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
▼ 49D1080580 Northern Virginia Hematology Oncology Associates 2079 Daniel Stuart Square Woodbridge VA 08/23/2023 B4FU11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5400 ANALYTIC SYSTEMS Condition
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5469 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 49D1080580 Northern Virginia Hematology Oncology Associates 2079 Daniel Stuart Square Woodbridge VA 07/17/2025 C19T11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3011 FACILITIES Standard
D5447 CONTROL PROCEDURES Standard
D5469 CONTROL PROCEDURES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D1080603 Advanced Dermatology Of Virginia 45155 Research Place, Suite 140 Ashburn VA 09/28/2021 TTOE11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2123 HEMATOLOGY Standard
▼ 49D1080727 Laser And Skin Surgery Center Of Richmond, Pc 7001 Forest Avenue - Suite 301 Richmond VA 10/02/2018 WWHN11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5401 PROCEDURE MANUAL Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 49D1082243 Valley Health Urgent Care - Front Royal 65 Riverton Commons Plaza Front Royal VA 11/03/2022 SH8Z11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5401 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 49D1087292 Kidmed West End 4687 Pouncey Tract Road Glen Allen VA 01/24/2019 Y1DP11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2122 HEMATOLOGY Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6030 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 49D1087292 Kidmed West End 4687 Pouncey Tract Road Glen Allen VA 05/12/2021 0SYR11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2123 HEMATOLOGY Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 49D1087292 Kidmed West End 4687 Pouncey Tract Road Glen Allen VA 03/13/2025 HXST11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5403 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D6042 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D1088540 Prodia Laboratories / Hina Qureshi, Llc 335 Maroon Creek Court Charlottesville VA 10/30/2018 2RG811 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 49D1088542 Carilion Clinic Dermatology And Mohs Surgery 1 Riverside Circle - Suite 300m Roanoke VA 01/15/2019 7ZN111 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5403 PROCEDURE MANUAL Standard
D5601 HISTOPATHOLOGY Standard