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.

CMS Certification Number Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 03D2086604 Arizona Spine And Pain Specialists, Plc 17235 N 75th Ave, Bldg A, Ste A-110 Glendale AZ 12/10/2019 YHUE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5305 TEST REQUEST Standard
▼ 03D2087820 Bloom Reproductive Institute, Pllc 8415 N Pima Rd, Ste 290 Scottsdale AZ 09/10/2019 HDWM11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 03D2087820 Bloom Reproductive Institute, Pllc 8415 N Pima Rd, Ste 290 Scottsdale AZ 05/09/2024 6D5411 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2105 ENDOCRINOLOGY Standard
D2107 ENDOCRINOLOGY Standard
D2108 ENDOCRINOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D2087820 Bloom Reproductive Institute, Pllc 8415 N Pima Rd, Ste 290 Scottsdale AZ 08/23/2024 DC0011 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2107 ENDOCRINOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D2089517 Dermatology & Skin Surgery Specialists Of Arizona 8415 N Pima Rd Ste 212 Scottsdale AZ 07/20/2022 89Y411 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 03D2089517 Dermatology & Skin Surgery Specialists Of Arizona 8415 N Pima Rd Ste 212 Scottsdale AZ 09/24/2024 762911 Standard
Deficiency Tag Deficiency Description Tag Type
D5473 CONTROL PROCEDURES Standard
▼ 03D2089918 Southwest Pathology/P4 Diagnostix 6101 S Rural Rd, Ste 102 Tempe AZ 01/13/2020 XMCN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D5805 TEST REPORT Standard
▼ 03D2089918 Southwest Pathology/P4 Diagnostix 6101 S Rural Rd, Ste 102 Tempe AZ 10/05/2022 0H6111 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D5473 CONTROL PROCEDURES Standard
D5633 CYTOLOGY Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 03D2090034 Advanced Diagnostic Labs Llc 11030 N Tatum Blvd, Bldg F, Ste 101b Phoenix AZ 03/11/2020 4DS211 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D3031 RETENTION REQUIREMENTS Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5401 PROCEDURE MANUAL Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 03D2090034 Advanced Diagnostic Labs Llc 11030 N Tatum Blvd, Bldg F, Ste 101b Phoenix AZ 11/16/2022 VAZU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5301 TEST REQUEST Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard