State Operations Manual (Pub. 100-07), Ch. 6 § 6102.2
Survey Due to Unanticipated Events
6102.2 – Survey Due to Unanticipated Events
(Rev. 230; Issued: 07-11-25; Effective: 07-11-25; Implementation: 07-11-25)
The SA or CMS conducts a survey at an earlier date than planned if there is reason to
believe the laboratory is being operated in a manner that constitutes a risk to human
health. Possible reasons for this would be a complaint about deteriorating standards of
operations, results of an accreditation survey of an accredited laboratory, loss of
laboratory accreditation, substantial changes in managerial personnel, continued
unsatisfactory PT performance, or a significant change (e.g., from moderate to high
complexity) in the type of testing performed. The decision to conduct a survey at an
earlier date than originally planned depends upon whether there is likelihood that
certification status could be changed. Such surveys must be unannounced.