S&C QCOR CLIA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
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
53D0520056 Medical Arts Laboratory Inc 407 S Medical Arts Ct Ste E Gillette WY 03/17/2025 4KVZ11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2107 ENDOCRINOLOGY Standard
53D0520056 Medical Arts Laboratory Inc 407 S Medical Arts Ct Ste E Gillette WY 07/21/2025 MYCB11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2107 ENDOCRINOLOGY Standard
53D0520128 Johnson County Memorial Hospital Lab-Dept 497 West Lott St Buffalo WY 01/19/2018 0KCE12 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE null
D5439 CALIBRATION AND CALIBRATION VERIFICATION null
D5447 CONTROL PROCEDURES null
D5821 TEST REPORT null
D6015 LABORATORY DIRECTOR RESPONSIBILITIES null
D6055 TECHNICAL CONSULTANT RESPONSIBILITIES null
D6085 LABORATORY DIRECTOR RESPONSIBILITIES null
53D0520128 Johnson County Memorial Hospital Lab-Dept 497 West Lott St Buffalo WY 01/29/2020 EMUN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
53D0520128 Johnson County Memorial Hospital Lab-Dept 497 West Lott St Buffalo WY 02/01/2022 C4JF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
53D0520128 Johnson County Memorial Hospital Lab-Dept 497 West Lott St Buffalo WY 01/23/2024 KJNU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
53D0520182 Castle Rock Medical Center 1400 Uinta Drive Green River WY 10/25/2018 CBCB11 Standard
Deficiency Tag Deficiency Description Tag Type
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5445 CONTROL PROCEDURES Standard
53D0520182 Castle Rock Medical Center 1400 Uinta Drive Green River WY 11/04/2020 LTFH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5403 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5447 CONTROL PROCEDURES Standard
D5449 CONTROL PROCEDURES Standard
D6018 LABORATORY DIRECTOR RESPONSIBILITIES Standard
53D0520182 Castle Rock Medical Center 1400 Uinta Drive Green River WY 11/16/2022 KDHN11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D3000 FACILITY ADMINISTRATION Condition
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5401 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
53D0520182 Castle Rock Medical Center 1400 Uinta Drive Green River WY 04/26/2024 8ZCZ11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2121 HEMATOLOGY Standard