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
▼ 01D2040472 Mary F Holley Md Pc 2001 Gunter Ave Guntersville AL 05/18/2020 DWPV11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
▼ 01D2041950 Pell City Internal And Family Medicine 41 Eminence Way Suite A Pell City AL 06/14/2022 UTBI11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 01D2041950 Pell City Internal And Family Medicine 41 Eminence Way Suite A Pell City AL 06/05/2024 HKMU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 01D2042078 Cunningham Pathology 2010 Brookwood Medical Center Drive Birmingham AL 04/17/2019 J9H011 Special
Deficiency Tag Deficiency Description Tag Type
D5032 CYTOLOGY Condition
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5623 CYTOLOGY Standard
D5625 CYTOLOGY Standard
D5629 CYTOLOGY Standard
D5655 CYTOLOGY Standard
D5659 CYTOLOGY Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6076 LABORATORY DIRECTOR Condition
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D9999 null Memo
▼ 01D2042078 Cunningham Pathology 2010 Brookwood Medical Center Drive Birmingham AL 05/05/2021 2HPA11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 01D2042085 Cunningham Pathology 50 Medical Park East Drive Birmingham AL 11/23/2022 WBJ911 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 01D2042545 North Baldwin Primary Plus 2115 Hand Avenue, Suite B Bay Minette AL 02/24/2022 K1EO11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5783 CORRECTIVE ACTIONS Standard
▼ 01D2044942 Purohit Pediatric Clinic Roanoke 4441 Highway 431, Suite 1 Roanoke AL 05/26/2021 SKS211 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 01D2044942 Purohit Pediatric Clinic Roanoke 4441 Highway 431, Suite 1 Roanoke AL 08/26/2025 Q5LW11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 01D2045609 Southeastern Skin Cancer & Dermatology 104j E Briscoe Way Madison AL 08/14/2018 UUKH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5403 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6017 LABORATORY DIRECTOR RESPONSIBILITIES Standard