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
▼ 01D2102839 Greystone Family Medicine Pc 6930 Cahaba Valley Road Suite 102 Birmingham AL 11/21/2019 B9TM11 Standard
Deficiency Tag Deficiency Description Tag Type
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5213 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 01D2104515 Dba Alabama Oncology 3670 Grandview Pkwy Suite 200 Birmingham AL 11/07/2019 5H9H11 Standard
Deficiency Tag Deficiency Description Tag Type
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 01D2104515 Dba Alabama Oncology 3670 Grandview Pkwy Suite 200 Birmingham AL 04/26/2022 HL8B11 Standard
Deficiency Tag Deficiency Description Tag Type
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 01D2104515 Dba Alabama Oncology 3670 Grandview Pkwy Suite 200 Birmingham AL 05/02/2024 HCIH11 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2001 ENROLLMENT Standard
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6041 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6072 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 01D2104538 Jackson Hospital & Clinic, Inc 2175 Us Hwy 31 N Deatsville AL 03/15/2018 MIL512 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES null
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE null
D5437 CALIBRATION AND CALIBRATION VERIFICATION null
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT null
▼ 01D2104538 Jackson Hospital & Clinic, Inc 2175 Us Hwy 31 N Deatsville AL 10/16/2019 Q34B11 Standard
Deficiency Tag Deficiency Description Tag Type
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5441 CONTROL PROCEDURES Standard
▼ 01D2104538 Jackson Hospital & Clinic, Inc 2175 Us Hwy 31 N Deatsville AL 07/20/2022 MIG811 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6017 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 01D2104538 Jackson Hospital & Clinic, Inc 2175 Us Hwy 31 N Deatsville AL 03/28/2024 1HWZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D2131 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 01D2104846 Baptist Convenient Care - Millbrook 101 Kelley Blvd Suite D Millbrook AL 03/05/2018 K0OW12 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES null
D3031 RETENTION REQUIREMENTS null
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE null
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE null
D5441 CONTROL PROCEDURES null
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT null
D5805 TEST REPORT null
D6017 LABORATORY DIRECTOR RESPONSIBILITIES null
▼ 01D2104846 Baptist Convenient Care - Millbrook 101 Kelley Blvd Suite D Millbrook AL 02/04/2022 SCO011 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2123 HEMATOLOGY Standard
D2130 HEMATOLOGY Standard