, 2011 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. STATUS: IMMEDIATE JEOPARDY STATUS LIFTED 1/10/2012 PROBATION PENDING SCOTT & WHITE-KILLEEN WEST CLINIC LABORATORY 1002 WALES DR STE 8 KILLEEN, TX 76549-1137 CLIA ID# 45D1056422 CAP SANCTION: CEASE TESTING PROTHROMBIN TIME EFFECTIVE DATE: OCTOBER 31, 2011 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED NOVEMBER 15, 2011

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KENDAL WILLARDSON, MD, DIRECTOR WAYNE COMMUNITY HEALTH CENTERS, INC 128 S 300 WEST BICKNELL, UT 84715 CLIA ID# 46D0670054 TJC SANCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: SEPTEMBER 29, 2011 REASON: NON-COMPLIANCE DUE TO UNSUCCESSFUL PATICIPATION IN PROFICIENCY TESTING STATUS: NO CHANGE LIMITED TO WAIVED TESTING CULPEPER REGIONAL HOSPITAL LABORATORY 501 SUNSET LN CULPEPER, VA 22701-3917 CLIA ID# 49D0225367 CAP SANCTION: CEASE TESTING COMPATIBILTY TESTING EFFECTIVE DATE: NOVEMBER 2, 2011 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED 11/4/2011 MARY IMMACULATE HOSPITAL CLINICAL AND PATHOLOGY LABORATORY 2 BERNARDINE DR NEWPORT NEWS, VA 23602-4404 CLIA ID# 49D0230071 CAP SANCTION: CEASE TESTING CK EFFECTIVE DATE: DECEMBER 13. 2011 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED JANUARY 6. 2012

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AURORA MED CTR OF WASHINGTON COUNTY ACL HARTFORD LABORATORY 1032 E SUMNER ST HARTFORD, WI 53027-1608 CLIA ID# 52D0039027 CAP SANCTION: CEASE TESTING Po2 EFFECTIVE DATE: DECEMBER 12, 2011 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED DECEMBER 22, 2011 GREAT LAKES GENETICS S C 117111 W NORTH AVE MILWAUKEE, WI CLIA ID# 52D0391723 CAP SANCTION: ACCREDITATION REVOKED EFFECTIVE DATE: MARCH 8, 2011 REASON: LABORATORY PERFORMANCE DOES NOT MEET CAP STANDARDS OF ACCREDITATION DOOR COUNTY MEMORIAL HOSPITAL MAIN LABORATORY 323 S 18TH AVE STURGEON BAY, WI 54235-1401 CLIA ID# 52D0394804 CAP SANCTION: CEASE TESTING ASO, QUAL EFFEECTIVE DATE: NOVEMBER 2, 2011 REASON: REGULATED ANALYTE REPORTED CRITICAL STATUS: REINSTATED DECEMBER 9, 2011

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COMPREHENSIVE GENETIC SERVICES SC-LABORATORY 3720 N 124TH ST STE l MILWAUKEE, WI 53222-2100 CLIA ID# 52D0957365 CAP SANCTION: PROBATION EFFECTIVE DATE: MARCH 8, 2011 REASON: QUALITY AND SEVERITY OF DEFICIENCIES IS SIGNIFICANT ENOUGH TO QUESTION ABILITY TO SUSTAIN CORRECTIONS; CORRECTIE ACTION FAILS TO SUPPORT IMPLEMENTATION & PREVENTION OF RECURRENCE IN ONE OR MORE AREAS OF THE LABORATORY

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6. ALL APPEALS AND HEARING DECISIONS. FOR DETAILED INFORMATION REGARDING THE FOLLOWING LISTING SEE CLIA HEARING DECISION INDEX AT HTTP://WWW.CMS.GOV/CLIA/HEARINGGROUP.ASP NONE

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

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

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9. CORRECTION OF ANY ERRONEOUS STATEMENTS OF INFORMATION THAT APPEARED IN THE 2010 REGISTRY ICHINOSE PATHOLOGY SERVICESS, LLC 1365 ENGLEWOOD DRIVE SLIDELL, LA 70458 CLIA ID# 19D0922714 SANCTION: LIMITATION OF CLIA CERTIFICATE SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: SEPTEMBER 28, 2010 SEPTEMBER 28, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEAPORTY STATUS: LABORATORY VOLUNTARILY CEASED TESTING CHERYL A SMITH, MD 1666 E BERT KOUNS, SUITE 225 SHREVEPORT, LA 71105 CLIA ID# 19D1017675 SANCTION: LIMITATION OF CLIA CERTIFICATE SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: OCTOBER 05, 2010 OCTOBER 05, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE

WITH IMMEDIATE JEAPORTY UNSUCCESSFUL PROFICIENCY TESTING

STATUS: SUSPENSION/LIMITATION LIFTED COMPLIANCE ACHIEVED PEDIATRIC CLINIC OF MESQUITE 929 NORTH GALLOWAY SUITE 221 MESQUITE, TX 75149 CLIA ID# 45D0976597 SANCTION: LIMITATION OF CLIA CERTIFICATE SUSPENSION OF CLIA CERTIFICATE EFFECTIVE DATE: JULY 13, 2010 JULY 13, 2010 REASON: CONDITION LEVEL NONCOMPLIANCE WITH IMMEDIATE JEAPORTY STATUS: COMPLIANCE ACHIEVED

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THE FOLLOWING CORRECTIONS ARE FROM THE 2007 LABORATORY GARY PUSATERI, DIRECTOR LAC VIEUX DESERT TRIBAL HEALTH CLINIC E-23970 CHOATE ROAD WATERSMEET, MI 49969 CLIA ID# 23D0382454 SANCTION: LIMITATION OF CLIA CERTICICATE EFFECTIVE DATE: DECEMBER 28, 2007 REASON: CONDITION LEVEL NONCOMPLIANCE UNSUCCESSFUL PARTICIPATION GARY PUSATERI, DIRECTOR LAC VIEUX DESERT TRIBAL HEALTH CLINIC E-23970 CHOATE ROAD WATERSMEET, MI 49969 CLIA ID# 23D0382454 SANCTION: DIRECTED PLAN OF CORRECTION SUSPENSION PART OF MEDICARE/MEDICAID EFFECTIVE DATE: DECEMBER 28, 2007 REASON: CONDITION LEVEL NONCOMPLIANCE UNSUCCESSFUL PARTICIPATION STATUS: 4/10/08 LETTER SENT TO LIMIT THE SPECIALTY OF CEMISTRY LIMITATION WAS EFF 2/12/08 SAI BIKKINA MD, DIRECTOR SAI RAMESH BIKKINA MD PC 1057 SUNCREST DRIVE SUITE B LAPEER, MI 48446 CLIA ID# 23D0914071 SNCTION: LIMITATION OF CLIA CERTIFICATE EFFECTIVE DATE: APRIL 11, 2007 REASON: CONDITION LEVEL NONCOMPLIANCE UNSUCCESSFUL PARTICIPATION

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SAI BIKKINA MD, DIRECTOR SAI RAMESH BIKKINA MD PC 1057 SUNCREST DRIVE SUITE B LAPEER, MI 48446 CLIA ID# 23D0914071 SANCTION: DIRECTED PLAN OF CORRECTION EFFECTIVE DATE: APRIL 11, 2007 REASON: CONDITION LEVEL NONCOMPLIANCE UNSUCCESSFUL PARTICIPATION STATUS: HEARING REQUESTED LAB VOLUNTARILY CEASED TESTING LAB BACK IN COMPLIANCE 4/27/07

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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