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
▼ 53D0662186 Hot Springs County Memorial Hospital Laboratory 150 E Arapahoe St Thermopolis WY 01/04/2018 QBJ212 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL null
D5447 CONTROL PROCEDURES null
D5471 CONTROL PROCEDURES null
D5545 HEMATOLOGY null
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY null
D6036 TECHNICAL CONSULTANT RESPONSIBILITIES null
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES null
▼ 53D0662186 Hot Springs County Memorial Hospital Laboratory 150 E Arapahoe St Thermopolis WY 08/27/2019 TR3V11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5449 CONTROL PROCEDURES Standard
D5813 TEST REPORT Standard
D6041 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6168 TESTING PERSONNEL Condition
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 53D0662186 Hot Springs County Memorial Hospital Laboratory 150 E Arapahoe St Thermopolis WY 07/21/2021 LNPK11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5002 BACTERIOLOGY Condition
D5010 VIROLOGY Condition
D5016 ROUTINE CHEMISTRY Condition
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5401 PROCEDURE MANUAL Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5445 CONTROL PROCEDURES Standard
D5449 CONTROL PROCEDURES Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
D6076 LABORATORY DIRECTOR Condition
D6086 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6089 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6091 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6108 LABORATORY TECHNICAL SUPERVISOR Condition
D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6168 TESTING PERSONNEL Condition
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 53D0662186 Hot Springs County Memorial Hospital Laboratory 150 E Arapahoe St Thermopolis WY 10/20/2021 LNPK12 Standard
Deficiency Tag Deficiency Description Tag Type
D6117 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 53D0662186 Hot Springs County Memorial Hospital Laboratory 150 E Arapahoe St Thermopolis WY 06/27/2023 I74Z11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5401 PROCEDURE MANUAL Standard
D5445 CONTROL PROCEDURES Standard
D5449 CONTROL PROCEDURES Standard
D6076 LABORATORY DIRECTOR Condition
D6089 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 53D0662186 Hot Springs County Memorial Hospital Laboratory 150 E Arapahoe St Thermopolis WY 10/30/2025 04C311 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5455 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6076 LABORATORY DIRECTOR Condition
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 53D0662194 Memorial Hospital Of Converse County 111 South 5th Street Douglas WY 07/30/2018 6ME911 Standard
Deficiency Tag Deficiency Description Tag Type
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5407 PROCEDURE MANUAL Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5445 CONTROL PROCEDURES Standard
D5449 CONTROL PROCEDURES Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
D6108 LABORATORY TECHNICAL SUPERVISOR Condition
D6111 TECHNICAL SUPERVISOR QUALIFICATIONS Standard
▼ 53D0662194 Memorial Hospital Of Converse County 111 South 5th Street Douglas WY 04/10/2019 6ME913 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5473 CONTROL PROCEDURES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 53D0662194 Memorial Hospital Of Converse County 111 South 5th Street Douglas WY 09/04/2020 WIRO11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
D6086 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 53D0662194 Memorial Hospital Of Converse County 111 South 5th Street Douglas WY 05/12/2022 1OUM11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5403 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5445 CONTROL PROCEDURES Standard
D5449 CONTROL PROCEDURES Standard
D6168 TESTING PERSONNEL Condition
D6171 TESTING PERSONNEL QUALIFICATIONS Standard