S&C QCOR CLIA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
CLIA 2567s
Selection Criteria

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

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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.

CLIA ID Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
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
53D0679889 Wyoming State Hospital Laboratory 831 Highway 150 South #733b Evanston WY 05/23/2022 I88V11 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
D5403 PROCEDURE MANUAL Standard
53D0679889 Wyoming State Hospital Laboratory 831 Highway 150 South #733b Evanston WY 09/16/2024 VQKQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
53D0681667 Powell Valley Healthcare 777 Avenue H Powell WY 08/29/2020 7DE911 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
53D0681667 Powell Valley Healthcare 777 Avenue H Powell WY 01/20/2022 P9B211 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6086 LABORATORY DIRECTOR RESPONSIBILITIES Standard
53D0681667 Powell Valley Healthcare 777 Avenue H Powell WY 01/09/2024 ZCWC11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
53D0681667 Powell Valley Healthcare 777 Avenue H Powell WY 02/18/2026 9KLQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5555 IMMUNOHEMATOLOGY Standard
53D0699692 Crmc Family First 5416 Education Drive Cheyenne WY 08/11/2021 69RJ11 Special
Deficiency Tag Deficiency Description Tag Type
D3000 FACILITY ADMINISTRATION Condition