S&C QCOR CLIA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
CLIA 2567s
Selection Criteria

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.

CLIA ID Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
02D2326195 Advanced Dermatology Of Alaska, Llc 1100 E Dimond Blvd Anchorage AK 05/28/2026 5QA511 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
02D2327985 Mat-Su Dermatology 2250 S Woodworth Loop, Ste 101 Palmer AK 04/08/2026 3LLD11 Standard
Deficiency Tag Deficiency Description Tag Type
D2003 ENROLLMENT Standard
03D0057138 Maricopa County Public Health Lab 1645 East Roosevelt Street Phoenix AZ 04/20/2023 8YKG11 Standard
Deficiency Tag Deficiency Description Tag Type
D5445 CONTROL PROCEDURES Standard
D6042 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
03D0057396 Evernorth Care Group 1840 S Stapley Dr Ste 101 Mesa AZ 09/18/2018 9CHX11 Standard
Deficiency Tag Deficiency Description Tag Type
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
03D0057396 Evernorth Care Group 1840 S Stapley Dr Ste 101 Mesa AZ 10/04/2023 VHC111 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5813 TEST REPORT Standard
03D0057856 Campus Health Services 1224 E Lowell St Tucson AZ 09/26/2023 B7GK11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2020 BACTERIOLOGY Standard
D2026 BACTERIOLOGY Standard
D2028 BACTERIOLOGY Standard
D6076 LABORATORY DIRECTOR Condition
D6089 LABORATORY DIRECTOR RESPONSIBILITIES Standard
03D0057856 Campus Health Services 1224 E Lowell St Tucson AZ 10/28/2025 0ECK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
03D0057923 North Country Healthcare Inc 300 S 6th Street Williams AZ 06/13/2018 I41211 Standard
Deficiency Tag Deficiency Description Tag Type
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5407 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6023 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
03D0057925 Little Colorado Medical Center 1501 N Williamson Avenue Winslow AZ 05/10/2018 GJVT11 Standard
Deficiency Tag Deficiency Description Tag Type
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5445 CONTROL PROCEDURES Standard
D5775 COMPARISON OF TEST RESULTS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
03D0057925 Little Colorado Medical Center 1501 N Williamson Avenue Winslow AZ 05/19/2021 230N11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5445 CONTROL PROCEDURES Standard
D5473 CONTROL PROCEDURES Standard
D5775 COMPARISON OF TEST RESULTS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5801 TEST REPORT Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard