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
▼ 49D1054282 M D Express Urgent Care - Yorktown 4740 George Washington Memorial Highway Yorktown VA 11/18/2020 XRC111 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5801 TEST REPORT Standard
▼ 49D1054282 M D Express Urgent Care - Yorktown 4740 George Washington Memorial Highway Yorktown VA 08/30/2022 S8ZT11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 49D1055293 Advanced Dermatology Of Charlottesville 66 Parkway Lane Fishersville VA 12/03/2018 73I711 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D6168 TESTING PERSONNEL Condition
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 49D1056451 Mountainview Medical Associates 205 E Hirst Road - Suite 203 Purcellville VA 05/08/2019 GW9411 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2121 HEMATOLOGY Standard
D2128 HEMATOLOGY Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D1056669 Patient First - Denbigh 611 Denbigh Boulevard Newport News VA 11/14/2018 GFWT11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D1056669 Patient First - Denbigh 611 Denbigh Boulevard Newport News VA 02/05/2021 2PWJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 49D1059408 Millennium Medical Corp 6356 Hoadly Road Manassas VA 06/04/2020 KTO111 Complaint
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D1000 CERTIFICATE OF WAIVER TESTS Standard
D1001 CERTIFICATE OF WAIVER TESTS Standard
▼ 49D1060672 Centra Specialty Hospital 3300 Rivermont Avenue - Krise 5 Lynchburg VA 01/23/2019 U25P11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5400 ANALYTIC SYSTEMS Condition
D5407 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5537 ROUTINE CHEMISTRY Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6030 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6034 TECHNICAL CONSULTANT QUALIFICATIONS Standard
▼ 49D1060672 Centra Specialty Hospital 3300 Rivermont Avenue - Krise 5 Lynchburg VA 12/07/2020 MR4E11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5400 ANALYTIC SYSTEMS Condition
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6040 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D1060672 Centra Specialty Hospital 3300 Rivermont Avenue - Krise 5 Lynchburg VA 09/07/2022 RZ1G11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5805 TEST REPORT Standard