S&C QCOR CLIA 2567s
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CLIA 2567s
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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.

CMS Certification Number Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 10D0022561 Reception And Medical Center Clinical Laboratory 7765 S County Road 231 Lake Butler FL 04/04/2022 PVMG11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5213 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 10D0023027 Madison Co Memorial Hospital Clinical Laboratory 224 Nw Crance Ave Madison FL 08/01/2018 MB4T11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 10D0023027 Madison Co Memorial Hospital Clinical Laboratory 224 Nw Crance Ave Madison FL 10/02/2020 2XE411 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2087 ROUTINE CHEMISTRY Standard
D2173 COMPATIBILITY TESTING Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 10D0023027 Madison Co Memorial Hospital Clinical Laboratory 224 Nw Crance Ave Madison FL 09/27/2022 KWMQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 10D0023027 Madison Co Memorial Hospital Clinical Laboratory 224 Nw Crance Ave Madison FL 11/20/2024 M0ZB11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2173 COMPATIBILITY TESTING Standard
D3031 RETENTION REQUIREMENTS Standard
D5200 GENERAL LABORATORY SYSTEMS Condition
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5441 CONTROL PROCEDURES Standard
D5775 COMPARISON OF TEST RESULTS Standard
D6089 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6091 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6092 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 10D0023099 Calhoun Liberty Hospital Association, Inc 20370 Ne Burns Ave Blountstown FL 04/02/2018 PMS711 Standard
Deficiency Tag Deficiency Description Tag Type
D5537 ROUTINE CHEMISTRY Standard
▼ 10D0023099 Calhoun Liberty Hospital Association, Inc 20370 Ne Burns Ave Blountstown FL 07/05/2022 KX1211 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5781 CORRECTIVE ACTIONS Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 10D0023099 Calhoun Liberty Hospital Association, Inc 20370 Ne Burns Ave Blountstown FL 07/16/2024 OPJV11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5783 CORRECTIVE ACTIONS Standard
▼ 10D0023780 Melbourne Medical Laboratory 95 Bulldog Blvd Ste 103 Melbourne FL 08/13/2018 65TP11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2097 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 10D0023780 Melbourne Medical Laboratory 95 Bulldog Blvd Ste 103 Melbourne FL 11/28/2018 GAO411 Standard
Deficiency Tag Deficiency Description Tag Type
D2123 HEMATOLOGY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard