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
▼ 01D0304753 Dothan Medical Associates 1118 Ross Clark Circle Suite 100 Dothan AL 04/17/2024 MBBL11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
▼ 01D0304806 Southeastern Pediatric Associates Pa 364 Honeysuckle Road Dothan AL 06/26/2018 J14U11 Standard
Deficiency Tag Deficiency Description Tag Type
D5481 CONTROL PROCEDURES Standard
▼ 01D0304806 Southeastern Pediatric Associates Pa 364 Honeysuckle Road Dothan AL 03/22/2023 MUWI11 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5441 CONTROL PROCEDURES Standard
▼ 01D0304806 Southeastern Pediatric Associates Pa 364 Honeysuckle Road Dothan AL 02/12/2025 TN0R11 Standard
Deficiency Tag Deficiency Description Tag Type
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 01D0304961 Wiregrass Medical Center 1200 W Maple Ave Geneva AL 12/02/2021 GFS311 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 01D0304961 Wiregrass Medical Center 1200 W Maple Ave Geneva AL 03/19/2025 G72P11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 01D0305030 Evergreen Medical Center 101 Crestview Ave Evergreen AL 07/26/2018 M3JN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 01D0305030 Evergreen Medical Center 101 Crestview Ave Evergreen AL 11/17/2020 DSMZ11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2093 ROUTINE CHEMISTRY Standard
D2096 ROUTINE CHEMISTRY Standard
D6090 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 01D0305030 Evergreen Medical Center 101 Crestview Ave Evergreen AL 04/12/2021 KITJ11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2093 ROUTINE CHEMISTRY Standard
D2096 ROUTINE CHEMISTRY Standard
D6090 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 01D0305030 Evergreen Medical Center 101 Crestview Ave Evergreen AL 08/17/2021 3WCM11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard