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
▼ 03D0694296 Evernorth Care Group 5891 W Eugie Ave Glendale AZ 03/23/2018 YJZP11 Standard
Deficiency Tag Deficiency Description Tag Type
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D3037 RETENTION REQUIREMENTS Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 03D0694296 Evernorth Care Group 5891 W Eugie Ave Glendale AZ 03/17/2020 KN0U11 Standard
Deficiency Tag Deficiency Description Tag Type
D5801 TEST REPORT Standard
D5805 TEST REPORT Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 03D0694296 Evernorth Care Group 5891 W Eugie Ave Glendale AZ 01/24/2023 F65N11 Standard
Deficiency Tag Deficiency Description Tag Type
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D0697872 Associated Dermatologists, Pc 6296 E Grant Rd, Ste 180 Tucson AZ 07/19/2018 DPI411 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5407 PROCEDURE MANUAL Standard
D5473 CONTROL PROCEDURES Standard
▼ 03D0697872 Associated Dermatologists, Pc 6296 E Grant Rd, Ste 180 Tucson AZ 08/25/2023 Y5N711 Standard
Deficiency Tag Deficiency Description Tag Type
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6168 TESTING PERSONNEL Condition
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 03D0700237 Desert West Obgyn 6678 W Thunderbird Rd Glendale AZ 05/15/2019 W4DP11 Standard
Deficiency Tag Deficiency Description Tag Type
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5775 COMPARISON OF TEST RESULTS Standard
▼ 03D0704110 Nih Niddk Pecrb Decrs 1550 E Indian School Rd Phoenix AZ 11/02/2021 BPNC11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 03D0704110 Nih Niddk Pecrb Decrs 1550 E Indian School Rd Phoenix AZ 11/02/2021 DD3K11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3000 FACILITY ADMINISTRATION Condition
▼ 03D0704110 Nih Niddk Pecrb Decrs 1550 E Indian School Rd Phoenix AZ 08/29/2023 OQ3211 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D0704110 Nih Niddk Pecrb Decrs 1550 E Indian School Rd Phoenix AZ 04/26/2024 EWUV11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2107 ENDOCRINOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard