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
▼ 04D0465641 Magnolia Regional Health System Inc 101 Hospital Drive Magnolia AR 03/24/2023 GVG711 Standard
Deficiency Tag Deficiency Description Tag Type
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D0465641 Magnolia Regional Health System Inc 101 Hospital Drive Magnolia AR 12/12/2024 H51R11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5783 CORRECTIVE ACTIONS Standard
▼ 04D0465678 Southwest Arkansas Regional Medical Center 2001 South Main Street Hope AR 01/22/2026 1URR11 Standard
Deficiency Tag Deficiency Description Tag Type
D5317 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0465694 Little River Memorial Hospital 451 West Locke Street Ashdown AR 04/04/2018 851711 Complaint
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5400 ANALYTIC SYSTEMS Condition
D5441 CONTROL PROCEDURES Standard
D5783 CORRECTIVE ACTIONS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6025 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6043 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6044 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D0465694 Little River Memorial Hospital 451 West Locke Street Ashdown AR 10/05/2018 48QK11 Standard
Deficiency Tag Deficiency Description Tag Type
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5469 CONTROL PROCEDURES Standard
D5775 COMPARISON OF TEST RESULTS Standard
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0465694 Little River Memorial Hospital 451 West Locke Street Ashdown AR 03/22/2021 S20R11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0465694 Little River Memorial Hospital 451 West Locke Street Ashdown AR 04/15/2021 T9IG11 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2128 HEMATOLOGY Standard
D3031 RETENTION REQUIREMENTS Standard
D5301 TEST REQUEST Standard
D5400 ANALYTIC SYSTEMS Condition
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5537 ROUTINE CHEMISTRY Standard
D5783 CORRECTIVE ACTIONS Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6051 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6069 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 04D0465694 Little River Memorial Hospital 451 West Locke Street Ashdown AR 05/17/2023 JRX811 Standard
Deficiency Tag Deficiency Description Tag Type
D5783 CORRECTIVE ACTIONS Standard
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 04D0465694 Little River Memorial Hospital 451 West Locke Street Ashdown AR 01/31/2025 JMIU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5555 IMMUNOHEMATOLOGY Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6106 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0465694 Little River Memorial Hospital 451 West Locke Street Ashdown AR 12/01/2025 FM9B11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard