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
▼ 03D2057816 Yuma Dermatology 1079 W 23rd Street Yuma AZ 02/13/2023 GQ7Q11 Standard
Deficiency Tag Deficiency Description Tag Type
D5473 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D2058341 Prescott Healthcare Solutions, Llc Dba 3151 N Windsong Dr Prescott Valley AZ 08/08/2018 5NYQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5801 TEST REPORT Standard
D5805 TEST REPORT Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 03D2058341 Prescott Healthcare Solutions, Llc Dba 3151 N Windsong Dr Prescott Valley AZ 11/27/2019 8D4W11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2094 ROUTINE CHEMISTRY Standard
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D2058341 Prescott Healthcare Solutions, Llc Dba 3151 N Windsong Dr Prescott Valley AZ 10/23/2020 PBI611 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5305 TEST REQUEST Standard
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5469 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5801 TEST REPORT Standard
▼ 03D2058341 Prescott Healthcare Solutions, Llc Dba 3151 N Windsong Dr Prescott Valley AZ 11/10/2022 HFGR11 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5305 TEST REQUEST Standard
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5779 CORRECTIVE ACTIONS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5801 TEST REPORT Standard
D5805 TEST REPORT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 03D2058341 Prescott Healthcare Solutions, Llc Dba 3151 N Windsong Dr Prescott Valley AZ 08/22/2023 FXZY11 Complaint
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5200 GENERAL LABORATORY SYSTEMS Condition
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5403 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5779 CORRECTIVE ACTIONS Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D2058341 Prescott Healthcare Solutions, Llc Dba 3151 N Windsong Dr Prescott Valley AZ 01/27/2025 2D6911 Standard
Deficiency Tag Deficiency Description Tag Type
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 03D2058341 Prescott Healthcare Solutions, Llc Dba 3151 N Windsong Dr Prescott Valley AZ 06/22/2026 9ZCN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5813 TEST REPORT Standard
▼ 03D2058719 Henderson Skin And Cancer 2821 W Horizon Ridge Pkwy Ste 211 Henderson NV 03/23/2022 MQSL11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 03D2058719 Henderson Skin And Cancer 2821 W Horizon Ridge Pkwy Ste 211 Henderson NV 02/25/2026 1O3B11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5305 TEST REQUEST Standard