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

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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
▼ 03D0890458 Arizona Desert Dermatology And Surgery, Pc 2091 N Smoke Tree Ave Suite 103 Lake Havasu City AZ 08/08/2019 2XJD11 Standard
Deficiency Tag Deficiency Description Tag Type
D5787 TEST RECORDS Standard
D5805 TEST REPORT Standard
▼ 03D0890458 Arizona Desert Dermatology And Surgery, Pc 2091 N Smoke Tree Ave Suite 103 Lake Havasu City AZ 12/29/2021 5WOW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5805 TEST REPORT Standard
▼ 03D0890458 Arizona Desert Dermatology And Surgery, Pc 2091 N Smoke Tree Ave Suite 103 Lake Havasu City AZ 05/30/2024 6DSR11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 03D0890458 Arizona Desert Dermatology And Surgery, Pc 2091 N Smoke Tree Ave Suite 103 Lake Havasu City AZ 09/30/2025 C3WQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5821 TEST REPORT Standard
▼ 03D0904391 Arizona Urology Specialists, Pllc 2260 W Orange Grove Rd, #160 Tucson AZ 01/25/2019 VME811 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5629 CYTOLOGY Standard
D5633 CYTOLOGY Standard
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5805 TEST REPORT Standard
▼ 03D0904391 Arizona Urology Specialists, Pllc 2260 W Orange Grove Rd, #160 Tucson AZ 10/19/2022 L8PD11 Special
Deficiency Tag Deficiency Description Tag Type
D5032 CYTOLOGY Condition
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5629 CYTOLOGY Standard
D5633 CYTOLOGY Standard
D5637 CYTOLOGY Standard
D5641 CYTOLOGY Standard
D5645 CYTOLOGY Standard
D5647 CYTOLOGY Standard
D5655 CYTOLOGY Standard
D6115 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6130 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6133 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D9999 null Memo
▼ 03D0909740 Spectrum Veterinary, Llc Dba Spectrum Labs 2801 S 35th St Phoenix AZ 02/12/2018 YXGX11 Standard
Deficiency Tag Deficiency Description Tag Type
D5205 COMPLAINT INVESTIGATIONS Standard
D5407 PROCEDURE MANUAL Standard
D6076 LABORATORY DIRECTOR Condition
D6078 LABORATORY DIRECTOR QUALIFICATIONS Standard
▼ 03D0912335 Associated Dermatologists Pc 1055 N La Canada, Ste 125 Green Valley AZ 10/15/2020 261611 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5403 PROCEDURE MANUAL Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 03D0912335 Associated Dermatologists Pc 1055 N La Canada, Ste 125 Green Valley AZ 11/20/2024 CCOL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 03D0916496 Clear Dermatology & Aesthetics Center 8406 E Shea Blvd, Ste 100 Scottsdale AZ 06/08/2018 RLKW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5607 HISTOPATHOLOGY Standard
D5805 TEST REPORT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard