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.

CMS Certification Number Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 02D2126621 Mat-Su Urgent Care 209 W Evergreen Ave, Ste B Palmer AK 08/15/2018 XNH911 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2011 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2013 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 02D2126621 Mat-Su Urgent Care 209 W Evergreen Ave, Ste B Palmer AK 05/04/2023 S9L411 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
▼ 02D2126621 Mat-Su Urgent Care 209 W Evergreen Ave, Ste B Palmer AK 09/08/2023 BY8V11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 02D2130734 Interpath Laboratory Anchorage 188 W Northern Lights Blvd, Suite 600 Anchorage AK 12/06/2020 IJCV11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2107 ENDOCRINOLOGY Standard
D2108 ENDOCRINOLOGY Standard
▼ 02D2132441 Medical Network Of Alaska 1100 E Dimond Blvd Suite 103 Anchorage AK 04/18/2018 HQ8X11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 02D2144657 Fairbanks Urology 1211 Cushman St Fairbanks AK 01/15/2020 3FOV11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D1001 CERTIFICATE OF WAIVER TESTS Standard
D3000 FACILITY ADMINISTRATION Condition
D3003 FACILITIES Standard
D3009 FACILITIES Standard
D5200 GENERAL LABORATORY SYSTEMS Condition
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5400 ANALYTIC SYSTEMS Condition
D5403 PROCEDURE MANUAL Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5783 CORRECTIVE ACTIONS Standard
D6076 LABORATORY DIRECTOR Condition
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6096 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6101 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6168 TESTING PERSONNEL Condition
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
D6175 TESTING PERSONNEL RESPONSIBILITIES Standard
D6179 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 02D2144657 Fairbanks Urology 1211 Cushman St Fairbanks AK 12/02/2021 5QAF11 Standard
Deficiency Tag Deficiency Description Tag Type
D3007 FACILITIES Standard
D5403 PROCEDURE MANUAL Standard
▼ 02D2144657 Fairbanks Urology 1211 Cushman St Fairbanks AK 06/23/2023 JRMG11 Standard
Deficiency Tag Deficiency Description Tag Type
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 02D2144657 Fairbanks Urology 1211 Cushman St Fairbanks AK 11/26/2025 SKAD11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
▼ 02D2144657 Fairbanks Urology 1211 Cushman St Fairbanks AK 12/08/2025 0JY811 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6047 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6050 TECHNICAL CONSULTANT RESPONSIBILITIES Standard