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
▼ 02D0641854 Petersburg Medical Center 103 Fram Street Petersburg AK 09/18/2019 75VW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5445 CONTROL PROCEDURES Standard
▼ 02D0641854 Petersburg Medical Center 103 Fram Street Petersburg AK 10/25/2023 BPB311 Standard
Deficiency Tag Deficiency Description Tag Type
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 02D0641854 Petersburg Medical Center 103 Fram Street Petersburg AK 11/19/2025 L4I011 Standard
Deficiency Tag Deficiency Description Tag Type
D5441 CONTROL PROCEDURES Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 02D0663791 South Peninsula Hospital 4300 Bartlett St Homer AK 05/22/2018 3FWM11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2028 BACTERIOLOGY Standard
D2191 ANTIBODY IDENTIFICATION Standard
▼ 02D0663791 South Peninsula Hospital 4300 Bartlett St Homer AK 09/09/2020 UE8311 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2046 MYCOLOGY Standard
▼ 02D0663791 South Peninsula Hospital 4300 Bartlett St Homer AK 04/20/2021 9NS111 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 02D0663791 South Peninsula Hospital 4300 Bartlett St Homer AK 11/07/2021 WFWY11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
▼ 02D0663791 South Peninsula Hospital 4300 Bartlett St Homer AK 08/25/2022 JK7T11 Complaint
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5401 PROCEDURE MANUAL Standard
▼ 02D0663791 South Peninsula Hospital 4300 Bartlett St Homer AK 12/11/2024 0KPV11 Standard
Deficiency Tag Deficiency Description Tag Type
D5449 CONTROL PROCEDURES Standard
▼ 02D0671921 Kuparuk Medical Clinic Koc Spine Road Prudhoe Bay AK 12/17/2025 QLZ711 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard