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
▼ 53D0666137 Star Valley Medical Center 901 Adams Street Afton WY 08/23/2018 Y0GQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2087 ROUTINE CHEMISTRY Standard
D5809 TEST REPORT Standard
▼ 53D0666137 Star Valley Medical Center 901 Adams Street Afton WY 08/26/2020 CWUH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5507 BACTERIOLOGY Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 53D0666137 Star Valley Medical Center 901 Adams Street Afton WY 09/14/2022 YHMN11 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5469 CONTROL PROCEDURES Standard
▼ 53D0666137 Star Valley Medical Center 901 Adams Street Afton WY 04/23/2024 RGP911 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6076 LABORATORY DIRECTOR Condition
D6092 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 53D0666137 Star Valley Medical Center 901 Adams Street Afton WY 09/18/2024 BSDS11 Standard
Deficiency Tag Deficiency Description Tag Type
D5200 GENERAL LABORATORY SYSTEMS Condition
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5449 CONTROL PROCEDURES Standard
▼ 53D0666137 Star Valley Medical Center 901 Adams Street Afton WY 06/18/2025 6DML11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2173 COMPATIBILITY TESTING Standard
▼ 53D0675719 Veterans' Home Of Wyoming 700 Veterans' Lane Buffalo WY 09/21/2021 M8GB11 Special
Deficiency Tag Deficiency Description Tag Type
D1002 REPORTING OF SARS-CoV-2 TEST RESULTS Condition
▼ 53D0678296 Wyoming Medical Center, Inc 1233 E 2nd St Casper WY 06/10/2025 ISNZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 53D0679889 Wyoming State Hospital Laboratory 831 Highway 150 South #733b Evanston WY 10/22/2018 VZ8Y11 Standard
Deficiency Tag Deficiency Description Tag Type
D2006 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 53D0679889 Wyoming State Hospital Laboratory 831 Highway 150 South #733b Evanston WY 11/09/2020 KZGO11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard