S&C QCOR CLIA 2567s
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CLIA 2567s
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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
▼ 02D2054618 Health North Family Medicine Llc 2741 Debarr Rd Ste 302 Anchorage AK 09/13/2021 0MH911 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
▼ 02D2054623 Health North Family Medicine Llc 35911 Kenai Spur Hwy, Suite 6 Soldotna AK 04/16/2019 3MR711 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5447 CONTROL PROCEDURES Standard
▼ 02D2054623 Health North Family Medicine Llc 35911 Kenai Spur Hwy, Suite 6 Soldotna AK 04/15/2021 6O5R11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2107 ENDOCRINOLOGY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 02D2054623 Health North Family Medicine Llc 35911 Kenai Spur Hwy, Suite 6 Soldotna AK 02/02/2023 IC0N11 Standard
Deficiency Tag Deficiency Description Tag Type
D5441 CONTROL PROCEDURES Standard
D5469 CONTROL PROCEDURES Standard
▼ 02D2054623 Health North Family Medicine Llc 35911 Kenai Spur Hwy, Suite 6 Soldotna AK 03/15/2024 P1F311 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2107 ENDOCRINOLOGY Standard
D2108 ENDOCRINOLOGY Standard
▼ 02D2054623 Health North Family Medicine Llc 35911 Kenai Spur Hwy, Suite 6 Soldotna AK 11/22/2024 DGKV11 Standard
Deficiency Tag Deficiency Description Tag Type
D6030 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 02D2085811 Alaska Urology, Llc 2490 S Woodworth Loop # 401 Palmer AK 06/11/2025 LX6M11 Standard
Deficiency Tag Deficiency Description Tag Type
D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 02D2092701 Medical Network Of Alaska 3765 E Blue Lupine Drive Wasilla AK 05/10/2021 V4NO11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
▼ 02D2092701 Medical Network Of Alaska 3765 E Blue Lupine Drive Wasilla AK 08/28/2025 7KL611 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D5785 CORRECTIVE ACTIONS Standard
▼ 02D2113013 Mat-Su Valley Iii, Llc 5851 S Knik-Goose Bay Road Wasilla AK 09/06/2023 9ZXW11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D5403 PROCEDURE MANUAL Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard