S&C QCOR CLIA 2567s
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CLIA 2567s
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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
▼ 01D0688168 Hackleburg Medical Clinic 34867 Hwy 43 Hackleburg AL 04/28/2021 VS3711 Special
Deficiency Tag Deficiency Description Tag Type
D3000 FACILITY ADMINISTRATION Condition
▼ 01D0688168 Hackleburg Medical Clinic 34867 Hwy 43 Hackleburg AL 09/29/2022 VXW411 Standard
Deficiency Tag Deficiency Description Tag Type
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5441 CONTROL PROCEDURES Standard
D5481 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5805 TEST REPORT Standard
▼ 01D0688168 Hackleburg Medical Clinic 34867 Hwy 43 Hackleburg AL 04/16/2025 CH1K11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2123 HEMATOLOGY Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6017 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6036 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 01D0688523 Montgomery Pediatric Associates 420 Cotton Gin Road Montgomery AL 08/21/2019 WS3K11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5449 CONTROL PROCEDURES Standard
D5471 CONTROL PROCEDURES Standard
▼ 01D0688523 Montgomery Pediatric Associates 420 Cotton Gin Road Montgomery AL 02/09/2022 VLP211 Standard
Deficiency Tag Deficiency Description Tag Type
D5479 CONTROL PROCEDURES Standard
▼ 01D0688523 Montgomery Pediatric Associates 420 Cotton Gin Road Montgomery AL 02/01/2024 V6UL11 Standard
Deficiency Tag Deficiency Description Tag Type
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5002 BACTERIOLOGY Condition
D5403 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5471 CONTROL PROCEDURES Standard
D5479 CONTROL PROCEDURES Standard
D5787 TEST RECORDS Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6022 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 01D0690020 Family Practice Associates Llc 1704 South Forest Avenue Luverne AL 07/31/2018 4GLA11 Standard
Deficiency Tag Deficiency Description Tag Type
D5481 CONTROL PROCEDURES Standard
▼ 01D0690020 Family Practice Associates Llc 1704 South Forest Avenue Luverne AL 05/06/2021 YRZX11 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5447 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6040 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 01D0690020 Family Practice Associates Llc 1704 South Forest Avenue Luverne AL 03/03/2023 339Q11 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D3000 FACILITY ADMINISTRATION Condition
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6035 TECHNICAL CONSULTANT QUALIFICATIONS Standard
D6045 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 01D0692409 Southwest Alabama Health Services 7777 Highway 43 North Mcintosh AL 08/29/2019 X2BE11 Standard
Deficiency Tag Deficiency Description Tag Type
D6017 LABORATORY DIRECTOR RESPONSIBILITIES Standard