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
▼ 51D0236290 Webster Memorial Hospital, Inc 125 Diana Drive Webster Springs WV 12/10/2019 JC4111 Standard
Deficiency Tag Deficiency Description Tag Type
D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 51D0236290 Webster Memorial Hospital, Inc 125 Diana Drive Webster Springs WV 03/19/2021 OL0U11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 51D0236290 Webster Memorial Hospital, Inc 125 Diana Drive Webster Springs WV 02/09/2022 F1M511 Special, Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2081 GENERAL IMMUNOLOGY Standard
D2159 ABO GROUP AND D(RHO) TYPING Standard
D2169 UNEXPECTED ANTIBODY DETECTION Standard
D2178 COMPATIBILITY TESTING Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5403 PROCEDURE MANUAL Standard
D5775 COMPARISON OF TEST RESULTS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 51D0236290 Webster Memorial Hospital, Inc 125 Diana Drive Webster Springs WV 09/23/2022 X2MW11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2181 COMPATIBILITY TESTING Standard
▼ 51D0236290 Webster Memorial Hospital, Inc 125 Diana Drive Webster Springs WV 02/28/2024 35LB11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5403 PROCEDURE MANUAL Standard
D5425 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5555 IMMUNOHEMATOLOGY Standard
D5781 CORRECTIVE ACTIONS Standard
▼ 51D0236290 Webster Memorial Hospital, Inc 125 Diana Drive Webster Springs WV 03/11/2026 CI8411 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2173 COMPATIBILITY TESTING Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D6106 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 51D0236331 Upc - Bridgeport Pediatrics 900 Lodgeville Road Bridgeport WV 06/15/2021 WO6711 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5469 CONTROL PROCEDURES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6064 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 51D0236331 Upc - Bridgeport Pediatrics 900 Lodgeville Road Bridgeport WV 03/05/2025 B34T11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5403 PROCEDURE MANUAL Standard
D5781 CORRECTIVE ACTIONS Standard
▼ 51D0236407 Upc-Pediatrics Associates 7 Chenoweth Drive Ste A Bridgeport WV 05/30/2019 VV4711 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D3011 FACILITIES Standard
D5403 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5813 TEST REPORT Standard
D6011 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6031 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 51D0236407 Upc-Pediatrics Associates 7 Chenoweth Drive Ste A Bridgeport WV 04/19/2021 J5OY11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard