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
▼ 49D2169892 Pediatrics Of Arlington, Plc 1635 North George Mason Drive # 185 Arlington VA 12/08/2020 07LY11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5477 CONTROL PROCEDURES Standard
▼ 49D2170917 Martinsville Dermatology And Skin Surgery Center 312 Fairy St Extension, Suite 201 Martinsville VA 11/05/2019 BCDM11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6168 TESTING PERSONNEL Condition
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 49D2170917 Martinsville Dermatology And Skin Surgery Center 312 Fairy St Extension, Suite 201 Martinsville VA 08/24/2021 PW3W11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3031 RETENTION REQUIREMENTS Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 49D2170917 Martinsville Dermatology And Skin Surgery Center 312 Fairy St Extension, Suite 201 Martinsville VA 05/04/2023 EDJF11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3011 FACILITIES Standard
▼ 49D2171958 Sentara Rmh Advanced Imaging Center 2509 Pleasant Run Drive Harrisonburg VA 08/03/2022 D23S11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
▼ 49D2174031 Foot And Ankle Clinic Of The Virginias 2036 Leatherwood Lane Bluefield VA 10/29/2020 6FN711 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 49D2174031 Foot And Ankle Clinic Of The Virginias 2036 Leatherwood Lane Bluefield VA 06/08/2022 BQGS11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 49D2174168 Pedsplus Urgent Care, Llc 8163 Kings Highway King George VA 06/28/2022 NBH711 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 49D2174168 Pedsplus Urgent Care, Llc 8163 Kings Highway King George VA 04/03/2024 UAYP11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D1001 CERTIFICATE OF WAIVER TESTS Standard
D2026 BACTERIOLOGY Standard
D2056 VIROLOGY Standard
D5400 ANALYTIC SYSTEMS Condition
D5401 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D6076 LABORATORY DIRECTOR Condition
D6091 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 49D2174390 Dermatology Center Of Loudoun 19455 Deerfield Ave, Suite 311 Lansdowne VA 07/12/2022 QKS911 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard