Compliance Based on an Acceptable AoC/PoC

6136.2 - Compliance Based on an Acceptable AoC/PoC (Rev. 230; Issued: 07-11-25; Effective: 07-11-25; Implementation: 07-11-25) Compliance based on an acceptable AoC or PoC reflects the findings that all applicable standards and conditions are met. The surveyor is certifying that the laboratory is able to provide test results without hazard to the health and safety of patients. Laboratories having deficiencies must correct them within an acceptable time frame (no later than 12 months after the date survey is completed). In reviewing the PoC, the SA evaluates whether or not the corrective action will result in compliance within the time frame indicated and whether that time frame is acceptable. If after two submissions, the laboratory does not submit an acceptable PoC or if it fails to correct its deficiencies, the SA notifies CMS.