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.

CMS Certification Number Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 03D2160722 A To Z Dermatology 1821 N Trekell Rd Suite 2 Casa Grande AZ 01/17/2024 HCLF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D5787 TEST RECORDS Standard
D5805 TEST REPORT Standard
▼ 03D2160987 Honorhealth Mesa Emergency Center 5750 E Baseline Rd Mesa AZ 08/04/2025 2SVT11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2107 ENDOCRINOLOGY Standard
D2108 ENDOCRINOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D2161303 Capstone Pathology Plc 3260 N Hayden Road Suite 207 Scottsdale AZ 01/14/2020 2O8X11 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
▼ 03D2161303 Capstone Pathology Plc 3260 N Hayden Road Suite 207 Scottsdale AZ 09/12/2024 9BMT11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5425 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D5787 TEST RECORDS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5801 TEST REPORT Standard
D5805 TEST REPORT Standard
▼ 03D2162146 Saguaro Dermatology Associates, Llc 3400 E Mcdowell Road Phoenix AZ 05/01/2024 WKPR11 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D2162437 Modern Vascular Of Tucson 2171 W Orange Grove Road Tucson AZ 08/10/2022 D7W311 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D5401 PROCEDURE MANUAL Standard
D5807 TEST REPORT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6003 LABORATORY DIRECTOR QUALIFICATIONS Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6022 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6035 TECHNICAL CONSULTANT QUALIFICATIONS Standard
▼ 03D2163901 Desert Sky Dermatology Pllc 1688 E Boston Street Suite 101 Gilbert AZ 05/13/2021 3KRF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5401 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 03D2163901 Desert Sky Dermatology Pllc 1688 E Boston Street Suite 101 Gilbert AZ 03/28/2024 LK8S11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D2165273 Biolife Plasma Services Lp 7538 E Hampton Ave Mesa AZ 02/27/2024 TN4G11 Standard
Deficiency Tag Deficiency Description Tag Type
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 03D2166113 Biolife Plasma Services Lp 3131 E Greenway Rd Phoenix AZ 08/14/2025 KB1B11 Standard
Deficiency Tag Deficiency Description Tag Type
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5775 COMPARISON OF TEST RESULTS Standard