S&C QCOR CLIA 2567s
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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

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
▼ 53D0681667 Powell Valley Healthcare 777 Avenue H Powell WY 01/09/2024 ZCWC11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 53D0681667 Powell Valley Healthcare 777 Avenue H Powell WY 02/18/2026 9KLQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5555 IMMUNOHEMATOLOGY Standard
▼ 53D0699692 Crmc Family First 5416 Education Drive Cheyenne WY 08/11/2021 69RJ11 Special
Deficiency Tag Deficiency Description Tag Type
D3000 FACILITY ADMINISTRATION Condition
▼ 53D0701558 Warm Valley Healthcare 29 Black Coal Drive Fort Washakie WY 04/28/2022 KOZL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5447 CONTROL PROCEDURES Standard
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 53D0703107 Cheyenne Obstetrics And Gynecology, Inc Pc 2301 House Avenue Suite 400 Cheyenne WY 04/27/2023 6XIC11 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D5002 BACTERIOLOGY Condition
D5006 MYCOLOGY Condition
D5008 PARASITOLOGY Condition
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5401 PROCEDURE MANUAL Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5449 CONTROL PROCEDURES Standard
D5471 CONTROL PROCEDURES Standard
D5990 PPM TESTING PERSONNEL Condition
D5991 PPM TESTING PERSONNEL QUALIFICATIONS Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6014 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6015 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6030 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6034 TECHNICAL CONSULTANT QUALIFICATIONS Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 53D0703107 Cheyenne Obstetrics And Gynecology, Inc Pc 2301 House Avenue Suite 400 Cheyenne WY 05/16/2024 9QUH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5445 CONTROL PROCEDURES Standard
▼ 53D0714209 Central Wyoming Urological Associates, Pc 1416 E A Street Casper WY 03/22/2023 GDA111 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 53D0714209 Central Wyoming Urological Associates, Pc 1416 E A Street Casper WY 07/25/2025 T4MW11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2014 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5407 PROCEDURE MANUAL Standard
▼ 53D0920785 Seitz Dermatology 2112 Seymour Avenue Cheyenne WY 06/26/2025 1DLP11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 53D0925425 Banner Health Physicians West Llc 1020 S Conwell Casper WY 02/01/2019 W5K311 Standard
Deficiency Tag Deficiency Description Tag Type
D5441 CONTROL PROCEDURES Standard
D5787 TEST RECORDS Standard