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.

CMS Certification Number Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 04D0468124 Piggott Family Medical Clinic 425 W Jackson Street Piggott AR 04/12/2018 8PHI11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5805 TEST REPORT Standard
▼ 04D0468124 Piggott Family Medical Clinic 425 W Jackson Street Piggott AR 09/15/2022 QUKR11 Standard
Deficiency Tag Deficiency Description Tag Type
D1001 CERTIFICATE OF WAIVER TESTS Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
▼ 04D0468124 Piggott Family Medical Clinic 425 W Jackson Street Piggott AR 08/13/2024 NLRG11 Standard
Deficiency Tag Deficiency Description Tag Type
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D0468125 Piggott Community Hospital Laboratory 1206 Gordon Duckworth Drive Piggott AR 01/22/2018 7IK011 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2173 COMPATIBILITY TESTING Standard
D6076 LABORATORY DIRECTOR Condition
D6092 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0468125 Piggott Community Hospital Laboratory 1206 Gordon Duckworth Drive Piggott AR 08/30/2018 2PWG11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5024 HEMATOLOGY Condition
D5547 HEMATOLOGY Standard
D5781 CORRECTIVE ACTIONS Standard
D5805 TEST REPORT Standard
▼ 04D0468125 Piggott Community Hospital Laboratory 1206 Gordon Duckworth Drive Piggott AR 04/28/2021 9JKB11 Standard
Deficiency Tag Deficiency Description Tag Type
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5447 CONTROL PROCEDURES Standard
D5551 IMMUNOHEMATOLOGY Standard
D5553 IMMUNOHEMATOLOGY Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0468125 Piggott Community Hospital Laboratory 1206 Gordon Duckworth Drive Piggott AR 04/13/2023 5MC711 Standard
Deficiency Tag Deficiency Description Tag Type
D5447 CONTROL PROCEDURES Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 04D0468125 Piggott Community Hospital Laboratory 1206 Gordon Duckworth Drive Piggott AR 11/20/2024 M1Z611 Standard
Deficiency Tag Deficiency Description Tag Type
D5555 IMMUNOHEMATOLOGY Standard
▼ 04D0468125 Piggott Community Hospital Laboratory 1206 Gordon Duckworth Drive Piggott AR 12/01/2025 IBJF11 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
▼ 04D0468136 Pocahontas Medical Clinic P A 2901 Medical Center Drive, Suite 500 Pocahontas AR 04/10/2019 3UZ311 Standard
Deficiency Tag Deficiency Description Tag Type
D1001 CERTIFICATE OF WAIVER TESTS Standard
D5469 CONTROL PROCEDURES Standard