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
▼ 03D2297839 Goodman Dermatology And Mohs Surgery Pllc 9151 W Thunderbird Rd Ste G104 Peoria AZ 09/23/2025 GXGE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5407 PROCEDURE MANUAL Standard
▼ 03D2298125 Healthyskin Dermatology 1430 E Ft Lowell Rd Ste 120 Tucson AZ 10/09/2025 4YEF11 Standard
Deficiency Tag Deficiency Description Tag Type
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 03D2300295 Goodman Dermatology And Mohs Surgery Pllc 9935 W Royal Oak Rd Sun City AZ 09/23/2025 CMK711 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5407 PROCEDURE MANUAL Standard
▼ 03D2302976 El Mirage Er & Medical Center 12000 N El Mirage Rd El Mirage AZ 02/03/2026 9FZV11 Standard
Deficiency Tag Deficiency Description Tag Type
D2005 ENROLLMENT Standard
D2006 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 03D2303946 Peak Dermatology 16838 E Palisades Blvd Ste 105 Fountain Hills AZ 02/26/2026 3WIO11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 03D2304817 Gravitas Surgical Solutions Llc 2218 N 3rd St Phoenix AZ 02/17/2026 0I2711 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5403 PROCEDURE MANUAL Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
D5445 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6015 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6032 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
▼ 03D2306414 Payson Dermatology 715 S Beeline Hwy Payson AZ 01/13/2026 HV5511 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
▼ 04D0049580 Mena Regional Health System 311 North Morrow Street Mena AR 01/23/2020 2UFY11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3000 FACILITY ADMINISTRATION Condition
D3015 REQUIREMENTS FOR TRANSFUSION SERVICES Standard
D3025 REQUIREMENTS FOR TRANSFUSION SERVICES Standard
D5026 IMMUNOHEMATOLOGY Condition
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5400 ANALYTIC SYSTEMS Condition
D5403 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5445 CONTROL PROCEDURES Standard
D5469 CONTROL PROCEDURES Standard
D5477 CONTROL PROCEDURES Standard
D5481 CONTROL PROCEDURES Standard
D5507 BACTERIOLOGY Standard
D5545 HEMATOLOGY Standard
D5553 IMMUNOHEMATOLOGY Standard
D5559 IMMUNOHEMATOLOGY Standard
D5783 CORRECTIVE ACTIONS Standard
D6076 LABORATORY DIRECTOR Condition
D6096 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6106 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0049580 Mena Regional Health System 311 North Morrow Street Mena AR 10/27/2022 5FXC11 Complaint
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3015 REQUIREMENTS FOR TRANSFUSION SERVICES Standard
D5400 ANALYTIC SYSTEMS Condition
D5553 IMMUNOHEMATOLOGY Standard
D5559 IMMUNOHEMATOLOGY Standard
D5787 TEST RECORDS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6076 LABORATORY DIRECTOR Condition
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6168 TESTING PERSONNEL Condition
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 04D0049580 Mena Regional Health System 311 North Morrow Street Mena AR 12/18/2024 HT2R11 Complaint
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5317 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5400 ANALYTIC SYSTEMS Condition
D5407 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5441 CONTROL PROCEDURES Standard
D5481 CONTROL PROCEDURES Standard
D5545 HEMATOLOGY Standard
D5553 IMMUNOHEMATOLOGY Standard
D5555 IMMUNOHEMATOLOGY Standard
D5783 CORRECTIVE ACTIONS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6042 TECHNICAL CONSULTANT RESPONSIBILITIES Standard