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
▼ 49D0231961 Brackenrich Family Practice 363 Woodland St Rich Creek VA 08/12/2020 F1F911 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
▼ 49D0232087 Carilion Family Medicine Parkway 415 South Pollard Street Vinton VA 10/26/2022 EZQS11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3031 RETENTION REQUIREMENTS Standard
D5403 PROCEDURE MANUAL Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6022 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 49D0232228 Dickenson Community Hospital, Inc 312 Hospital Drive Clintwood VA 02/14/2019 E76311 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3031 RETENTION REQUIREMENTS Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5449 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6095 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 49D0232253 Mountain Region Family Medicine 390 Kane Street Gate City VA 05/04/2020 PKJI11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
▼ 49D0232507 Smyth County Community Hospital Laboratory 245 Medical Park Drive Marion VA 05/02/2018 N42T11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3041 RETENTION REQUIREMENTS Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5445 CONTROL PROCEDURES Standard
D5559 IMMUNOHEMATOLOGY Standard
D5775 COMPARISON OF TEST RESULTS Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 49D0232508 Family Physicians Of Marion 1020 Terrace Drive - Suite 200 Marion VA 01/10/2018 J0LO12 Standard
Deficiency Tag Deficiency Description Tag Type
D5429 MAINTENANCE AND FUNCTION CHECKS null
D5437 CALIBRATION AND CALIBRATION VERIFICATION null
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY null
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES null
▼ 49D0232508 Family Physicians Of Marion 1020 Terrace Drive - Suite 200 Marion VA 09/24/2019 I80I11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D1001 CERTIFICATE OF WAIVER TESTS Standard
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 49D0232508 Family Physicians Of Marion 1020 Terrace Drive - Suite 200 Marion VA 01/13/2022 0W7N11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 49D0232508 Family Physicians Of Marion 1020 Terrace Drive - Suite 200 Marion VA 10/08/2025 WE1O11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2014 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2127 HEMATOLOGY Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 49D0232897 F Read Hopkins Pediatric Assoc 1212 Mcconville Rd Lynchburg VA 10/11/2022 CKJ311 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard