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
▼ 01D2151731 Urgent Care For Children-Trussville 117 N Chalkville Road Trussville AL 02/01/2022 HXYB11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
▼ 01D2154250 Liberty Mountain Pediatrics 4600 Hwy 280 S, Suite 103 Birmingham AL 02/14/2019 6U1811 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
D5403 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 01D2154250 Liberty Mountain Pediatrics 4600 Hwy 280 S, Suite 103 Birmingham AL 04/14/2021 UDBB11 Standard
Deficiency Tag Deficiency Description Tag Type
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 01D2154250 Liberty Mountain Pediatrics 4600 Hwy 280 S, Suite 103 Birmingham AL 01/08/2025 KDMP11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 01D2155580 Pediatric Associates Of Mobile 740 Museum Drive, Suite E Mobile AL 06/09/2022 S2D411 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D5403 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6015 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6031 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6036 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 01D2155580 Pediatric Associates Of Mobile 740 Museum Drive, Suite E Mobile AL 11/21/2024 7WCC11 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 01D2156734 Oncology Specialties, Pc 3500 Hwy 78 E Jasper AL 12/08/2025 LW5Y11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 01D2159481 Sunrise Dermatology 8832 Us Hwy 90 Daphne AL 05/25/2022 U38711 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 01D2159994 Ross Bridge Medical Practice Llc 3635 Market Street Suite A Hoover AL 07/17/2019 T6E711 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6010 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6040 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 01D2160358 Fort Payne Care Plus Llc 3000 Gault Ave Fort Payne AL 09/04/2019 YM6D11 Standard
Deficiency Tag Deficiency Description Tag Type
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition