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
▼ 03D2062413 Central Clinical Labs Incorporated 3720 E La Salle St, Suite 103 Phoenix AZ 03/28/2018 8Y1H11 Standard
Deficiency Tag Deficiency Description Tag Type
D5393 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5403 PROCEDURE MANUAL Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5469 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5893 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D2062413 Central Clinical Labs Incorporated 3720 E La Salle St, Suite 103 Phoenix AZ 03/10/2020 D40911 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5401 PROCEDURE MANUAL Standard
D5445 CONTROL PROCEDURES Standard
D5801 TEST REPORT Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 03D2062413 Central Clinical Labs Incorporated 3720 E La Salle St, Suite 103 Phoenix AZ 12/07/2022 LTZO11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
D5393 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5401 PROCEDURE MANUAL Standard
▼ 03D2062413 Central Clinical Labs Incorporated 3720 E La Salle St, Suite 103 Phoenix AZ 02/04/2026 E82011 Complaint
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D6108 LABORATORY TECHNICAL SUPERVISOR Condition
D6111 TECHNICAL SUPERVISOR QUALIFICATIONS Standard
D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 03D2062835 Urologic Surgeons Of Arizona, Plc 1234 S Power Rd Ste 102 Mesa AZ 06/30/2021 ZNIW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5445 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 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