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
▼ 51D2076798 Coplin Clinic Laboratory 483 Court St Elizabeth WV 04/10/2024 BRDF11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 51D2085573 Rainbow Pediatrics Inc 354 Commerce Drive Beaver WV 03/05/2018 K4OE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5787 TEST RECORDS Standard
D6040 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 51D2085573 Rainbow Pediatrics Inc 354 Commerce Drive Beaver WV 06/05/2019 I0QK11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2128 HEMATOLOGY Standard
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 51D2085573 Rainbow Pediatrics Inc 354 Commerce Drive Beaver WV 08/20/2019 KKBX11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D6064 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 51D2085573 Rainbow Pediatrics Inc 354 Commerce Drive Beaver WV 10/21/2021 4PW311 Special, Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2121 HEMATOLOGY Standard
D5445 CONTROL PROCEDURES Standard
D5469 CONTROL PROCEDURES Standard
▼ 51D2085573 Rainbow Pediatrics Inc 354 Commerce Drive Beaver WV 11/18/2025 WNKF11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 51D2087651 Quest Diagnostics Inc Shenandoah Community Health 99 Tavern Road Martinsburg WV 06/02/2021 8FZS11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D6056 CLINICAL CONSULTANT Condition
D6057 CLINICAL CONSULTANT QUALIFICATIONS Standard
▼ 51D2098204 Medtest 3860 Teays Valley Road, Suite 2 Hurricane WV 10/30/2018 31LN11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5317 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5403 PROCEDURE MANUAL Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5449 CONTROL PROCEDURES Standard
D5777 COMPARISON OF TEST RESULTS Standard
D5805 TEST REPORT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 51D2100196 Mon Health Wedgewood Primary Care 1300 Fort Pierpont Dr Suite 101 Morgantown WV 09/25/2019 1E9E11 Standard
Deficiency Tag Deficiency Description Tag Type
D2081 GENERAL IMMUNOLOGY Standard
D2121 HEMATOLOGY Standard
D2122 HEMATOLOGY Standard
▼ 51D2100196 Mon Health Wedgewood Primary Care 1300 Fort Pierpont Dr Suite 101 Morgantown WV 07/27/2021 8MG511 Special, Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard