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

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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
▼ 49D1032460 Cvfp-Walk In-Amherst 816 S Main Street Amherst VA 03/09/2021 SMZL11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2123 HEMATOLOGY Standard
D2127 HEMATOLOGY Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 49D1032460 Cvfp-Walk In-Amherst 816 S Main Street Amherst VA 01/12/2023 TYE711 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2123 HEMATOLOGY Standard
D3031 RETENTION REQUIREMENTS Standard
D5801 TEST REPORT Standard
▼ 49D1044198 Khadijah Jordan, Md, Pc 111 Medical Parkway, 2nd Floor Chesapeake VA 04/04/2018 REWS11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5400 ANALYTIC SYSTEMS Condition
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5781 CORRECTIVE ACTIONS Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D1044735 Laboratory Corporation Of America Holdings 448 Viking Drive Suite 100 Virginia Beach VA 10/06/2021 K31F11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 49D1045138 Monarch Molecular, Old Dominion University 4111 Monarch Way Room 3104 Norfolk VA 07/14/2021 I68711 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D6168 TESTING PERSONNEL Condition
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 49D1045138 Monarch Molecular, Old Dominion University 4111 Monarch Way Room 3104 Norfolk VA 03/31/2023 9JJY11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 49D1048430 Christine S Rausch Md, Pc 2510 Gaskins Road Richmond VA 11/14/2023 G4RT11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3011 FACILITIES Standard
▼ 49D1048430 Christine S Rausch Md, Pc 2510 Gaskins Road Richmond VA 09/23/2025 06GF11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5805 TEST REPORT Standard
▼ 49D1049854 Preferred Pediatrics At Lee Hill 10600 Spotsylvania Avenue Fredericksburg VA 08/19/2025 46E211 Standard
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
▼ 49D1052366 Pediatric Partners Of Stafford, Pc 110 Soaring Eagle Drive Stafford VA 06/13/2018 A4BG11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard