S&C QCOR CLIA 2567s
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CLIA 2567s
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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

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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
▼ 49D0233388 Clinch Valley Physicians Associates, Llc 398 Clinic Road Cedar Bluff VA 09/05/2018 YGKU11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5449 CONTROL PROCEDURES Standard
D5807 TEST REPORT Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 49D0233388 Clinch Valley Physicians Associates, Llc 398 Clinic Road Cedar Bluff VA 07/24/2024 QSL311 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D5400 ANALYTIC SYSTEMS Condition
D5401 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5537 ROUTINE CHEMISTRY Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5805 TEST REPORT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6015 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6022 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6026 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 49D0661011 Metropolitan Laboratory Services, Inc 12011 Lee Jackson Memorial Hwy Suite 200 Fairfax VA 03/26/2019 8KDM11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D3031 RETENTION REQUIREMENTS Standard
D5400 ANALYTIC SYSTEMS Condition
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5469 CONTROL PROCEDURES Standard
D5775 COMPARISON OF TEST RESULTS Standard
D5779 CORRECTIVE ACTIONS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5801 TEST REPORT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6055 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D0661011 Metropolitan Laboratory Services, Inc 12011 Lee Jackson Memorial Hwy Suite 200 Fairfax VA 08/02/2019 K69011 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2118 TOXICOLOGY Standard
▼ 49D0661011 Metropolitan Laboratory Services, Inc 12011 Lee Jackson Memorial Hwy Suite 200 Fairfax VA 12/16/2019 0XQQ11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2077 GENERAL IMMUNOLOGY Standard
D2155 ABO GROUP AND D(RHO) TYPING Standard
▼ 49D0661011 Metropolitan Laboratory Services, Inc 12011 Lee Jackson Memorial Hwy Suite 200 Fairfax VA 05/05/2020 J4YK11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2067 SYPHILIS SEROLOGY Standard
D2077 GENERAL IMMUNOLOGY Standard
D2100 ENDOCRINOLOGY Standard
D2155 ABO GROUP AND D(RHO) TYPING Standard
D6017 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 49D0661011 Metropolitan Laboratory Services, Inc 12011 Lee Jackson Memorial Hwy Suite 200 Fairfax VA 07/21/2021 XIHV11 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
D5213 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5400 ANALYTIC SYSTEMS Condition
D5401 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6076 LABORATORY DIRECTOR Condition
D6092 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 49D0661011 Metropolitan Laboratory Services, Inc 12011 Lee Jackson Memorial Hwy Suite 200 Fairfax VA 10/04/2021 71TW11 Complaint
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3000 FACILITY ADMINISTRATION Condition
▼ 49D0661011 Metropolitan Laboratory Services, Inc 12011 Lee Jackson Memorial Hwy Suite 200 Fairfax VA 01/10/2023 8W8611 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2118 TOXICOLOGY Standard
▼ 49D0661069 Shenandoah Memorial Hospital 759 South Main Street Woodstock VA 10/19/2023 WBMP11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5403 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5449 CONTROL PROCEDURES Standard
D5775 COMPARISON OF TEST RESULTS Standard