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

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
▼ 51D2143238 Holistic, Inc Medical Services And Counseling 4815 Maccorkle Ave, Se Charleston WV 04/19/2019 IUN711 Standard
Deficiency Tag Deficiency Description Tag Type
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5403 PROCEDURE MANUAL Standard
D6076 LABORATORY DIRECTOR Condition
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6168 TESTING PERSONNEL Condition
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 51D2151883 Chesapeake Healthcare Center, Llc 11950 Maccorkle Avenue Charleston WV 12/04/2019 2U1N11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5449 CONTROL PROCEDURES Standard
D6064 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 51D2151883 Chesapeake Healthcare Center, Llc 11950 Maccorkle Avenue Charleston WV 06/06/2023 F4S511 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D6064 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 51D2151883 Chesapeake Healthcare Center, Llc 11950 Maccorkle Avenue Charleston WV 06/25/2025 YVNL11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
▼ 51D2153215 Wvu Medicine - Weston 107 Staunton Dr Weston WV 01/27/2021 2WEJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2121 HEMATOLOGY Standard
▼ 51D2153215 Wvu Medicine - Weston 107 Staunton Dr Weston WV 12/14/2022 1HS711 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 51D2153215 Wvu Medicine - Weston 107 Staunton Dr Weston WV 10/16/2024 KXIT11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5807 TEST REPORT Standard
▼ 51D2155274 Mountain State Health & Wellness 400 South Ruffner Road Charleston WV 03/05/2019 FXPI11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
▼ 51D2155274 Mountain State Health & Wellness 400 South Ruffner Road Charleston WV 12/02/2020 QNCG11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 51D2155274 Mountain State Health & Wellness 400 South Ruffner Road Charleston WV 09/26/2024 RR7Z11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5807 TEST REPORT Standard