S&C QCOR CLIA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
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
53D2033207 America's Express Urgent Care, Llc 7124 Commons Dr, Suite C Cheyenne WY 11/23/2021 F57511 Special
Deficiency Tag Deficiency Description Tag Type
D3000 FACILITY ADMINISTRATION Condition
53D2036436 Donaldson Medical Clinic 1577 Dewar Drive, Ste 8 Rock Springs WY 04/30/2018 NUEE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
53D2036436 Donaldson Medical Clinic 1577 Dewar Drive, Ste 8 Rock Springs WY 01/27/2020 5BAC11 Standard
Deficiency Tag Deficiency Description Tag Type
D5779 CORRECTIVE ACTIONS Standard
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
53D2058075 Gastroenterology Associates Pc 1441 Wilkins Circle Casper WY 07/30/2019 OWW211 Standard
Deficiency Tag Deficiency Description Tag Type
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5403 PROCEDURE MANUAL Standard
D5805 TEST REPORT Standard
53D2058075 Gastroenterology Associates Pc 1441 Wilkins Circle Casper WY 07/20/2021 CXU411 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5200 GENERAL LABORATORY SYSTEMS Condition
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
53D2059203 High Desert Healtcare, Llc 1013 E Boxelder Rd Gillette WY 08/30/2021 838L11 Special
Deficiency Tag Deficiency Description Tag Type
D1002 REPORTING OF SARS-CoV-2 TEST RESULTS Condition
53D2077535 Bridger Valley Urgent Care 39901 Business Loop 80 Lyman WY 02/07/2018 YSCH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5405 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5447 CONTROL PROCEDURES Standard
D5787 TEST RECORDS Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
53D2077535 Bridger Valley Urgent Care 39901 Business Loop 80 Lyman WY 11/09/2020 ZEV111 Standard
Deficiency Tag Deficiency Description Tag Type
D5405 PROCEDURE MANUAL Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5787 TEST RECORDS Standard
D5789 TEST RECORDS Standard
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
53D2077535 Bridger Valley Urgent Care 39901 Business Loop 80 Lyman WY 04/11/2022 2QSP11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5024 HEMATOLOGY Condition
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6014 LABORATORY DIRECTOR RESPONSIBILITIES Standard
53D2077535 Bridger Valley Urgent Care 39901 Business Loop 80 Lyman WY 01/31/2024 5VX211 Standard
Deficiency Tag Deficiency Description Tag Type
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5469 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard