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
▼ 51D0720059 Mountain State Medical Specialties, Pllc 120 Medical Park Drive Suite 200 Bridgeport WV 07/09/2025 NDLN11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 51D0723096 Sunrise Diagnostic 22347 Northwestern Pike Romney WV 12/18/2019 V0F911 Standard
Deficiency Tag Deficiency Description Tag Type
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D6095 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 51D0865013 Valley Gastroenterology & Endoscopy 68377 Stewart Drive, Suite 202 Saint Clairsville OH 01/02/2018 T0UQ12 Standard
Deficiency Tag Deficiency Description Tag Type
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE null
D5407 PROCEDURE MANUAL null
D5433 MAINTENANCE AND FUNCTION CHECKS null
D5893 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT null
D6126 TECHNICAL SUPERVISOR RESPONSIBILITIES null
▼ 51D0865013 Valley Gastroenterology & Endoscopy 68377 Stewart Drive, Suite 202 Saint Clairsville OH 03/22/2022 IRLB11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 51D0865013 Valley Gastroenterology & Endoscopy 68377 Stewart Drive, Suite 202 Saint Clairsville OH 06/04/2024 0RPM11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 51D0872802 Pendleton Community Care 82 Pine Street Franklin WV 11/05/2019 87WI11 Standard
Deficiency Tag Deficiency Description Tag Type
D2020 BACTERIOLOGY Standard
D2121 HEMATOLOGY Standard
▼ 51D0877096 Camc Cancer Center 3415 Maccorkle Avenue Se Charleston WV 07/28/2022 0Q1C11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
▼ 51D0877096 Camc Cancer Center 3415 Maccorkle Avenue Se Charleston WV 11/12/2025 4I4R11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 51D0882969 Welch Community Hospital 454 Mcdowell Street Welch WV 01/07/2020 IND111 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
▼ 51D0895261 Charles E Porterfield Do 3771 Robert C Byrd Drive Beckley WV 08/28/2018 OPDK11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6022 LABORATORY DIRECTOR RESPONSIBILITIES Standard