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

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
▼ 03D2185042 Foot And Ankle Specialists Of Arizona 18301 N 79th Ave Bldg F, #168 Glendale AZ 04/08/2025 QP8M11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 03D2185575 Pathogen Dx, Inc 1230 E Pennsylvania Ste 102 Tucson AZ 08/09/2022 984O11 Standard
Deficiency Tag Deficiency Description Tag Type
D3005 FACILITIES Standard
D3031 RETENTION REQUIREMENTS Standard
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5805 TEST REPORT Standard
D6076 LABORATORY DIRECTOR Condition
D6099 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6134 CLINICAL CONSULTANT Condition
D6135 CLINICAL CONSULTANT QUALIFICATIONS Standard
▼ 03D2188616 Regency Specialties 14725 W Mountain View Blvd, Suite 100 Surprise AZ 10/17/2022 H5SK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D2190532 Avant Dermatology & Aesthetics 8580 N Oracle Rd Ste 140 Oro Valley AZ 02/21/2023 LGTO11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D2190610 Omni Dermatology 10204 W Happy Valley Pkwy #165 Peoria AZ 05/09/2023 GVMV11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D2191156 Biolife Plasma Services Lp 1655 N 107th Ave Avondale AZ 03/01/2023 HTQE11 Standard
Deficiency Tag Deficiency Description Tag Type
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D2192829 Prn Diagnostics, Llc 7007 E Main St Mesa AZ 05/27/2022 N2HC11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5305 TEST REQUEST Standard
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5400 ANALYTIC SYSTEMS Condition
D5401 PROCEDURE MANUAL Standard
D5403 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5425 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D5441 CONTROL PROCEDURES Standard
D5445 CONTROL PROCEDURES Standard
D5469 CONTROL PROCEDURES Standard
D5481 CONTROL PROCEDURES Standard
D5775 COMPARISON OF TEST RESULTS Standard
D5783 CORRECTIVE ACTIONS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5801 TEST REPORT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6076 LABORATORY DIRECTOR Condition
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6086 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6095 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6096 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6108 LABORATORY TECHNICAL SUPERVISOR Condition
D6115 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6117 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6118 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 03D2192900 Fountain Hills Medical Center, Llc 9700 N Saguaro Blvd Fountain Hills AZ 07/25/2023 2QF311 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5445 CONTROL PROCEDURES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6041 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6042 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6051 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 03D2194734 Freedom Health Interventional Centers 6036 N 19th Ave Ste 204 Phoenix AZ 07/14/2023 9SXD11 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D2131 HEMATOLOGY Standard
D5401 PROCEDURE MANUAL Standard
▼ 03D2194734 Freedom Health Interventional Centers 6036 N 19th Ave Ste 204 Phoenix AZ 01/09/2025 GDSU11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D2131 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard