S&C QCOR CLIA 2567s
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CLIA 2567s
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Time Interval

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Survey Type & Deficiency Tags

Use these filters if you want to limit the reports to providers on specific survey types, or to reports that were cited for specific CLIA deficiency tags and tag types. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

CLIA ID and Facility Name

Use these filters if you know the name (or partial name) of the facility you are searching for.

Other Survey Characteristics

Select one of the options below to filter by surveys that cite deficiencies or by surveys that are deficiency-free. By default, only surveys that cite deficiencies are displayed. Selecting "All" displays all surveys.

CLIA ID Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 02D0663791 South Peninsula Hospital 4300 Bartlett St Homer AK 09/09/2020 UE8311 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2046 MYCOLOGY Standard
▼ 02D0663791 South Peninsula Hospital 4300 Bartlett St Homer AK 04/20/2021 9NS111 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 02D0663791 South Peninsula Hospital 4300 Bartlett St Homer AK 11/07/2021 WFWY11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
▼ 02D0663791 South Peninsula Hospital 4300 Bartlett St Homer AK 08/25/2022 JK7T11 Complaint
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5401 PROCEDURE MANUAL Standard
▼ 02D0663791 South Peninsula Hospital 4300 Bartlett St Homer AK 12/11/2024 0KPV11 Standard
Deficiency Tag Deficiency Description Tag Type
D5449 CONTROL PROCEDURES Standard
▼ 02D0671921 Kuparuk Medical Clinic Koc Spine Road Prudhoe Bay AK 12/17/2025 QLZ711 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 02D0674496 Alaska State Public Health Laboratory 5455 Dr Martin Luther King Jr Ave Anchorage AK 02/09/2021 XXER11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5805 TEST REPORT Standard
▼ 02D0674496 Alaska State Public Health Laboratory 5455 Dr Martin Luther King Jr Ave Anchorage AK 06/29/2022 M7Q811 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5807 TEST REPORT Standard
▼ 02D0674496 Alaska State Public Health Laboratory 5455 Dr Martin Luther King Jr Ave Anchorage AK 11/08/2023 JMP011 Standard
Deficiency Tag Deficiency Description Tag Type
D2006 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5016 ROUTINE CHEMISTRY Condition
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5403 PROCEDURE MANUAL Standard
D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5445 CONTROL PROCEDURES Standard
D6108 LABORATORY TECHNICAL SUPERVISOR Condition
D6112 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6114 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 02D0674496 Alaska State Public Health Laboratory 5455 Dr Martin Luther King Jr Ave Anchorage AK 01/09/2024 JMP012 Standard
Deficiency Tag Deficiency Description Tag Type
D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard