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.

CMS Certification Number Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 03D2064240 Sierra Vista Pathology Pc 5700 E Hwy 90 Sierra Vista AZ 04/24/2018 6RT111 Standard
Deficiency Tag Deficiency Description Tag Type
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 03D2064240 Sierra Vista Pathology Pc 5700 E Hwy 90 Sierra Vista AZ 02/27/2023 66H411 Standard
Deficiency Tag Deficiency Description Tag Type
D5637 CYTOLOGY Standard
D5645 CYTOLOGY Standard
D6133 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 03D2066117 Bingham Dermatology Group 2855 E Brown Rd Ste 28 Mesa AZ 05/04/2018 QB5P11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 03D2066117 Bingham Dermatology Group 2855 E Brown Rd Ste 28 Mesa AZ 09/24/2020 H0WR11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 03D2066117 Bingham Dermatology Group 2855 E Brown Rd Ste 28 Mesa AZ 01/14/2025 23W911 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 03D2066470 Desert Star Institute For Family Planning 5501 N 19th Ave Ste 420 Phoenix AZ 04/27/2018 7ULM11 Standard
Deficiency Tag Deficiency Description Tag Type
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 03D2066470 Desert Star Institute For Family Planning 5501 N 19th Ave Ste 420 Phoenix AZ 07/24/2023 J8TD11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2016 SUCCESSFUL PARTICIPATION Condition
D2153 ABO GROUP AND D(RHO) TYPING Standard
D2159 ABO GROUP AND D(RHO) TYPING Standard
D2160 ABO GROUP AND D(RHO) TYPING Standard
D2162 ABO GROUP AND D(RHO) TYPING Standard
D2163 ABO GROUP AND D(RHO) TYPING Standard
D5026 IMMUNOHEMATOLOGY Condition
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5403 PROCEDURE MANUAL Standard
D5441 CONTROL PROCEDURES Standard
D5445 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6041 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6049 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6051 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6052 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6072 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 03D2067119 Pathlab Inc 4266 Industry Dr, Ste 1 Sierra Vista AZ 11/17/2020 9BN011 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D2067119 Pathlab Inc 4266 Industry Dr, Ste 1 Sierra Vista AZ 02/27/2023 DDDS11 Standard
Deficiency Tag Deficiency Description Tag Type
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 03D2067119 Pathlab Inc 4266 Industry Dr, Ste 1 Sierra Vista AZ 03/11/2025 RKS011 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5473 CONTROL PROCEDURES Standard
D5805 TEST REPORT Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard