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
▼ 49D0998730 Lakeview Pediatrics And Family Medicine 3060 Godwin Boulevard Suffolk VA 11/17/2020 MH1W11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2020 BACTERIOLOGY Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6030 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 49D0998730 Lakeview Pediatrics And Family Medicine 3060 Godwin Boulevard Suffolk VA 09/14/2022 HGP311 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2128 HEMATOLOGY Standard
D3031 RETENTION REQUIREMENTS Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5400 ANALYTIC SYSTEMS Condition
D5401 PROCEDURE MANUAL Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6022 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D0998730 Lakeview Pediatrics And Family Medicine 3060 Godwin Boulevard Suffolk VA 06/07/2024 R6YV11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5400 ANALYTIC SYSTEMS Condition
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6003 LABORATORY DIRECTOR QUALIFICATIONS Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 49D0998730 Lakeview Pediatrics And Family Medicine 3060 Godwin Boulevard Suffolk VA 09/30/2025 78D211 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 49D0998730 Lakeview Pediatrics And Family Medicine 3060 Godwin Boulevard Suffolk VA 01/28/2026 OPUS11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 49D1002070 Clinical Skin Center Of Northern Virginia, The 3700 Joseph Siewick Drive - Suite 404 Fairfax VA 02/01/2018 5KVD11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D1002070 Clinical Skin Center Of Northern Virginia, The 3700 Joseph Siewick Drive - Suite 404 Fairfax VA 09/04/2019 HBKL11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5427 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 49D1002070 Clinical Skin Center Of Northern Virginia, The 3700 Joseph Siewick Drive - Suite 404 Fairfax VA 01/26/2022 5IYO11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 49D1010005 Primary And Urgent Care 231 Garrisonville Road Stafford VA 04/09/2019 DW9W11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 49D1011927 Forefront Dermatology Sc 5201 Hickory Park Drive Suite A Glen Allen VA 04/25/2019 S4BE11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5200 GENERAL LABORATORY SYSTEMS Condition
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard