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
▼ 53D0968118 Star Valley Health - Alpine Clinic 37 Wintergreen Drive Alpine WY 09/15/2022 DETW11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5407 PROCEDURE MANUAL Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5469 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5805 TEST REPORT Standard
▼ 53D0968118 Star Valley Health - Alpine Clinic 37 Wintergreen Drive Alpine WY 09/18/2024 XJ1L11 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 53D0986799 Summit Memorial Medical Group Llc 6500 E 2nd St, Suite 200 Casper WY 10/22/2019 HN6V11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5403 PROCEDURE MANUAL Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5805 TEST REPORT Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6035 TECHNICAL CONSULTANT QUALIFICATIONS Standard
▼ 53D0986799 Summit Memorial Medical Group Llc 6500 E 2nd St, Suite 200 Casper WY 10/21/2021 P91E11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 53D0986799 Summit Memorial Medical Group Llc 6500 E 2nd St, Suite 200 Casper WY 03/21/2023 RGSS11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 53D1007866 Oregon Trail Rural Health Clinic 525 East Birch Street Glenrock WY 10/01/2021 G1E811 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 53D1007873 Biolife Plasma Services Lp 2009 Bluegrass Circle Cheyenne WY 09/25/2023 IQI611 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
▼ 53D1007873 Biolife Plasma Services Lp 2009 Bluegrass Circle Cheyenne WY 11/12/2025 LXQ111 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2010 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D3000 FACILITY ADMINISTRATION Condition
D3011 FACILITIES Standard
▼ 53D1007874 Biolife Plasma Services Lp 1122 Adams Street Laramie WY 11/13/2025 X1DE11 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
▼ 53D1011050 Family Physicians Of Laramie, Llc 2710 Harney St Ste 202 Laramie WY 06/21/2023 I4O711 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5447 CONTROL PROCEDURES Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6018 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6030 LABORATORY DIRECTOR RESPONSIBILITIES Standard