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
▼ 04D0468136 Pocahontas Medical Clinic P A 2901 Medical Center Drive, Suite 500 Pocahontas AR 12/29/2021 TYOX11 Standard
Deficiency Tag Deficiency Description Tag Type
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 04D0468136 Pocahontas Medical Clinic P A 2901 Medical Center Drive, Suite 500 Pocahontas AR 11/15/2023 CDGE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
▼ 04D0468144 Five Rivers Medical Center 2801 Medical Center Drive Pocahontas AR 02/22/2018 3BNT11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5553 IMMUNOHEMATOLOGY Standard
D5783 CORRECTIVE ACTIONS Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D0468144 Five Rivers Medical Center 2801 Medical Center Drive Pocahontas AR 09/06/2018 8KEN11 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
▼ 04D0468144 Five Rivers Medical Center 2801 Medical Center Drive Pocahontas AR 01/28/2019 GTV511 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2017 REINSTATEMENT OF NONWAIVED LABORATORIES Condition
D2087 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0468144 Five Rivers Medical Center 2801 Medical Center Drive Pocahontas AR 12/05/2019 ZL9111 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5449 CONTROL PROCEDURES Standard
D5481 CONTROL PROCEDURES Standard
D5783 CORRECTIVE ACTIONS Standard
▼ 04D0468144 Five Rivers Medical Center 2801 Medical Center Drive Pocahontas AR 07/08/2022 N37I11 Standard
Deficiency Tag Deficiency Description Tag Type
D5469 CONTROL PROCEDURES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0468144 Five Rivers Medical Center 2801 Medical Center Drive Pocahontas AR 08/29/2023 NFUV11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2118 TOXICOLOGY Standard
D2119 TOXICOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0468144 Five Rivers Medical Center 2801 Medical Center Drive Pocahontas AR 04/26/2024 73RI11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5469 CONTROL PROCEDURES Standard
D5555 IMMUNOHEMATOLOGY Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0468144 Five Rivers Medical Center 2801 Medical Center Drive Pocahontas AR 02/12/2026 MX5U11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5441 CONTROL PROCEDURES Standard
D5479 CONTROL PROCEDURES Standard