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
▼ 03D2179254 Arizona Center For Pain Relief 2745 S Alma School Rd Ste M6 Chandler AZ 08/03/2022 ITD011 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5785 CORRECTIVE ACTIONS Standard
▼ 03D2179368 Caris Mpi, Inc Dba Caris Life Sciences 1527 E Apollo Rd Phoenix AZ 08/23/2022 T2FC11 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
▼ 03D2179370 Caris Mpi, Inc Dba Caris Life Sciences 14210 N 14th St Phoenix AZ 08/24/2022 8R5I11 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
▼ 03D2179563 Oasis Dermatology 1055 N La Canada Drive, Ste 101 Green Valley AZ 09/22/2022 HXRQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5801 TEST REPORT Standard
▼ 03D2179673 Old Pueblo Healthcare Llc 3151 N Windsong Dr Prescott Valley AZ 11/10/2022 63O811 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5801 TEST REPORT Standard
D5805 TEST REPORT Standard
D5821 TEST REPORT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 03D2179852 Caris Mpi, Inc Dba Caris Life Science 10541 N 50th Pl Paradise Valley AZ 08/24/2022 Q1J711 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
▼ 03D2179955 Caris Mpi, Inc Dba Caris Life Science 1540 W Blaylock Dr Phoenix AZ 08/24/2022 OMXF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
▼ 03D2180037 Tgen North, Clinical Laboratory 3051 W Shamrell Blvd, Ste 106 Flagstaff AZ 07/14/2022 LE9O11 Standard
Deficiency Tag Deficiency Description Tag Type
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 03D2181294 Thomas Dermatology 2350 Miracle Mile Ste 600 Bullhead City AZ 02/02/2023 9LTN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5400 ANALYTIC SYSTEMS Condition
D5403 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5473 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D2181294 Thomas Dermatology 2350 Miracle Mile Ste 600 Bullhead City AZ 05/06/2025 ZF8R11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard