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
▼ 51D0236987 Grant Memorial Hospital 117 Hospital Drive Petersburg WV 06/28/2023 OJUB11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2003 ENROLLMENT Standard
D2010 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2025 BACTERIOLOGY Standard
D5400 ANALYTIC SYSTEMS Condition
D5403 PROCEDURE MANUAL Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5543 HEMATOLOGY Standard
D5555 IMMUNOHEMATOLOGY Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 51D0236987 Grant Memorial Hospital 117 Hospital Drive Petersburg WV 07/30/2025 ZY2N11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5441 CONTROL PROCEDURES Standard
D5477 CONTROL PROCEDURES Standard
D5543 HEMATOLOGY Standard
D5807 TEST REPORT Standard
▼ 51D0236987 Grant Memorial Hospital 117 Hospital Drive Petersburg WV 12/04/2025 PYE911 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
▼ 51D0661648 Tug River Health Association Gary 5883 Black Diamond Highway Gary WV 01/02/2024 P20Y11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
▼ 51D0661665 Monroe Health Center - Union 200 Health Center Drive Union WV 02/26/2020 KHI111 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2121 HEMATOLOGY Standard
▼ 51D0661760 Summers County Arh Hospital Laboratory 115 Summers Hospital Road Hinton WV 09/16/2020 UVIT11 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D3015 REQUIREMENTS FOR TRANSFUSION SERVICES Standard
▼ 51D0661760 Summers County Arh Hospital Laboratory 115 Summers Hospital Road Hinton WV 04/20/2022 DJ8111 Special, Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5555 IMMUNOHEMATOLOGY Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 51D0661760 Summers County Arh Hospital Laboratory 115 Summers Hospital Road Hinton WV 05/01/2024 7EEW11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2093 ROUTINE CHEMISTRY Standard
D5403 PROCEDURE MANUAL Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5545 HEMATOLOGY Standard
D5775 COMPARISON OF TEST RESULTS Standard
▼ 51D0661823 Grafton City Hospital 1 Hospital Plaza Grafton WV 02/12/2018 6HGT13 Standard
Deficiency Tag Deficiency Description Tag Type
D2173 COMPATIBILITY TESTING null
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES null
D5407 PROCEDURE MANUAL null
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES null
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES null
D6055 TECHNICAL CONSULTANT RESPONSIBILITIES null
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES null
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES null
▼ 51D0661823 Grafton City Hospital 1 Hospital Plaza Grafton WV 09/12/2019 2K4D11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5449 CONTROL PROCEDURES Standard