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
▼ 49D2077175 Md Express Urgent Care - Gloucester 6567 George Washington Memorial Highway Gloucester VA 07/11/2018 FG3B11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6018 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6055 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D2077175 Md Express Urgent Care - Gloucester 6567 George Washington Memorial Highway Gloucester VA 03/05/2020 MOKH11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2127 HEMATOLOGY Standard
▼ 49D2077851 Inova Fairfax Hospital Gainesville Vein & Vascular 13575 Heathcote Boulevard - Suite 200 Gainesville VA 09/18/2018 UQ2C11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 49D2080254 Tamjidi Skin Institute 8100 Boone Boulevard - Suite 300 Vienna VA 10/28/2020 83PF11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 49D2080254 Tamjidi Skin Institute 8100 Boone Boulevard - Suite 300 Vienna VA 08/10/2022 ZYRD11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5401 PROCEDURE MANUAL Standard
D5805 TEST REPORT Standard
▼ 49D2080543 Platinum Pathology, Llc 10128 West Broad Street, Suite H Glen Allen VA 07/01/2021 0X6B11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3001 FACILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 49D2080708 Integrated Dermatology Of Tidewater-Norfolk 885 Kempsville Road - Suite 309 Norfolk VA 07/25/2018 M5EG11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 49D2080708 Integrated Dermatology Of Tidewater-Norfolk 885 Kempsville Road - Suite 309 Norfolk VA 11/18/2020 9BRY11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 49D2082028 Commonwealth Extended Care 1800 Glenside Drive - Suite 103 Richmond VA 01/24/2018 BJWY11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5400 ANALYTIC SYSTEMS Condition
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 49D2082028 Commonwealth Extended Care 1800 Glenside Drive - Suite 103 Richmond VA 11/05/2019 3XP611 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D0000 Initial Comments - Not A Deficiency Citation Memo
D6047 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard