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.

CLIA ID Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 01D1089574 Affinity Physicians Services 5890 Valley Road Suite 200 Birmingham AL 03/02/2021 OG0J11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
▼ 01D1089574 Affinity Physicians Services 5890 Valley Road Suite 200 Birmingham AL 04/11/2022 S73011 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
▼ 01D1089574 Affinity Physicians Services 5890 Valley Road Suite 200 Birmingham AL 07/27/2022 IE6Z11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 01D1091355 Immediate Care Of The South 4270 Cottage Hill Road Mobile AL 01/16/2025 WW7511 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 01D1092927 Aqua Dermatology Of Alabama Pc 1940 Stonegate Drive, Suite 130 Vestavia Hills AL 06/04/2025 BO7R11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 01D1093966 Pm Healthcare, Llc 701 Leighton Avenue Anniston AL 09/17/2025 KQTL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 01D1094125 Gut Pathology Llc 480 Honeysuckle Road Dothan AL 07/29/2019 EPVH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5473 CONTROL PROCEDURES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 01D1094125 Gut Pathology Llc 480 Honeysuckle Road Dothan AL 11/06/2025 UK2W11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 01D1098464 Alabama Cancer Care 171 Town Center Dr Suite 6 Anniston AL 04/09/2019 NVW911 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5481 CONTROL PROCEDURES Standard
D5805 TEST REPORT Standard
▼ 01D1099480 Center For Pain Of Montgomery , Pc, The 448 St Lukes Drive Montgomery AL 02/06/2018 6WAU11 Standard
Deficiency Tag Deficiency Description Tag Type
D3037 RETENTION REQUIREMENTS Standard
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard