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
▼ 53D0056408 South Lincoln Hospital District 711 Onyx Street Kemmerer WY 10/28/2025 CS0Y11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2173 COMPATIBILITY TESTING Standard
▼ 53D0056408 South Lincoln Hospital District 711 Onyx Street Kemmerer WY 11/26/2025 7T3O11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
▼ 53D0519668 Cheyenne Skin Clinic 123 Western Hills Blvd Cheyenne WY 04/08/2019 D9SD11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 53D0519668 Cheyenne Skin Clinic 123 Western Hills Blvd Cheyenne WY 06/23/2021 4EXN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5401 PROCEDURE MANUAL Standard
D5805 TEST REPORT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 53D0519668 Cheyenne Skin Clinic 123 Western Hills Blvd Cheyenne WY 03/15/2023 OEF711 Standard
Deficiency Tag Deficiency Description Tag Type
D5471 CONTROL PROCEDURES Standard
▼ 53D0519668 Cheyenne Skin Clinic 123 Western Hills Blvd Cheyenne WY 04/29/2025 65YI11 Standard
Deficiency Tag Deficiency Description Tag Type
D2003 ENROLLMENT Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
▼ 53D0519699 University-Wyoming Family Practice 820 East 17th Street Cheyenne WY 02/19/2025 R4MG11 Complaint
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 53D0519764 Wyomed Laboratory Inc 204 Mccollum St, Ste 105 Laramie WY 09/09/2020 WO1N11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 53D0519784 Niobrara Community Hospital 921 S Ballencee Ave Lusk WY 04/09/2019 Q0L311 Standard
Deficiency Tag Deficiency Description Tag Type
D5473 CONTROL PROCEDURES Standard
D6091 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 53D0519784 Niobrara Community Hospital 921 S Ballencee Ave Lusk WY 06/25/2021 98SI11 Standard
Deficiency Tag Deficiency Description Tag Type
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5403 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard