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
▼ 49D2120567 Forefront Dermatology, Sc 278 Westlake Road Hardy VA 09/23/2022 LSFY11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
▼ 49D2120895 Dermatopathology At Stony Point 9109 9109 Stony Point Drive Richmond VA 07/26/2022 LMW711 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D6168 TESTING PERSONNEL Condition
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 49D2122919 Pedsplus Urgent Care, Llc 1300 Emancipation Highway Fredericksburg VA 10/18/2018 DE0W11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D3031 RETENTION REQUIREMENTS Standard
D3037 RETENTION REQUIREMENTS Standard
D5400 ANALYTIC SYSTEMS Condition
D5447 CONTROL PROCEDURES Standard
D5781 CORRECTIVE ACTIONS Standard
D5783 CORRECTIVE ACTIONS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 49D2122950 Wellmont Medical Associates, Inc 743 Island Road Bristol VA 11/15/2018 RVW811 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3031 RETENTION REQUIREMENTS Standard
▼ 49D2122950 Wellmont Medical Associates, Inc 743 Island Road Bristol VA 03/17/2021 PG5311 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5449 CONTROL PROCEDURES Standard
▼ 49D2122950 Wellmont Medical Associates, Inc 743 Island Road Bristol VA 12/20/2022 NW9X11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D2123754 Csg Dermatology (Chesapeake) 500 Discovery Drive, Suite 301 Chesapeake VA 01/16/2019 6PXK11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D2123755 Csg Dermatology 5834 Harbour View Boulevard Suffolk VA 06/26/2019 975B11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6017 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 49D2123757 Csg Pediatric Dermatology 1924 Landstown Centre Way Virginia Beach VA 06/26/2019 I5SL11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6017 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 49D2123757 Csg Pediatric Dermatology 1924 Landstown Centre Way Virginia Beach VA 08/24/2023 XWJ011 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6014 LABORATORY DIRECTOR RESPONSIBILITIES Standard