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
▼ 06D0055977 Haxtun Hospital District 235 W Fletcher St Haxtun CO 11/02/2021 JN2Y11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
▼ 06D0055977 Haxtun Hospital District 235 W Fletcher St Haxtun CO 10/20/2022 THRI11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2181 COMPATIBILITY TESTING Standard
▼ 06D0055977 Haxtun Hospital District 235 W Fletcher St Haxtun CO 11/01/2023 UUSP11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5407 PROCEDURE MANUAL Standard
D5445 CONTROL PROCEDURES Standard
D5775 COMPARISON OF TEST RESULTS Standard
D6141 GENERAL SUPERVISOR Condition
D6142 GENERAL SUPERVISOR QUALIFICATIONS Standard
▼ 06D0055977 Haxtun Hospital District 235 W Fletcher St Haxtun CO 04/24/2024 7Y9I11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
▼ 06D0055977 Haxtun Hospital District 235 W Fletcher St Haxtun CO 12/18/2025 JDVR11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 06D0511467 Forefront Dermatology, Sc 3701 S Clarkson St, Suite 400 Englewood CO 07/29/2019 2P3W11 Standard
Deficiency Tag Deficiency Description Tag Type
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
▼ 06D0511588 Colorado Dermatology Specialists 3540 S Poplar St, Ste 300 Denver CO 03/05/2019 8UWI11 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
▼ 06D0512004 Littleton Pediatric Medical Center 206 W County Line Rd, Suite 110 Highlands Ranch CO 07/01/2024 JK2U11 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5407 PROCEDURE MANUAL Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D5779 CORRECTIVE ACTIONS Standard
▼ 06D0512030 Women's Health Care Associates 7720 S Broadway, Ste 440 Littleton CO 02/22/2018 QJSC11 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 06D0512124 Colorado Skin Surgery & Dermatology 7336 S Yosemite Street Suite 100 Centennial CO 05/23/2025 4Q1711 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5407 PROCEDURE MANUAL Standard