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

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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
▼ 53D0925425 Banner Health Physicians West Llc 1020 S Conwell Casper WY 05/19/2021 DFZT11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 53D0925425 Banner Health Physicians West Llc 1020 S Conwell Casper WY 01/11/2023 YGT311 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 53D0925425 Banner Health Physicians West Llc 1020 S Conwell Casper WY 12/04/2024 W3T011 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
▼ 53D0954636 Central Wyoming Skin Clinic 2546 E 2nd St Suite 400 Casper WY 04/04/2018 NB6I11 Standard
Deficiency Tag Deficiency Description Tag Type
D5313 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5317 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5471 CONTROL PROCEDURES Standard
D5607 HISTOPATHOLOGY Standard
▼ 53D0954636 Central Wyoming Skin Clinic 2546 E 2nd St Suite 400 Casper WY 01/30/2020 UN9E11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 53D0954636 Central Wyoming Skin Clinic 2546 E 2nd St Suite 400 Casper WY 02/02/2022 TC4411 Standard
Deficiency Tag Deficiency Description Tag Type
D6076 LABORATORY DIRECTOR Condition
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 53D0954636 Central Wyoming Skin Clinic 2546 E 2nd St Suite 400 Casper WY 01/10/2024 T14L11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5473 CONTROL PROCEDURES Standard
D6076 LABORATORY DIRECTOR Condition
D6089 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6091 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 53D0968114 Christopher M Lowther Md 802 Gerrans Ave Cody WY 01/10/2023 UY9411 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5473 CONTROL PROCEDURES Standard
▼ 53D0968118 Star Valley Health - Alpine Clinic 37 Wintergreen Drive Alpine WY 10/22/2018 OON911 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 53D0968118 Star Valley Health - Alpine Clinic 37 Wintergreen Drive Alpine WY 05/04/2021 FIFQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5789 TEST RECORDS Standard
D5821 TEST REPORT Standard