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
▼ 49D0952503 Genetics & Ivf Institute/Molecular Inf Dis Lab 3015 Williams Drive Fairfax VA 11/07/2022 P27411 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3000 FACILITY ADMINISTRATION Condition
▼ 49D0953493 Adov Llc 7813 Shrader Road Richmond VA 09/05/2024 ZR2L11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5407 PROCEDURE MANUAL Standard
▼ 49D0953969 Patient First - Cedar Road 1239 Cedar Road Chesapeake VA 12/09/2020 FFQW11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 49D0957296 Churchland Internal Medicine 2994 Churchland Boulevard Chesapeake VA 09/20/2018 SJKW11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5469 CONTROL PROCEDURES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D0959143 Peninsula Dermatology Skin Cancer Surgery Center 1601 Commonwealth Ave Williamsburg VA 11/19/2018 Z5NF11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
▼ 49D0959143 Peninsula Dermatology Skin Cancer Surgery Center 1601 Commonwealth Ave Williamsburg VA 12/03/2024 GXHB11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5601 HISTOPATHOLOGY Standard
▼ 49D0961491 Chickahominy Family Practice- Central Lab 9010 Pocahontas Trail Providence Forge VA 01/25/2018 YBF911 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 49D0961491 Chickahominy Family Practice- Central Lab 9010 Pocahontas Trail Providence Forge VA 11/15/2019 V5KS11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
▼ 49D0961491 Chickahominy Family Practice- Central Lab 9010 Pocahontas Trail Providence Forge VA 03/09/2022 I4ND11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 49D0961491 Chickahominy Family Practice- Central Lab 9010 Pocahontas Trail Providence Forge VA 02/23/2024 KC2V11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2087 ROUTINE CHEMISTRY Standard
D2098 ENDOCRINOLOGY Standard
D2099 ENDOCRINOLOGY Standard
D3011 FACILITIES Standard
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6022 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard