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
▼ 49D2159820 Northern Virginia Hematology Oncology Associates 8140 Ashton Ave Suite 210 Manassas VA 11/20/2024 PSK811 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D2162175 Lmg Cancer And Infusion Center 19500 Sandridge Way Suite 450 Leesburg VA 11/20/2025 F0LZ11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 49D2162379 Northern Virginia Carenow Urgent Care Llc 12214 W Broad Street Richmond VA 06/25/2020 63NU11 Complaint
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3009 FACILITIES Standard
D5400 ANALYTIC SYSTEMS Condition
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5449 CONTROL PROCEDURES Standard
D6076 LABORATORY DIRECTOR Condition
D6086 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6168 TESTING PERSONNEL Condition
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 49D2162379 Northern Virginia Carenow Urgent Care Llc 12214 W Broad Street Richmond VA 09/15/2020 63NU12 Complaint
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 49D2162379 Northern Virginia Carenow Urgent Care Llc 12214 W Broad Street Richmond VA 02/14/2023 HEOL11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5400 ANALYTIC SYSTEMS Condition
D5401 PROCEDURE MANUAL Standard
▼ 49D2163038 Dominion Family Care, Llc 4101 Dominion Blvd, Suite 300 Glen Allen VA 01/12/2021 WVZJ11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D1002 REPORTING OF SARS-CoV-2 TEST RESULTS Condition
▼ 49D2163278 Masri-Fridling Dermatology Group 8605 Westwood Center Drive, Suite 309 Vienna VA 07/17/2019 6LEY11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5477 CONTROL PROCEDURES Standard
▼ 49D2163278 Masri-Fridling Dermatology Group 8605 Westwood Center Drive, Suite 309 Vienna VA 02/08/2023 HOY311 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 49D2163278 Masri-Fridling Dermatology Group 8605 Westwood Center Drive, Suite 309 Vienna VA 12/18/2024 3ZF111 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5400 ANALYTIC SYSTEMS Condition
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 49D2163536 Indy Health Labs Llc 4118 Franklin Rd Suite A Roanoke VA 10/08/2021 VD7D11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3031 RETENTION REQUIREMENTS Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6091 LABORATORY DIRECTOR RESPONSIBILITIES Standard