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
▼ 51D1075780 Mountaineer Family Medicine Lab 4114 1st Avenue Nitro WV 04/19/2023 LGU011 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5781 CORRECTIVE ACTIONS Standard
▼ 51D1075780 Mountaineer Family Medicine Lab 4114 1st Avenue Nitro WV 03/18/2025 FQZN11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5445 CONTROL PROCEDURES Standard
D5801 TEST REPORT Standard
D5807 TEST REPORT Standard
D5893 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 51D1075780 Mountaineer Family Medicine Lab 4114 1st Avenue Nitro WV 08/19/2025 FQZN12 Standard
Deficiency Tag Deficiency Description Tag Type
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 51D1082418 Manchin Clinic South Llc 181 Middletown Loop Whitehall WV 02/05/2020 O2E011 Standard
Deficiency Tag Deficiency Description Tag Type
D2127 HEMATOLOGY Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5441 CONTROL PROCEDURES Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6017 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6028 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6072 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 51D1082418 Manchin Clinic South Llc 181 Middletown Loop Whitehall WV 05/12/2022 HY9H11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2127 HEMATOLOGY Standard
D5781 CORRECTIVE ACTIONS Standard
▼ 51D1082418 Manchin Clinic South Llc 181 Middletown Loop Whitehall WV 03/22/2024 JCUU11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2128 HEMATOLOGY Standard
D3031 RETENTION REQUIREMENTS Standard
D5400 ANALYTIC SYSTEMS Condition
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5781 CORRECTIVE ACTIONS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6025 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6036 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6042 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6044 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 51D1082418 Manchin Clinic South Llc 181 Middletown Loop Whitehall WV 11/06/2024 JCUU12 Standard
Deficiency Tag Deficiency Description Tag Type
D5807 TEST REPORT Standard
D6064 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 51D1084663 Thomas Imaging Center 4800 Maccorkle Avenue Sw South Charleston WV 10/02/2019 FNWB11 Standard
Deficiency Tag Deficiency Description Tag Type
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 51D1086270 Wv Drug Testing Laboratories Inc 1422 East Main Street Princeton WV 04/03/2018 G39311 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 51D1086270 Wv Drug Testing Laboratories Inc 1422 East Main Street Princeton WV 09/02/2020 Z7N711 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3031 RETENTION REQUIREMENTS Standard
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5403 PROCEDURE MANUAL Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard