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
▼ 03D2194734 Freedom Health Interventional Centers 6036 N 19th Ave Ste 204 Phoenix AZ 07/22/2025 13EI11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2014 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5016 ROUTINE CHEMISTRY Condition
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
D5445 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6035 TECHNICAL CONSULTANT QUALIFICATIONS Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 03D2206671 Scottsdale Skin Boutique And Dermatology 11333 N Scottsdale Rd, Suite 115 Scottsdale AZ 07/10/2023 S3D511 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D5801 TEST REPORT Standard
▼ 03D2209937 Clear Dermatology & Aesthetics Center 7125 E Lincoln Dr Paradise Valley AZ 09/15/2025 QKLH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5787 TEST RECORDS Standard
▼ 03D2210184 National Cardiovascular Associates, Llc 10825 W Mcdowell Rd, Suite 320 Avondale AZ 10/19/2023 KN3I11 Standard
Deficiency Tag Deficiency Description Tag Type
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
D5469 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D2211250 Chandler Surgical Center, Plc 600 S Dobson Rd Ste B16 Chandler AZ 10/04/2023 ZGW211 Standard
Deficiency Tag Deficiency Description Tag Type
D5301 TEST REQUEST Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 03D2214742 Hematology Oncology Associates Of North 3003 Hwy 95 Ste G73 Bullhead City AZ 04/04/2024 938W11 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D5024 HEMATOLOGY Condition
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5401 PROCEDURE MANUAL Standard
D5403 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5425 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5445 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5801 TEST REPORT Standard
D5805 TEST REPORT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6015 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6022 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6031 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6040 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6041 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6042 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 03D2219579 Dmc Dermatology & Mohs, Llc 4715 E Camp Lowell Tucson AZ 11/08/2023 FFQ211 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
D5473 CONTROL PROCEDURES Standard
D5801 TEST REPORT Standard
D5805 TEST REPORT Standard
▼ 03D2221783 Arizona Skin Buckeye 825 S Watson Rd #107 Buckeye AZ 12/06/2023 11L611 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D5787 TEST RECORDS Standard
D5805 TEST REPORT Standard
▼ 03D2221783 Arizona Skin Buckeye 825 S Watson Rd #107 Buckeye AZ 11/19/2025 PRCG11 Standard
Deficiency Tag Deficiency Description Tag Type
D5801 TEST REPORT Standard
▼ 03D2225610 Advanced Spine And Pain Llc 2525 W Greenway Rd Ste 125 Phoenix AZ 06/25/2024 1O2V11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5407 PROCEDURE MANUAL Standard
D5469 CONTROL PROCEDURES Standard