S&C QCOR CLIA 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
CLIA 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

US State or Territory:

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
▼ 04D0465341 Family Clinic Of Ashley County Pa 909 Unity Road Crossett AR 09/19/2024 FFML11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D0465364 Delta Memorial Hospital 811 Highway 65 S Dumas AR 10/12/2018 P5CN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D0465364 Delta Memorial Hospital 811 Highway 65 S Dumas AR 03/22/2021 L05111 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2107 ENDOCRINOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0465364 Delta Memorial Hospital 811 Highway 65 S Dumas AR 05/20/2021 5VXR11 Standard
Deficiency Tag Deficiency Description Tag Type
D2005 ENROLLMENT Standard
D5445 CONTROL PROCEDURES Standard
D5469 CONTROL PROCEDURES Standard
▼ 04D0465364 Delta Memorial Hospital 811 Highway 65 S Dumas AR 10/26/2021 1QNB11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2087 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0465364 Delta Memorial Hospital 811 Highway 65 S Dumas AR 06/01/2023 5ADT11 Standard
Deficiency Tag Deficiency Description Tag Type
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5551 IMMUNOHEMATOLOGY Standard
▼ 04D0465364 Delta Memorial Hospital 811 Highway 65 S Dumas AR 03/13/2025 2SUC11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5471 CONTROL PROCEDURES Standard
▼ 04D0465387 Chicot Memorial Medical Center 2729 S Hwy 65 & 82 Lake Village AR 09/06/2018 9CTI11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5471 CONTROL PROCEDURES Standard
D5555 IMMUNOHEMATOLOGY Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 04D0465387 Chicot Memorial Medical Center 2729 S Hwy 65 & 82 Lake Village AR 05/06/2021 2T6I11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5441 CONTROL PROCEDURES Standard
D5545 HEMATOLOGY Standard
▼ 04D0465387 Chicot Memorial Medical Center 2729 S Hwy 65 & 82 Lake Village AR 03/31/2023 48JS11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5783 CORRECTIVE ACTIONS Standard