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.

CMS Certification Number Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 49D0226364 Chesterfield Pediatrics Pc 5955 Harbour Park Drive Midlothian VA 05/06/2019 HFKH11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
▼ 49D0226364 Chesterfield Pediatrics Pc 5955 Harbour Park Drive Midlothian VA 05/11/2021 E00Q11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 49D0226364 Chesterfield Pediatrics Pc 5955 Harbour Park Drive Midlothian VA 04/04/2023 ZKBP11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3000 FACILITY ADMINISTRATION Condition
▼ 49D0226364 Chesterfield Pediatrics Pc 5955 Harbour Park Drive Midlothian VA 04/04/2023 24KA11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 49D0226367 Patient First-Genito 11020 Hull Street Rd Midlothian VA 09/23/2021 JKWR11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5403 PROCEDURE MANUAL Standard
▼ 49D0226367 Patient First-Genito 11020 Hull Street Rd Midlothian VA 06/25/2025 5CZJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3031 RETENTION REQUIREMENTS Standard
▼ 49D0226406 Pediatric And Adolescent Health 13821 Village Mill Drive - Suite A Midlothian VA 09/10/2019 3ZDK11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3031 RETENTION REQUIREMENTS Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D0226413 Midlothian Family Practice Villiage 13332 Midlothian Turnpike Midlothian VA 12/08/2020 13NX11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5807 TEST REPORT Standard
▼ 49D0226413 Midlothian Family Practice Villiage 13332 Midlothian Turnpike Midlothian VA 09/21/2022 9MFW11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D1001 CERTIFICATE OF WAIVER TESTS Standard
▼ 49D0226446 Chickahominy Family Physicians 1850 Pocahontas Trail Quinton VA 02/20/2019 OTKJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard