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
▼ 01D0304961 Wiregrass Medical Center 1200 W Maple Ave Geneva AL 12/02/2021 GFS311 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 01D0304961 Wiregrass Medical Center 1200 W Maple Ave Geneva AL 03/19/2025 G72P11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 01D0305030 Evergreen Medical Center 101 Crestview Ave Evergreen AL 07/26/2018 M3JN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 01D0305030 Evergreen Medical Center 101 Crestview Ave Evergreen AL 11/17/2020 DSMZ11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2093 ROUTINE CHEMISTRY Standard
D2096 ROUTINE CHEMISTRY Standard
D6090 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 01D0305030 Evergreen Medical Center 101 Crestview Ave Evergreen AL 04/12/2021 KITJ11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2093 ROUTINE CHEMISTRY Standard
D2096 ROUTINE CHEMISTRY Standard
D6090 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 01D0305030 Evergreen Medical Center 101 Crestview Ave Evergreen AL 08/17/2021 3WCM11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
▼ 01D0305030 Evergreen Medical Center 101 Crestview Ave Evergreen AL 11/03/2021 QSV011 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5400 ANALYTIC SYSTEMS Condition
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5441 CONTROL PROCEDURES Standard
D5551 IMMUNOHEMATOLOGY Standard
D5555 IMMUNOHEMATOLOGY Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6036 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6076 LABORATORY DIRECTOR Condition
D6086 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 01D0305030 Evergreen Medical Center 101 Crestview Ave Evergreen AL 03/16/2023 J1SA11 Standard
Deficiency Tag Deficiency Description Tag Type
D2089 ROUTINE CHEMISTRY Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5445 CONTROL PROCEDURES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 01D0305030 Evergreen Medical Center 101 Crestview Ave Evergreen AL 04/11/2023 OWS911 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2118 TOXICOLOGY Standard
▼ 01D0305030 Evergreen Medical Center 101 Crestview Ave Evergreen AL 04/24/2025 XQ4P11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5400 ANALYTIC SYSTEMS Condition
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5441 CONTROL PROCEDURES Standard
D5447 CONTROL PROCEDURES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard