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

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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
▼ 02D0641826 Cordova Community Medical Center 602 Chase Avenue Cordova AK 11/08/2022 9G7O11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 02D0641826 Cordova Community Medical Center 602 Chase Avenue Cordova AK 09/26/2024 FRD311 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 02D0641830 Camai Community Health Center Inc 2 School Road Naknek AK 04/13/2021 RF6X11 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5445 CONTROL PROCEDURES Standard
D5807 TEST REPORT Standard
D6030 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 02D0641830 Camai Community Health Center Inc 2 School Road Naknek AK 02/28/2023 2SYP11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 02D0641835 Iliuliuk Family & Health Services Inc 34 Lavelle Court Unalaska AK 07/19/2019 R75111 Standard
Deficiency Tag Deficiency Description Tag Type
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 02D0641837 Providence Valdez Medical Center 911 Meals Avenue Valdez AK 02/20/2019 QTRD11 Standard
Deficiency Tag Deficiency Description Tag Type
D5787 TEST RECORDS Standard
▼ 02D0641837 Providence Valdez Medical Center 911 Meals Avenue Valdez AK 02/22/2021 JC8511 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2181 COMPATIBILITY TESTING Standard
▼ 02D0641837 Providence Valdez Medical Center 911 Meals Avenue Valdez AK 04/06/2021 R10111 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5401 PROCEDURE MANUAL Standard
D5551 IMMUNOHEMATOLOGY Standard
D5555 IMMUNOHEMATOLOGY Standard
▼ 02D0641837 Providence Valdez Medical Center 911 Meals Avenue Valdez AK 06/20/2023 68I111 Standard
Deficiency Tag Deficiency Description Tag Type
D5449 CONTROL PROCEDURES Standard
▼ 02D0641837 Providence Valdez Medical Center 911 Meals Avenue Valdez AK 07/09/2025 X24L11 Standard
Deficiency Tag Deficiency Description Tag Type
D6106 LABORATORY DIRECTOR RESPONSIBILITIES Standard