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
▼ 51D0236838 Manchin Clinic 100 Main Street Farmington WV 02/24/2026 7OQY11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D6031 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 51D0236863 Braxton County Memorial Hospital 100 Hoylman Drive Gassaway WV 01/10/2018 QJLT11 Standard
Deficiency Tag Deficiency Description Tag Type
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5477 CONTROL PROCEDURES Standard
▼ 51D0236863 Braxton County Memorial Hospital 100 Hoylman Drive Gassaway WV 12/12/2019 M0WQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 51D0236863 Braxton County Memorial Hospital 100 Hoylman Drive Gassaway WV 03/16/2022 1H8L11 Special, Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2173 COMPATIBILITY TESTING Standard
D3025 REQUIREMENTS FOR TRANSFUSION SERVICES Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5403 PROCEDURE MANUAL Standard
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
D5481 CONTROL PROCEDURES Standard
D5555 IMMUNOHEMATOLOGY Standard
▼ 51D0236863 Braxton County Memorial Hospital 100 Hoylman Drive Gassaway WV 05/02/2023 56MG11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2181 COMPATIBILITY TESTING Standard
▼ 51D0236863 Braxton County Memorial Hospital 100 Hoylman Drive Gassaway WV 03/27/2024 32IV11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2087 ROUTINE CHEMISTRY Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5775 COMPARISON OF TEST RESULTS Standard
▼ 51D0236881 Fairview Health Associates 350 Fairview Heights Road Summersville WV 01/19/2018 MQRY12 Standard
Deficiency Tag Deficiency Description Tag Type
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT null
D5449 CONTROL PROCEDURES null
D5507 BACTERIOLOGY null
D5545 HEMATOLOGY null
D5787 TEST RECORDS null
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES null
D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES null
▼ 51D0236881 Fairview Health Associates 350 Fairview Heights Road Summersville WV 08/30/2019 P7GW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5449 CONTROL PROCEDURES Standard
▼ 51D0236987 Grant Memorial Hospital 117 Hospital Drive Petersburg WV 07/16/2019 ZB8S11 Standard
Deficiency Tag Deficiency Description Tag Type
D2003 ENROLLMENT Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5445 CONTROL PROCEDURES Standard
D5801 TEST REPORT Standard
▼ 51D0236987 Grant Memorial Hospital 117 Hospital Drive Petersburg WV 07/14/2021 H84811 Special, Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2087 ROUTINE CHEMISTRY Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D5555 IMMUNOHEMATOLOGY Standard
D5559 IMMUNOHEMATOLOGY Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6175 TESTING PERSONNEL RESPONSIBILITIES Standard