S&C QCOR CLIA 2567s
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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

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
▼ 53D2279002 Wellspring Health Access 918 E 2nd St Casper WY 12/04/2024 7TM511 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 53D2301481 Summit Pathology 2360 East Pershing Boulevard Cheyenne WY 11/18/2024 S96G11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5805 TEST REPORT Standard
▼ 53D2309673 Billings Clinic-Robbins Dermatology 206 N Brooks St Sheridan WY 12/16/2024 89JT11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5805 TEST REPORT Standard
▼ 64D0724937 Lbj Tropical Medical Center 1234 Paul Turner Dr Pago Pago AS 11/13/2019 XS9L11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2053 PARASITOLOGY Standard
D2094 ROUTINE CHEMISTRY Standard
D2096 ROUTINE CHEMISTRY Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5543 HEMATOLOGY Standard
D5809 TEST REPORT Standard
D6076 LABORATORY DIRECTOR Condition
D6086 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6092 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 64D0724937 Lbj Tropical Medical Center 1234 Paul Turner Dr Pago Pago AS 04/04/2022 JN9S11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
▼ 64D0724937 Lbj Tropical Medical Center 1234 Paul Turner Dr Pago Pago AS 08/23/2023 VOR011 Standard
Deficiency Tag Deficiency Description Tag Type
D5801 TEST REPORT Standard
▼ 64D0724937 Lbj Tropical Medical Center 1234 Paul Turner Dr Pago Pago AS 08/12/2024 FB3Q11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D2118 TOXICOLOGY Standard
D2119 TOXICOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 64D0724937 Lbj Tropical Medical Center 1234 Paul Turner Dr Pago Pago AS 08/18/2025 NNJ911 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5441 CONTROL PROCEDURES Standard
D5451 CONTROL PROCEDURES Standard
D5471 CONTROL PROCEDURES Standard
D5555 IMMUNOHEMATOLOGY Standard
D5783 CORRECTIVE ACTIONS Standard
D5787 TEST RECORDS Standard
▼ 64D1048456 American Samoa Dept Of Health Clinical Lab 3965 Petesa Rd Tafuna Village Pago Pago AS 11/14/2019 L36E11 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2001 ENROLLMENT Standard
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5775 COMPARISON OF TEST RESULTS Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6015 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6030 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6055 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 64D1048456 American Samoa Dept Of Health Clinical Lab 3965 Petesa Rd Tafuna Village Pago Pago AS 08/24/2023 DL2Z11 Standard
Deficiency Tag Deficiency Description Tag Type
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D5805 TEST REPORT Standard
D6056 CLINICAL CONSULTANT Condition
D6057 CLINICAL CONSULTANT QUALIFICATIONS Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard