S&C QCOR CLIA 2567s
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CLIA 2567s
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Time Interval

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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.

CLIA ID Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 04D0465328 Barry V Thompson, Md, Pa 103 East Third Avenue Crossett AR 04/12/2019 HI6P11 Standard
Deficiency Tag Deficiency Description Tag Type
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 04D0465341 Family Clinic Of Ashley County Pa 909 Unity Road Crossett AR 06/20/2018 9IDI11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0465341 Family Clinic Of Ashley County Pa 909 Unity Road Crossett AR 10/28/2020 VYU611 Standard
Deficiency Tag Deficiency Description Tag Type
D6056 CLINICAL CONSULTANT Condition
D6059 CLINICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D0465341 Family Clinic Of Ashley County Pa 909 Unity Road Crossett AR 12/29/2020 XS5F11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0465341 Family Clinic Of Ashley County Pa 909 Unity Road Crossett AR 12/02/2022 MM1211 Standard
Deficiency Tag Deficiency Description Tag Type
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D0465341 Family Clinic Of Ashley County Pa 909 Unity Road Crossett AR 12/18/2023 GBJ911 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 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
▼ 04D0465341 Family Clinic Of Ashley County Pa 909 Unity Road Crossett AR 04/30/2026 U8W811 Standard
Deficiency Tag Deficiency Description Tag Type
D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES 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