S&C QCOR CLIA 2567s
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CLIA 2567s
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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
▼ 53D0714209 Central Wyoming Urological Associates, Pc 1416 E A Street Casper WY 03/22/2023 GDA111 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 53D0714209 Central Wyoming Urological Associates, Pc 1416 E A Street Casper WY 07/25/2025 T4MW11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2014 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5407 PROCEDURE MANUAL Standard
▼ 53D0920785 Seitz Dermatology 2112 Seymour Avenue Cheyenne WY 06/26/2025 1DLP11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 53D0925425 Banner Health Physicians West Llc 1020 S Conwell Casper WY 02/01/2019 W5K311 Standard
Deficiency Tag Deficiency Description Tag Type
D5441 CONTROL PROCEDURES Standard
D5787 TEST RECORDS Standard
▼ 53D0925425 Banner Health Physicians West Llc 1020 S Conwell Casper WY 05/19/2021 DFZT11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 53D0925425 Banner Health Physicians West Llc 1020 S Conwell Casper WY 01/11/2023 YGT311 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 53D0925425 Banner Health Physicians West Llc 1020 S Conwell Casper WY 12/04/2024 W3T011 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
▼ 53D0954636 Central Wyoming Skin Clinic 2546 E 2nd St Suite 400 Casper WY 04/04/2018 NB6I11 Standard
Deficiency Tag Deficiency Description Tag Type
D5313 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5317 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5471 CONTROL PROCEDURES Standard
D5607 HISTOPATHOLOGY Standard
▼ 53D0954636 Central Wyoming Skin Clinic 2546 E 2nd St Suite 400 Casper WY 01/30/2020 UN9E11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 53D0954636 Central Wyoming Skin Clinic 2546 E 2nd St Suite 400 Casper WY 02/02/2022 TC4411 Standard
Deficiency Tag Deficiency Description Tag Type
D6076 LABORATORY DIRECTOR Condition
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard