S&C QCOR CLIA 2567s
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CLIA 2567s
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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
▼ 51D2214163 University Physicians & Surgeons, Inc 1305 Elm Street, Lower Huntington WV 06/24/2021 K7S011 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D6170 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 51D2214163 University Physicians & Surgeons, Inc 1305 Elm Street, Lower Huntington WV 03/14/2023 DTPF11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5893 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 51D2269938 Lotus Recovery Centers 129 Deanna Street Comfort WV 11/29/2022 F0ZY11 Complaint, Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D1000 CERTIFICATE OF WAIVER TESTS Standard
▼ 51D2273154 Williamson Memorial, Inc 859 Alderson St Williamson WV 07/17/2024 H9J711 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5781 CORRECTIVE ACTIONS Standard
D5805 TEST REPORT Standard
D5807 TEST REPORT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 51D2289968 Telostrand Inventions Wv, Llc 206 Main Street West, Suite A Ronceverte WV 01/06/2026 VU0611 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 51D2300214 Charter Dermatology Pllc 1008 Tavern Road Suite 201 Martinsburg WV 02/05/2025 C9FC11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5313 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
▼ 52D0039725 Prairie Ridge Health, Inc 1515 Park Ave Columbus WI 05/14/2019 4QL011 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5447 CONTROL PROCEDURES Standard
▼ 52D0040259 Wisconsin Veterans Home N2665 Cty Hwy Qq King WI 04/23/2019 Q7E911 Standard
Deficiency Tag Deficiency Description Tag Type
D5447 CONTROL PROCEDURES Standard
D5449 CONTROL PROCEDURES Standard
▼ 52D0388341 Aurora Health Center - Grafton, W Washington St 215 W Washington St Grafton WI 11/23/2022 X03F11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
▼ 52D0388360 Aurora Health Center - Hartford, E Sumner St 1640 E Sumner St Hartford WI 03/12/2020 IN3211 Standard
Deficiency Tag Deficiency Description Tag Type
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard