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
▼ 01D0641802 Lake Martin Community Hospital 201 Mariarden Road Dadeville AL 10/21/2021 DKEL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5407 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5447 CONTROL PROCEDURES Standard
▼ 01D0641802 Lake Martin Community Hospital 201 Mariarden Road Dadeville AL 01/31/2023 SK5O11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2173 COMPATIBILITY TESTING Standard
▼ 01D0641802 Lake Martin Community Hospital 201 Mariarden Road Dadeville AL 05/18/2023 0YPI11 Standard
Deficiency Tag Deficiency Description Tag Type
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 01D0641802 Lake Martin Community Hospital 201 Mariarden Road Dadeville AL 10/09/2024 UDH711 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2181 COMPATIBILITY TESTING Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 01D0641802 Lake Martin Community Hospital 201 Mariarden Road Dadeville AL 07/02/2025 O76811 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5200 GENERAL LABORATORY SYSTEMS Condition
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5400 ANALYTIC SYSTEMS Condition
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5481 CONTROL PROCEDURES Standard
D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 01D0662345 Birmingham Hematology / Oncology 100 Pilot Medical Drive Suite 175 Birmingham AL 01/14/2026 FPO211 Standard
Deficiency Tag Deficiency Description Tag Type
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 01D0665218 Perry Medical Clinic Pc 401 Northwood Drive Centre AL 01/08/2018 SN9Z12 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE null
D6013 LABORATORY DIRECTOR RESPONSIBILITIES null
▼ 01D0665218 Perry Medical Clinic Pc 401 Northwood Drive Centre AL 02/26/2020 FT2S11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5441 CONTROL PROCEDURES Standard
D5481 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6028 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6036 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 01D0665218 Perry Medical Clinic Pc 401 Northwood Drive Centre AL 05/15/2024 FB3P11 Standard
Deficiency Tag Deficiency Description Tag Type
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 01D0665218 Perry Medical Clinic Pc 401 Northwood Drive Centre AL 04/08/2026 X8EV11 Standard
Deficiency Tag Deficiency Description Tag Type
D5481 CONTROL PROCEDURES Standard