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
▼ 04D0467077 Prime Medical Group Pllc 9601 Baptist Health Drive Little Rock AR 09/23/2020 IR6011 Standard
Deficiency Tag Deficiency Description Tag Type
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 04D0467077 Prime Medical Group Pllc 9601 Baptist Health Drive Little Rock AR 08/08/2024 RDW311 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5805 TEST REPORT Standard
▼ 04D0467077 Prime Medical Group Pllc 9601 Baptist Health Drive Little Rock AR 03/20/2026 7L8U11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5473 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 04D0467220 All For Kids Pediatric Clinic 904 Autumn Road, Suite 100 Little Rock AR 05/02/2019 9CSI11 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
▼ 04D0467256 Arkansas Pediatric Clinic 500 South University, Suite 317 Little Rock AR 01/17/2018 T43D12 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2007 TESTING OF PROFICIENCY TESTING SAMPLES null
D5024 HEMATOLOGY null
D5447 CONTROL PROCEDURES null
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR null
D6020 LABORATORY DIRECTOR RESPONSIBILITIES null
D6029 LABORATORY DIRECTOR RESPONSIBILITIES null
D6032 LABORATORY DIRECTOR RESPONSIBILITIES null
D6063 LABORATORY TESTING PERSONNEL null
D6065 TESTING PERSONNEL QUALIFICATIONS null
▼ 04D0467282 Central Medical Group 1 St Vincent Circle, Suite 350 Little Rock AR 07/22/2019 OK3J11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0467303 Autumn Road Family Practice, Pa 904 Autumn Road, Suite 200 Little Rock AR 03/18/2021 Y0MW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5469 CONTROL PROCEDURES Standard
▼ 04D0467303 Autumn Road Family Practice, Pa 904 Autumn Road, Suite 200 Little Rock AR 02/06/2023 WZS911 Standard
Deficiency Tag Deficiency Description Tag Type
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
▼ 04D0467303 Autumn Road Family Practice, Pa 904 Autumn Road, Suite 200 Little Rock AR 09/17/2024 31MY11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D0467334 Little Rock Dermatology Clinic, Pa 500 S University Ave, Suite 301 Little Rock AR 02/08/2023 OIGI11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard