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
▼ 03D2008875 Csl Plasma, Inc- Tucson 4775 S Butterfield Dr Ste 175-195 Tucson AZ 04/11/2019 82V611 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 03D2012104 Southwest Skin Specialists, Ltd 5010 E Shea Blvd, Ste 130 Scottsdale AZ 08/08/2024 4HNR11 Standard
Deficiency Tag Deficiency Description Tag Type
D5779 CORRECTIVE ACTIONS Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 03D2016741 Desert Pain And Rehab Specialists 11047 N 19th Ave Phoenix AZ 01/12/2018 SCD112 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS null
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT null
D5305 TEST REQUEST null
D5401 PROCEDURE MANUAL null
D5427 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE null
D5433 MAINTENANCE AND FUNCTION CHECKS null
D5447 CONTROL PROCEDURES null
D5481 CONTROL PROCEDURES null
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT null
D6076 LABORATORY DIRECTOR null
D6093 LABORATORY DIRECTOR RESPONSIBILITIES null
D6102 LABORATORY DIRECTOR RESPONSIBILITIES null
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES null
▼ 03D2016741 Desert Pain And Rehab Specialists 11047 N 19th Ave Phoenix AZ 08/21/2019 LU6111 Standard
Deficiency Tag Deficiency Description Tag Type
D3027 RETENTION REQUIREMENTS Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 03D2017722 Alliance Dermatology 313 S Beeline Hwy Payson AZ 09/20/2019 6C7911 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5473 CONTROL PROCEDURES Standard
D5781 CORRECTIVE ACTIONS Standard
▼ 03D2017722 Alliance Dermatology 313 S Beeline Hwy Payson AZ 09/04/2024 X0LO11 Standard
Deficiency Tag Deficiency Description Tag Type
D5473 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D2017722 Alliance Dermatology 313 S Beeline Hwy Payson AZ 01/13/2026 XAXR11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5401 PROCEDURE MANUAL Standard
D5805 TEST REPORT Standard
▼ 03D2018247 Grand Canyon Dermatology 1150 North Country Club Dr, Ste 6 Mesa AZ 02/24/2026 GHWC11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D2018941 Cchci Pediatric Center Of Excellence 815 15th Street Douglas AZ 04/24/2018 7MII11 Standard
Deficiency Tag Deficiency Description Tag Type
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D2024481 Saguaro Dermatology Ahwatukee 4425 E Agave Rd, Ste 148 Phoenix AZ 03/21/2018 HDPX11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard