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

Use these filters if you know the name (or partial name) of the facility you are searching for.

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
▼ 01D2171685 Urgent Care For Children-Tuscaloosa 4700 Rice Mine Road Northeast Tuscaloosa AL 03/11/2020 UG6511 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5441 CONTROL PROCEDURES Standard
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 01D2171687 Urgent Care For Children - Vestavia 520 Montgomery Hwy Vestavia AL 05/24/2021 259C11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2123 HEMATOLOGY Standard
D2131 HEMATOLOGY Standard
D6017 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 01D2171687 Urgent Care For Children - Vestavia 520 Montgomery Hwy Vestavia AL 03/15/2022 U3OR11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3037 RETENTION REQUIREMENTS Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5400 ANALYTIC SYSTEMS Condition
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5481 CONTROL PROCEDURES Standard
D5785 CORRECTIVE ACTIONS Standard
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 01D2173116 Ivy Creek Family Care Of Troy 101 Hunters Mountain Parkway Troy AL 02/04/2020 9JXE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 01D2173116 Ivy Creek Family Care Of Troy 101 Hunters Mountain Parkway Troy AL 03/15/2022 YZN711 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6017 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 01D2175789 American Esoteric Lab-Birmingham 201 London Parkway, Suite 300 Birmingham AL 06/30/2021 8KQY11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 01D2176055 Acrm 2006 Brookwood Medical Center Drive, Suite 302 Birmingham AL 01/13/2021 XYDZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5781 CORRECTIVE ACTIONS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 01D2176055 Acrm 2006 Brookwood Medical Center Drive, Suite 302 Birmingham AL 12/09/2022 30S811 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 01D2176291 Thomasville Regional Medical Center 300 Medical Park Drive Thomasville AL 09/03/2020 MRJV11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5555 IMMUNOHEMATOLOGY Standard
D6045 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 01D2176291 Thomasville Regional Medical Center 300 Medical Park Drive Thomasville AL 10/05/2022 6H2U11 Standard
Deficiency Tag Deficiency Description Tag Type
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5445 CONTROL PROCEDURES Standard
D6045 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard