S&C QCOR CLIA 2567s
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CLIA 2567s
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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
▼ 03D2004764 White Mountain Dermatology 7100 N Overfield Road Casa Grande AZ 01/04/2022 F1FL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D2006336 Cyrex Laboratories, Llc 2602 S 24th St Phoenix AZ 12/07/2018 3U8W11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D2006336 Cyrex Laboratories, Llc 2602 S 24th St Phoenix AZ 02/23/2024 HKFZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5475 CONTROL PROCEDURES Standard
▼ 03D2006536 Pdp Az Dermatopathology Lab 6320 W Union Hills Dr, Bldg A Ste 200 Glendale AZ 06/05/2019 TJ5K11 Standard
Deficiency Tag Deficiency Description Tag Type
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 03D2006536 Pdp Az Dermatopathology Lab 6320 W Union Hills Dr, Bldg A Ste 200 Glendale AZ 06/18/2021 DMB611 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5473 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D2006536 Pdp Az Dermatopathology Lab 6320 W Union Hills Dr, Bldg A Ste 200 Glendale AZ 12/06/2023 00X211 Standard
Deficiency Tag Deficiency Description Tag Type
D5475 CONTROL PROCEDURES Standard
▼ 03D2006536 Pdp Az Dermatopathology Lab 6320 W Union Hills Dr, Bldg A Ste 200 Glendale AZ 06/11/2025 BBEH11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 03D2006566 Cchci Vista Pediatrics Suite 700 155 Calle Portal, Ste 700 Sierra Vista AZ 04/24/2018 YRBJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D2008065 Arizona Gastrointestinal Associates, Plc 20100 N 51st Ave Ste 615 Glendale AZ 08/12/2021 KHDI11 Standard
Deficiency Tag Deficiency Description Tag Type
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 03D2008065 Arizona Gastrointestinal Associates, Plc 20100 N 51st Ave Ste 615 Glendale AZ 03/14/2024 384Y11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5425 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5475 CONTROL PROCEDURES Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6168 TESTING PERSONNEL Condition
D6171 TESTING PERSONNEL QUALIFICATIONS Standard