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
▼ 49D0227489 Glenside Medical Associates Llc 4000 A Glenside Drive Richmond VA 02/07/2024 N8LF11 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
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5400 ANALYTIC SYSTEMS Condition
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D0227531 Richmond Dermatology Specialists, Pc 9816 Mayland Drive Richmond VA 09/12/2019 06TF11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5200 GENERAL LABORATORY SYSTEMS Condition
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5403 PROCEDURE MANUAL Standard
▼ 49D0227531 Richmond Dermatology Specialists, Pc 9816 Mayland Drive Richmond VA 11/13/2023 UUUX11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5200 GENERAL LABORATORY SYSTEMS Condition
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 49D0227708 Monument Avenue Pediatrics Pc 3602 Monument Ave Richmond VA 08/18/2021 RVQT11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2121 HEMATOLOGY Standard
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5403 PROCEDURE MANUAL Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 49D0227708 Monument Avenue Pediatrics Pc 3602 Monument Ave Richmond VA 07/18/2023 45OT11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5401 PROCEDURE MANUAL Standard
▼ 49D0227776 Bon Secours Mercy Health Laburnum Medical Center 4620 S Laburnum Ave Richmond VA 03/19/2019 GO7D11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D6018 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D0227779 New Market Medical Center 2660 New Market Road Richmond VA 08/23/2018 M32N11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 49D0227779 New Market Medical Center 2660 New Market Road Richmond VA 12/04/2020 51U411 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 49D0227781 Pediatric Center-West End 2304 John Rolfe Parkway Richmond VA 01/12/2021 YQI811 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 49D0227781 Pediatric Center-West End 2304 John Rolfe Parkway Richmond VA 11/29/2022 3YRG11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5400 ANALYTIC SYSTEMS Condition
D5401 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard