Site Inspection template

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I want to redo the site inspection form for the waived sites. Would anyone be willing to share what form they use.


Thanks,


Anastasia Augustine


 

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I would be interested in the template as well-and any list used for CAPS and/or State Inspections would be a great help 

Interested here too.


Thanks,


Julie Brim, CLS


Vancouver Clinic


jbrim@tvc.org

I would like a template as well.


sclark@mercydesmoines.org


 

Hello


There is a site inspector checklist on the cms.gov website.


Certificate of Waiver Laboratory Project - in the body of the page there is a pdf :Questions the Surveyor uses. See link below.


https://www.cms.gov/Regulations-and-Guidance/Legislation/CLIA/Downloads/wquest.pdf


At my former employer, I used this as my jumping off point for each test.


Hope it helps!

I added mine to the file cabinet. I use it as a guide for my annual site visits. The last page is photocopied. I give one copy to the Office Manager and I keep one for follow up and to review before the next annual visit.

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Anastasia Augustine
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