S&C QCOR CLIA 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
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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
▼ 53D2218014 Cowboy Kids Pediatrics 5237 Hhr Ranch Rd, Ste 1 Wilson WY 09/13/2021 R76R11 Special
Deficiency Tag Deficiency Description Tag Type
D1002 REPORTING OF SARS-CoV-2 TEST RESULTS Condition
▼ 53D2223259 Walgreens #09548 1501 Dell Range Blvd Cheyenne WY 08/18/2021 0RT011 Special
Deficiency Tag Deficiency Description Tag Type
D1002 REPORTING OF SARS-CoV-2 TEST RESULTS Condition
▼ 53D2224755 Summit Pathology Laboratories, Inc 255 North 30th Street Laramie WY 01/20/2023 OORN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
▼ 53D2254056 Cheyenne Urological Lab 2003 Bluegrass Circle Cheyenne WY 05/31/2022 XVCO11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 53D2254056 Cheyenne Urological Lab 2003 Bluegrass Circle Cheyenne WY 08/18/2023 GEHR11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D5449 CONTROL PROCEDURES Standard
D6076 LABORATORY DIRECTOR Condition
D6089 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6090 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6091 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 53D2271228 Hoskinson Health & Wellness Clinic 469 Wy-50 Gillette WY 06/15/2023 LVM211 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 53D2271228 Hoskinson Health & Wellness Clinic 469 Wy-50 Gillette WY 09/10/2024 M8ZS11 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5407 PROCEDURE MANUAL Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6086 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 53D2276004 South Lincoln Medical Center 711 Onyx St Kemmerer WY 03/29/2023 FFDS11 Standard
Deficiency Tag Deficiency Description Tag Type
D3013 FACILITIES Standard
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
D5473 CONTROL PROCEDURES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 53D2276004 South Lincoln Medical Center 711 Onyx St Kemmerer WY 06/17/2024 8DUU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5805 TEST REPORT Standard
▼ 53D2279002 Wellspring Health Access 918 E 2nd St Casper WY 06/29/2023 O4P011 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5401 PROCEDURE MANUAL Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard