S&C QCOR CLIA 2567s
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CLIA 2567s
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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

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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
▼ 02D2144657 Fairbanks Urology 1211 Cushman St Fairbanks AK 06/23/2023 JRMG11 Standard
Deficiency Tag Deficiency Description Tag Type
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 02D2144657 Fairbanks Urology 1211 Cushman St Fairbanks AK 11/26/2025 SKAD11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
▼ 02D2144657 Fairbanks Urology 1211 Cushman St Fairbanks AK 12/08/2025 0JY811 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6047 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6050 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 02D2147419 Northwest Medical Diagnostic Laboratory Llc 188 W Northern Lights Blvd, Suite 600 Anchorage AK 11/05/2018 1IFJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5400 ANALYTIC SYSTEMS Condition
D5403 PROCEDURE MANUAL Standard
D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5441 CONTROL PROCEDURES Standard
D6076 LABORATORY DIRECTOR Condition
D6086 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6106 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 02D2173105 Arete Family Care, Llc 2741 Debarr Road, Ste 307 Anchorage AK 09/13/2022 2QZL11 Standard
Deficiency Tag Deficiency Description Tag Type
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 02D2173105 Arete Family Care, Llc 2741 Debarr Road, Ste 307 Anchorage AK 08/29/2024 9F1B11 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 02D2173105 Arete Family Care, Llc 2741 Debarr Road, Ste 307 Anchorage AK 01/08/2025 NYGT11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D2131 HEMATOLOGY Standard
▼ 02D2174442 Medical Network Of Alaska 10543 Kenai Spur Highway Kenai AK 03/29/2023 V96S11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5469 CONTROL PROCEDURES Standard
▼ 02D2176590 Rps Shergill, Md Pllc 5401 E Mayflower Lane Wasilla AK 09/29/2023 ICY211 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 02D2176590 Rps Shergill, Md Pllc 5401 E Mayflower Lane Wasilla AK 05/09/2024 ROI411 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D2131 HEMATOLOGY Standard