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
▼ 03D2130280 White Mountain Dermatology 50078 Ehrenberg Rd Ehrenberg AZ 07/17/2018 MYF411 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 03D2131385 Low Country Pathology Associates 11873 E Bella Vista Dr Scottsdale AZ 06/08/2018 RUDP11 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
▼ 03D2132603 Advanced Dermatology Of Arizona 8817 E Bell Rd, #101 Scottsdale AZ 09/20/2024 ULSS11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5805 TEST REPORT Standard
▼ 03D2132876 Wellbeing Institute 3615 N Prince Village Place, Ste 121 Tucson AZ 10/19/2018 0SZR11 Standard
Deficiency Tag Deficiency Description Tag Type
D5305 TEST REQUEST Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5801 TEST REPORT Standard
▼ 03D2132876 Wellbeing Institute 3615 N Prince Village Place, Ste 121 Tucson AZ 08/25/2023 E0EU11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5301 TEST REQUEST Standard
D5469 CONTROL PROCEDURES Standard
D5781 CORRECTIVE ACTIONS Standard
D5787 TEST RECORDS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5801 TEST REPORT Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 03D2134511 English Dermatology Skin Cancer Treatment 3011 S Lindsay Rd Ste 110 Gilbert AZ 08/16/2018 FO6S11 Standard
Deficiency Tag Deficiency Description Tag Type
D5819 TEST REPORT Standard
▼ 03D2135367 Surprise Health & Rehabilitation Center 14660 W Parkwood Dr Surprise AZ 11/17/2022 822U11 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5301 TEST REQUEST Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5445 CONTROL PROCEDURES Standard
D5787 TEST RECORDS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5801 TEST REPORT Standard
D5805 TEST REPORT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 03D2135367 Surprise Health & Rehabilitation Center 14660 W Parkwood Dr Surprise AZ 04/29/2025 HMX411 Standard
Deficiency Tag Deficiency Description Tag Type
D5463 CONTROL PROCEDURES Standard
D5787 TEST RECORDS Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 03D2136692 White Mountain Dermatology 7303 E Main St, Ste 112 Mesa AZ 10/31/2018 VLTH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 03D2137548 Clear Sky Dermatology Llc 2620 N 140th Ave Goodyear AZ 11/21/2018 KEP811 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5473 CONTROL PROCEDURES Standard