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.

CMS Certification Number Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 03D2166143 Octapharma Plasma, Inc 9124 E Apache Trail Suite 1 Mesa AZ 06/02/2021 IUAF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5469 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D2169167 Honorhealth Asc Pathology Services, Llc 4045 E Bell Rd #139b Phoenix AZ 08/20/2021 9R8V11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 03D2169343 Peak Diagnostic Services, Llc 4045 E Bell Rd #139a Phoenix AZ 08/20/2021 SSGK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 03D2170496 Forefront Dermatology, Sc Dba Arizona 1000 Ainsworth Dr Ste 330 Prescott AZ 10/05/2021 UR2F11 Standard
Deficiency Tag Deficiency Description Tag Type
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 03D2172591 Arizona State Urology Llc 6525 W Sack Drive Suite 201 Glendale AZ 01/25/2022 SAKM11 Standard
Deficiency Tag Deficiency Description Tag Type
D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5445 CONTROL PROCEDURES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D2172591 Arizona State Urology Llc 6525 W Sack Drive Suite 201 Glendale AZ 11/06/2024 1JVH11 Standard
Deficiency Tag Deficiency Description Tag Type
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D3037 RETENTION REQUIREMENTS Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D2174132 Center For Dermatology - Wickenburg 519 Rose Lane Wickenburg AZ 01/18/2022 XQ4J11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5805 TEST REPORT Standard
▼ 03D2174133 Center For Dermatology, Pllc - Skin Science 2777 E Camelback Rd Ste 140 Phoenix AZ 10/29/2024 HF3A11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D2176971 Gi Pathology Consultants Of Arizona, Llc 6525 N 59th Street Paradise Valley AZ 08/02/2022 G92V11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D5805 TEST REPORT Standard
▼ 03D2176971 Gi Pathology Consultants Of Arizona, Llc 6525 N 59th Street Paradise Valley AZ 02/04/2025 76B411 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard