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

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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
▼ 51D0666165 Wv Office Of Laboratory Services 167 11th Avenue South Charleston WV 08/29/2024 S0PR11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5300 PREANALYTIC SYSTEMS Condition
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5400 ANALYTIC SYSTEMS Condition
D5401 PROCEDURE MANUAL Standard
D5403 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D5445 CONTROL PROCEDURES Standard
D5449 CONTROL PROCEDURES Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 51D0666165 Wv Office Of Laboratory Services 167 11th Avenue South Charleston WV 11/13/2024 S0PR12 Standard
Deficiency Tag Deficiency Description Tag Type
D5785 CORRECTIVE ACTIONS Standard
▼ 51D0669427 Muhammed I Khokar Md 608 New Hope Road Suite 3 Princeton WV 03/20/2018 MNRC11 Standard
Deficiency Tag Deficiency Description Tag Type
D5305 TEST REQUEST Standard
D5787 TEST RECORDS Standard
▼ 51D0669427 Muhammed I Khokar Md 608 New Hope Road Suite 3 Princeton WV 12/28/2018 Y6T111 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 51D0669427 Muhammed I Khokar Md 608 New Hope Road Suite 3 Princeton WV 02/27/2020 DAP511 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2128 HEMATOLOGY Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5441 CONTROL PROCEDURES Standard
D5447 CONTROL PROCEDURES Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6018 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6052 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6072 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 51D0669427 Muhammed I Khokar Md 608 New Hope Road Suite 3 Princeton WV 03/29/2022 Z1SU11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
D5481 CONTROL PROCEDURES Standard
▼ 51D0669427 Muhammed I Khokar Md 608 New Hope Road Suite 3 Princeton WV 07/19/2022 WP0I11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2127 HEMATOLOGY Standard
D2131 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 51D0678134 Mon Health Wedgewood Primary Care 6000 Memorial Church Drive Morgantown WV 09/25/2019 2P5G11 Standard
Deficiency Tag Deficiency Description Tag Type
D2081 GENERAL IMMUNOLOGY Standard
D2121 HEMATOLOGY Standard
▼ 51D0680137 Blue Ridge Cancer Care Princeton 660 New Hope Road Princeton WV 05/27/2025 KBUX11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5403 PROCEDURE MANUAL Standard
▼ 51D0683776 Broaddus Hospital # 1 Health Care Drive Philippi WV 06/26/2019 D76P11 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2003 ENROLLMENT Standard