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.

CLIA ID Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 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
▼ 03D2092106 Center For Dermatology, Pllc 11209 Tatum Blvd, Ste 175 Phoenix AZ 07/23/2024 FHVN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D5803 TEST REPORT Standard
▼ 03D2092106 Center For Dermatology, Pllc 11209 Tatum Blvd, Ste 175 Phoenix AZ 10/21/2025 IJF211 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5401 PROCEDURE MANUAL Standard
D5801 TEST REPORT Standard
▼ 03D2092594 Omni Dermatology, Inc 9305 W Thomas Rd, Ste 305 Phoenix AZ 04/06/2018 49L611 Standard
Deficiency Tag Deficiency Description Tag Type
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D2092598 Omni Dermatology, Inc 11851 N 51st Ave Ste E130 Glendale AZ 05/17/2019 OBSE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard