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
▼ 01D0305356 Jackson Medical Center 220 Hospital Drive Jackson AL 06/06/2018 I61W13 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT null
D5437 CALIBRATION AND CALIBRATION VERIFICATION null
D5555 IMMUNOHEMATOLOGY null
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT null
D6083 LABORATORY DIRECTOR RESPONSIBILITIES null
D6093 LABORATORY DIRECTOR RESPONSIBILITIES null
D6094 LABORATORY DIRECTOR RESPONSIBILITIES null
D6095 LABORATORY DIRECTOR RESPONSIBILITIES null
▼ 01D0305356 Jackson Medical Center 220 Hospital Drive Jackson AL 01/16/2019 IS6O11 Standard
Deficiency Tag Deficiency Description Tag Type
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5445 CONTROL PROCEDURES Standard
D5449 CONTROL PROCEDURES Standard
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 01D0305356 Jackson Medical Center 220 Hospital Drive Jackson AL 11/03/2021 7ZB711 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5447 CONTROL PROCEDURES Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 01D0305356 Jackson Medical Center 220 Hospital Drive Jackson AL 06/07/2023 08V511 Standard
Deficiency Tag Deficiency Description Tag Type
D2089 ROUTINE CHEMISTRY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 01D0305356 Jackson Medical Center 220 Hospital Drive Jackson AL 02/20/2025 V7YO11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2162 ABO GROUP AND D(RHO) TYPING Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 01D0305356 Jackson Medical Center 220 Hospital Drive Jackson AL 04/23/2025 IPF311 Standard
Deficiency Tag Deficiency Description Tag Type
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5447 CONTROL PROCEDURES Standard
▼ 01D0305406 Family Medical Semmes 7505 Moffat Rd Mobile AL 05/17/2022 HDL711 Standard
Deficiency Tag Deficiency Description Tag Type
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 01D0305481 Imc Diagnostic And Medical Clinic 1700 Springhill Ave Suite 100 Mobile AL 05/10/2022 S3Q511 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2118 TOXICOLOGY Standard
▼ 01D0305481 Imc Diagnostic And Medical Clinic 1700 Springhill Ave Suite 100 Mobile AL 08/31/2022 SJ2511 Standard
Deficiency Tag Deficiency Description Tag Type
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 01D0305481 Imc Diagnostic And Medical Clinic 1700 Springhill Ave Suite 100 Mobile AL 02/15/2024 7LE711 Standard
Deficiency Tag Deficiency Description Tag Type
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard