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

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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
▼ 51D0236407 Upc-Pediatrics Associates 7 Chenoweth Drive Ste A Bridgeport WV 05/30/2019 VV4711 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D3011 FACILITIES Standard
D5403 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5813 TEST REPORT Standard
D6011 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6031 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 51D0236407 Upc-Pediatrics Associates 7 Chenoweth Drive Ste A Bridgeport WV 04/19/2021 J5OY11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 51D0236407 Upc-Pediatrics Associates 7 Chenoweth Drive Ste A Bridgeport WV 05/25/2023 77GS11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5781 CORRECTIVE ACTIONS Standard
D5787 TEST RECORDS Standard
▼ 51D0236407 Upc-Pediatrics Associates 7 Chenoweth Drive Ste A Bridgeport WV 03/11/2025 61P311 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5403 PROCEDURE MANUAL Standard
D5781 CORRECTIVE ACTIONS Standard
D5813 TEST REPORT Standard
▼ 51D0236716 Mon Health Wedgewood Primary Care 1000 Mon Health Medical Park Dr Suite 1201 Morgantown WV 09/29/2022 4TXC11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5805 TEST REPORT Standard
▼ 51D0236838 Manchin Clinic 100 Main Street Farmington WV 10/22/2019 G3D311 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 51D0236838 Manchin Clinic 100 Main Street Farmington WV 12/14/2021 MZQ111 Special, Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2121 HEMATOLOGY Standard
▼ 51D0236838 Manchin Clinic 100 Main Street Farmington WV 02/14/2024 TDCY11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2087 ROUTINE CHEMISTRY Standard
D2098 ENDOCRINOLOGY Standard
D5425 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6015 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 51D0236838 Manchin Clinic 100 Main Street Farmington WV 07/24/2025 349U11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
▼ 51D0236838 Manchin Clinic 100 Main Street Farmington WV 10/06/2025 BCXE11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard