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
▼ 49D0226649 Dominion Medical Associates Inc 304 East Leigh Street - 1st Floor Richmond VA 09/12/2019 K8K011 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3000 FACILITY ADMINISTRATION Condition
D3001 FACILITIES Standard
D3003 FACILITIES Standard
D5201 CONFIDENTIALITY OF PATIENT INFORMATION Standard
D5400 ANALYTIC SYSTEMS Condition
D5403 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D0226649 Dominion Medical Associates Inc 304 East Leigh Street - 1st Floor Richmond VA 10/24/2019 K8K012 Standard
Deficiency Tag Deficiency Description Tag Type
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 49D0226649 Dominion Medical Associates Inc 304 East Leigh Street - 1st Floor Richmond VA 12/08/2021 30X611 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D3031 RETENTION REQUIREMENTS Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 49D0226649 Dominion Medical Associates Inc 304 East Leigh Street - 1st Floor Richmond VA 10/19/2023 11HC11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5785 CORRECTIVE ACTIONS Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 49D0226649 Dominion Medical Associates Inc 304 East Leigh Street - 1st Floor Richmond VA 08/21/2025 OA3W11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2014 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D3011 FACILITIES Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5785 CORRECTIVE ACTIONS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6023 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D0226649 Dominion Medical Associates Inc 304 East Leigh Street - 1st Floor Richmond VA 10/02/2025 OA3W12 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
▼ 49D0226718 Drs Titus Hendrix Turner Pahle And 2201 Grove Avenue Richmond VA 11/20/2018 DHSE11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5400 ANALYTIC SYSTEMS Condition
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
D5785 CORRECTIVE ACTIONS Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D0226808 Retreat Hospital Blood Gas Laboratory 2621 Grove Ave Richmond VA 03/18/2025 74MX11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6035 TECHNICAL CONSULTANT QUALIFICATIONS Standard
▼ 49D0226811 Richmond Medical Center For Women 118 N Arthur Ashe Boulevard Richmond VA 06/04/2024 ZRZX11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 49D0226814 Lab Corp Of America Holdings 8040 Villa Park Drive Suite 200 Richmond VA 07/10/2020 BG0R11 Complaint
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard