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
▼ 53D1049790 Rocky Mountain Oncology 6501 East 2nd Street Casper WY 09/18/2025 XXTB11 Standard
Deficiency Tag Deficiency Description Tag Type
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 53D1049790 Rocky Mountain Oncology 6501 East 2nd Street Casper WY 11/26/2025 FFLC11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
▼ 53D1091161 Yellowstone Pathology Institute-Cody Wyoming 707 Sheridan Avenue Cody WY 05/03/2018 3TOT11 Standard
Deficiency Tag Deficiency Description Tag Type
D5313 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
▼ 53D1091161 Yellowstone Pathology Institute-Cody Wyoming 707 Sheridan Avenue Cody WY 08/31/2020 EF2011 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
▼ 53D2009726 Teton Dermatology, Llc Dba Epiphany Dermatology 984 W Broadway, Ste 4 Jackson WY 08/22/2018 O2VS11 Standard
Deficiency Tag Deficiency Description Tag Type
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D5607 HISTOPATHOLOGY Standard
▼ 53D2009726 Teton Dermatology, Llc Dba Epiphany Dermatology 984 W Broadway, Ste 4 Jackson WY 05/04/2021 QEFP11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 53D2009726 Teton Dermatology, Llc Dba Epiphany Dermatology 984 W Broadway, Ste 4 Jackson WY 04/26/2022 5Y5F11 Standard
Deficiency Tag Deficiency Description Tag Type
D5028 HISTOPATHOLOGY Condition
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 53D2033207 America's Express Urgent Care, Llc 7124 Commons Dr, Suite C Cheyenne WY 11/23/2021 B4Q311 Complaint
Deficiency Tag Deficiency Description Tag Type
D1001 CERTIFICATE OF WAIVER TESTS Standard
D3000 FACILITY ADMINISTRATION Condition
D3009 FACILITIES Standard
▼ 53D2033207 America's Express Urgent Care, Llc 7124 Commons Dr, Suite C Cheyenne WY 11/23/2021 F57511 Special
Deficiency Tag Deficiency Description Tag Type
D3000 FACILITY ADMINISTRATION Condition
▼ 53D2036436 Donaldson Medical Clinic 1577 Dewar Drive, Ste 8 Rock Springs WY 04/30/2018 NUEE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard