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
▼ 49D2011410 Fairlawn Surgery Center, Llc 2030 Stephenson Avenue Roanoke VA 10/24/2023 FTGV11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5445 CONTROL PROCEDURES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D2012836 Washington Reproductive Laboratories 2531 Cowan Blvd Fredericksburg VA 05/15/2019 7ZNB11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5447 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 49D2012836 Washington Reproductive Laboratories 2531 Cowan Blvd Fredericksburg VA 09/21/2021 VQD911 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5400 ANALYTIC SYSTEMS Condition
D5401 PROCEDURE MANUAL Standard
D5447 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6076 LABORATORY DIRECTOR Condition
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 49D2012836 Washington Reproductive Laboratories 2531 Cowan Blvd Fredericksburg VA 05/16/2023 WLRY11 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
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D6076 LABORATORY DIRECTOR Condition
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 49D2013751 Fort Norfolk Plaza Medical Associates 301 Riverview Avenue - Suite 502 Norfolk VA 10/10/2018 TTR411 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5805 TEST REPORT Standard
▼ 49D2014608 Derm One, Pllc 725 S College Avenue Bluefield VA 03/10/2023 MX7511 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 49D2014609 Derm One, Pllc 150 Peppers Ferry Road Wytheville VA 03/08/2023 VL0V11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 49D2014610 Derm One, Pllc 180 B East Main Street Radford VA 03/07/2023 UZM611 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 49D2015652 Kidmed Southside 5021 Craig Rath Boulevard Building - Iv Midlothian VA 01/23/2019 YCLV11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6030 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6055 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D2015652 Kidmed Southside 5021 Craig Rath Boulevard Building - Iv Midlothian VA 05/11/2021 4HC911 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2123 HEMATOLOGY Standard
D2130 HEMATOLOGY Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard