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
▼ 01D0300744 Bruce Pava Md 52 Medical Park Drive East Suite 317 Birmingham AL 08/15/2018 RULE11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2121 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 01D0300744 Bruce Pava Md 52 Medical Park Drive East Suite 317 Birmingham AL 04/02/2019 EP1D11 Standard
Deficiency Tag Deficiency Description Tag Type
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6030 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 01D0300744 Bruce Pava Md 52 Medical Park Drive East Suite 317 Birmingham AL 09/22/2021 F50W11 Standard
Deficiency Tag Deficiency Description Tag Type
D2006 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5213 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5400 ANALYTIC SYSTEMS Condition
D5407 PROCEDURE MANUAL Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5785 CORRECTIVE ACTIONS Standard
D6076 LABORATORY DIRECTOR Condition
D6078 LABORATORY DIRECTOR QUALIFICATIONS Standard
D6086 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6108 LABORATORY TECHNICAL SUPERVISOR Condition
D6109 TECHNICAL SUPERVISOR QUALIFICATIONS Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6142 GENERAL SUPERVISOR QUALIFICATIONS Standard
D6143 GENERAL SUPERVISOR QUALIFICATIONS Standard
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 01D0300834 Art Fertility Program Of Alabama 2006 Brookwood Medical Center Drive, Suite 508 Birmingham AL 03/31/2021 36OE11 Standard
Deficiency Tag Deficiency Description Tag Type
D2006 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 01D0301022 Bbh Scn Princeton Pulmonology 817 Princeton Ave Sw, Pob 2, Suite 199 Birmingham AL 10/21/2020 8BSY11 Standard
Deficiency Tag Deficiency Description Tag Type
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5805 TEST REPORT Standard
▼ 01D0301022 Bbh Scn Princeton Pulmonology 817 Princeton Ave Sw, Pob 2, Suite 199 Birmingham AL 12/05/2025 KN8P11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 01D0301154 Alabama Dermatology And Rejuvenation Center 972 Montclair Road, Suite 100 Birmingham AL 02/20/2020 DLII11 Standard
Deficiency Tag Deficiency Description Tag Type
D5473 CONTROL PROCEDURES Standard
▼ 01D0301189 Urology Centers Of Alabama, Pc 3485 Independence Drive Birmingham AL 02/21/2018 7BS011 Standard
Deficiency Tag Deficiency Description Tag Type
D2127 HEMATOLOGY Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6017 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 01D0301189 Urology Centers Of Alabama, Pc 3485 Independence Drive Birmingham AL 10/21/2020 P4KC11 Standard
Deficiency Tag Deficiency Description Tag Type
D6086 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 01D0301189 Urology Centers Of Alabama, Pc 3485 Independence Drive Birmingham AL 04/25/2024 IDJV11 Standard
Deficiency Tag Deficiency Description Tag Type
D5445 CONTROL PROCEDURES Standard