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
▼ 49D0231572 Carilion Clinic Family Medicine - Colonial Ave 3369 Colonial Avenue Roanoke VA 09/19/2023 HYKL11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2123 HEMATOLOGY Standard
▼ 49D0231718 Carilion Clinic Fm- Christiansburg 205 Roanoke Street Christiansburg VA 08/11/2021 R6EE11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
▼ 49D0231750 Carilion Clinic Fm-Daleville 150 Market Ridge Lane Daleville VA 02/08/2018 Z50G11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 49D0231750 Carilion Clinic Fm-Daleville 150 Market Ridge Lane Daleville VA 03/14/2022 JELB11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D0231758 Carilion Clinic Family Medicine - Dublin 118 Broad Street Dublin VA 08/10/2021 7L8B11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3031 RETENTION REQUIREMENTS Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D0231758 Carilion Clinic Family Medicine - Dublin 118 Broad Street Dublin VA 06/21/2023 I4YT11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 49D0231758 Carilion Clinic Family Medicine - Dublin 118 Broad Street Dublin VA 07/16/2025 CP6411 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 49D0231879 Cmg, Village Family Physicians 4830 Rucker Road Moneta VA 05/25/2023 M2R211 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D6017 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D0231879 Cmg, Village Family Physicians 4830 Rucker Road Moneta VA 05/29/2025 1IK711 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3011 FACILITIES Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 49D0231934 Carilion Clinic Family Medicine- Radford 701 Randolph Street Suite 120 Radford VA 07/14/2021 T7T011 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard