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.

CLIA ID Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 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
▼ 03D2300898 New Direction Fertility Center-Scottsdale 8901 E Mountain View Rd Scottsdale AZ 04/15/2026 NQ0O11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2107 ENDOCRINOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES 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
▼ 03D2314813 Blca Health Llc Dba Gameday Men's Health Laveen 7205 S 51st Ave Ste 201 Laveen AZ 04/09/2026 E4NC11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5301 TEST REQUEST Standard
D5403 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5781 CORRECTIVE ACTIONS Standard
▼ 03D2316751 Peak Dermatology 13921 W Grand Ave Bldg E Ste 501 Surprise AZ 05/26/2026 FVL911 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5607 HISTOPATHOLOGY Standard
▼ 03D2324573 Honorhealth Shea Cvasc Dba 9003 Shea Blvd Ste F-101 Scottsdale AZ 05/21/2026 C4GM11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D6052 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 03D2325736 Fox Dermatology And Aesthetics 3514 N Power Rd Ste 123 Mesa AZ 06/05/2026 9C7D11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard