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
▼ 51D0692885 Marietta Memorial Hospital Of Tyler County Dba 314 South Wells Street Sistersville WV 04/25/2019 Y3TL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 51D0694471 Cabin Creek Health Center 5722 Cabin Creek Road Dawes WV 03/06/2018 U1IR11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5449 CONTROL PROCEDURES Standard
▼ 51D0694471 Cabin Creek Health Center 5722 Cabin Creek Road Dawes WV 09/09/2020 E05611 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5403 PROCEDURE MANUAL Standard
▼ 51D0694471 Cabin Creek Health Center 5722 Cabin Creek Road Dawes WV 08/24/2021 SXC911 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
▼ 51D0707042 Grant Memorial Hospital Respiratory 117 Hospital Drive Petersburg WV 07/17/2019 QTIF11 Standard
Deficiency Tag Deficiency Description Tag Type
D2094 ROUTINE CHEMISTRY Standard
▼ 51D0707042 Grant Memorial Hospital Respiratory 117 Hospital Drive Petersburg WV 07/14/2021 NW4B11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
▼ 51D0707042 Grant Memorial Hospital Respiratory 117 Hospital Drive Petersburg WV 06/29/2023 MK7X11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6035 TECHNICAL CONSULTANT QUALIFICATIONS Standard
▼ 51D0707433 Wvu Medicine Thomas Hosp Ob & Gyn Ii 4607 Maccorkle Avenue Sw Suite 301 South Charleston WV 02/09/2018 LGAS12 Standard
Deficiency Tag Deficiency Description Tag Type
D2021 BACTERIOLOGY null
D2039 MYCOLOGY null
D2048 PARASITOLOGY null
D5441 CONTROL PROCEDURES null
D5449 CONTROL PROCEDURES null
▼ 51D0707433 Wvu Medicine Thomas Hosp Ob & Gyn Ii 4607 Maccorkle Avenue Sw Suite 301 South Charleston WV 12/03/2019 HU3X11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 51D0707433 Wvu Medicine Thomas Hosp Ob & Gyn Ii 4607 Maccorkle Avenue Sw Suite 301 South Charleston WV 02/22/2022 PXXW11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2025 BACTERIOLOGY Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5445 CONTROL PROCEDURES Standard