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
▼ 49D0670586 Fairfax County Health Dept Laboratory 10310 Layton Hall Drive Fairfax VA 03/23/2018 KZIX11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 49D0670586 Fairfax County Health Dept Laboratory 10310 Layton Hall Drive Fairfax VA 01/23/2020 YP7W11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2089 ROUTINE CHEMISTRY Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6168 TESTING PERSONNEL Condition
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 49D0670586 Fairfax County Health Dept Laboratory 10310 Layton Hall Drive Fairfax VA 05/25/2022 Y89D11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3031 RETENTION REQUIREMENTS Standard
D5479 CONTROL PROCEDURES Standard
▼ 49D0670586 Fairfax County Health Dept Laboratory 10310 Layton Hall Drive Fairfax VA 03/20/2024 8IV611 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 49D0670586 Fairfax County Health Dept Laboratory 10310 Layton Hall Drive Fairfax VA 03/19/2026 HH2Z11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 49D0674919 Old Dominion University Student Health Services 4700 Powhatan Avenue, Suite 1402 Norfolk VA 02/27/2018 ZLUV11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 49D0674919 Old Dominion University Student Health Services 4700 Powhatan Avenue, Suite 1402 Norfolk VA 03/15/2022 7K5M11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 49D0674919 Old Dominion University Student Health Services 4700 Powhatan Avenue, Suite 1402 Norfolk VA 03/27/2024 UNEP11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5403 PROCEDURE MANUAL Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6055 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D0675231 Evms Department Of Dermatology-Lewis Hall 700 West Olney Road Suite 3035 Norfolk VA 02/06/2019 JTHC11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5400 ANALYTIC SYSTEMS Condition
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 49D0675231 Evms Department Of Dermatology-Lewis Hall 700 West Olney Road Suite 3035 Norfolk VA 07/15/2021 ODYM11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard