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
▼ 03D2101446 Omni Dermatology, Inc 4515 S Mcclintock Dr Ste 101 Tempe AZ 07/24/2024 9A4M11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 03D2101861 Advanced Dermatology Of Arizona 740 E Highland Ave, Ste 203 Phoenix AZ 11/15/2024 5NLX11 Standard
Deficiency Tag Deficiency Description Tag Type
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D2102434 Hamblin Dermatology Pllc 5300 S Sutter Dr Ste 1 Show Low AZ 06/05/2023 W5D011 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D2102434 Hamblin Dermatology Pllc 5300 S Sutter Dr Ste 1 Show Low AZ 01/14/2025 KX0711 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D2103356 Haven Health Sky Harbor 1880 E Van Buren St Phoenix AZ 03/26/2019 B1UO11 Standard
Deficiency Tag Deficiency Description Tag Type
D5801 TEST REPORT Standard
D5819 TEST REPORT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6045 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 03D2103356 Haven Health Sky Harbor 1880 E Van Buren St Phoenix AZ 05/13/2020 Y3IB11 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
▼ 03D2103356 Haven Health Sky Harbor 1880 E Van Buren St Phoenix AZ 05/26/2021 H8F911 Standard
Deficiency Tag Deficiency Description Tag Type
D5301 TEST REQUEST Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5801 TEST REPORT Standard
▼ 03D2103356 Haven Health Sky Harbor 1880 E Van Buren St Phoenix AZ 01/08/2025 ZY7711 Special
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
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D2103500 Phoenix Neurological Institute 2000 E Southern Ave Ste 106 Tempe AZ 09/19/2018 Z4JE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5469 CONTROL PROCEDURES Standard
D5785 CORRECTIVE ACTIONS Standard
D5787 TEST RECORDS Standard
▼ 03D2103500 Phoenix Neurological Institute 2000 E Southern Ave Ste 106 Tempe AZ 11/18/2020 NR8A11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard