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
▼ 49D2097462 Carilion Clinic Family Medicine- Oakgrove 1818 Electric Rd Roanoke VA 06/28/2023 ZQRF11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 49D2097970 Hematology Oncology Care Of Northern Virginia 3022 Williams Drive - Suite 100 Fairfax VA 02/09/2022 7NXW11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
▼ 49D2097970 Hematology Oncology Care Of Northern Virginia 3022 Williams Drive - Suite 100 Fairfax VA 08/24/2023 DBIC11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 49D2097970 Hematology Oncology Care Of Northern Virginia 3022 Williams Drive - Suite 100 Fairfax VA 08/11/2025 E5DG11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5781 CORRECTIVE ACTIONS Standard
D6043 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D2098747 Men's Wellness Centers, Llc 827 Diligence Drive - Suite 206 Newport News VA 07/23/2019 A7GE11 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
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5445 CONTROL PROCEDURES Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6014 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6018 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 49D2098747 Men's Wellness Centers, Llc 827 Diligence Drive - Suite 206 Newport News VA 06/08/2023 W2F011 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 49D2098747 Men's Wellness Centers, Llc 827 Diligence Drive - Suite 206 Newport News VA 03/06/2025 W85211 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2006 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5445 CONTROL PROCEDURES Standard
D5469 CONTROL PROCEDURES Standard
▼ 49D2100848 Men's Wellness Centers Llc 996 First Colonial Road Virginia Beach VA 07/25/2019 QV2I11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5400 ANALYTIC SYSTEMS Condition
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5445 CONTROL PROCEDURES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 49D2100848 Men's Wellness Centers Llc 996 First Colonial Road Virginia Beach VA 11/09/2021 Q4LZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D2100848 Men's Wellness Centers Llc 996 First Colonial Road Virginia Beach VA 09/20/2023 TIZ311 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard