S&C QCOR CLIA 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
CLIA 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

US State or Territory:

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
▼ 49D2015652 Kidmed Southside 5021 Craig Rath Boulevard Building - Iv Midlothian VA 03/13/2025 8X4J11 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
▼ 49D2018622 Potomac Urology Center, Pc 3700 Joseph Siewick Dr Ste 300 Fairfax VA 01/24/2019 24FE11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 49D2018622 Potomac Urology Center, Pc 3700 Joseph Siewick Dr Ste 300 Fairfax VA 10/23/2019 2SRP11 Special
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5637 CYTOLOGY Standard
D6076 LABORATORY DIRECTOR Condition
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6108 LABORATORY TECHNICAL SUPERVISOR Condition
D6115 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6130 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D9999 null Memo
▼ 49D2018622 Potomac Urology Center, Pc 3700 Joseph Siewick Dr Ste 300 Fairfax VA 08/11/2021 46JP11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5401 PROCEDURE MANUAL Standard
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5801 TEST REPORT Standard
D5805 TEST REPORT Standard
▼ 49D2018622 Potomac Urology Center, Pc 3700 Joseph Siewick Dr Ste 300 Fairfax VA 04/25/2023 3UFI11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5400 ANALYTIC SYSTEMS Condition
D5401 PROCEDURE MANUAL Standard
D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 49D2018622 Potomac Urology Center, Pc 3700 Joseph Siewick Dr Ste 300 Fairfax VA 02/26/2025 HIFI11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5400 ANALYTIC SYSTEMS Condition
D5401 PROCEDURE MANUAL Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6115 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 49D2018773 University Pathology Associates, Plc 2331 Seminole Lane - Sute 102 Charlottesville VA 05/24/2023 0HQU11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
▼ 49D2018868 Pris, Plc 2600 Memorial Avenue - Suite 201-B Lynchburg VA 09/26/2019 3Y3911 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5447 CONTROL PROCEDURES Standard
▼ 49D2020079 Washington Dermatology Consultants 125 Hospital Center Boulevard - Suite 313 Stafford VA 05/21/2025 3TVQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5032 CYTOLOGY Condition
D5403 PROCEDURE MANUAL Standard
D5621 CYTOLOGY Standard
D5629 CYTOLOGY Standard
D5633 CYTOLOGY Standard
D5635 CYTOLOGY Standard
D5637 CYTOLOGY Standard
D5641 CYTOLOGY Standard
D5645 CYTOLOGY Standard
D5647 CYTOLOGY Standard
D5657 CYTOLOGY Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6130 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6166 CYTOTECHNOLOGIST RESPONSIBILITIES Standard
D6167 CYTOTECHNOLOGIST RESPONSIBILITIES Standard
D9999 null Memo
▼ 49D2021788 Gastroenterology Associates Of Tidewater 661 Independance Pkwy, Suite 120 Chesapeake VA 03/13/2019 G3HR11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D6030 LABORATORY DIRECTOR RESPONSIBILITIES Standard