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

Use these filters if you know the name (or partial name) of the facility you are searching for.

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
▼ 03D0916496 Clear Dermatology & Aesthetics Center 8406 E Shea Blvd, Ste 100 Scottsdale AZ 04/13/2023 GHJV11 Standard
Deficiency Tag Deficiency Description Tag Type
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D5473 CONTROL PROCEDURES Standard
▼ 03D0926253 South Mountain Post Acute 8008 South Jesse Owens Parkway Phoenix AZ 03/30/2023 CBII11 Standard
Deficiency Tag Deficiency Description Tag Type
D3041 RETENTION REQUIREMENTS Standard
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5445 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5893 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6022 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D0928112 Sunview Respiratory And Rehabilitation 12207 N 113th Ave Youngtown AZ 06/10/2021 YDHF11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5301 TEST REQUEST Standard
D5407 PROCEDURE MANUAL Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 03D0928112 Sunview Respiratory And Rehabilitation 12207 N 113th Ave Youngtown AZ 11/28/2023 DRQZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5301 TEST REQUEST Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 03D0929747 Tempe St Luke's Pulmonary Lab 1500 S Mill Ave Tempe AZ 10/09/2019 KSH511 Standard
Deficiency Tag Deficiency Description Tag Type
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 03D0929747 Tempe St Luke's Pulmonary Lab 1500 S Mill Ave Tempe AZ 10/18/2022 TW2611 Standard
Deficiency Tag Deficiency Description Tag Type
D2005 ENROLLMENT Standard
D3031 RETENTION REQUIREMENTS Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5301 TEST REQUEST Standard
D5813 TEST REPORT Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 03D0930456 Epiphany Dermatology 1916 Paseo San Luis Sierra Vista AZ 10/23/2019 3MO911 Standard
Deficiency Tag Deficiency Description Tag Type
D5445 CONTROL PROCEDURES Standard
D5473 CONTROL PROCEDURES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D0930456 Epiphany Dermatology 1916 Paseo San Luis Sierra Vista AZ 08/22/2022 05H411 Standard
Deficiency Tag Deficiency Description Tag Type
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D0930898 Thomas Dermatology 1801 Mesquite Ave Lake Havasu City AZ 08/22/2022 A5MC11 Standard
Deficiency Tag Deficiency Description Tag Type
D3043 RETENTION REQUIREMENTS Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D5805 TEST REPORT Standard
▼ 03D0930898 Thomas Dermatology 1801 Mesquite Ave Lake Havasu City AZ 09/26/2024 XUB711 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5805 TEST REPORT Standard