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
▼ 04D0468584 Fayetteville Diagnostic Clinic 3344 North Futrall Drive Fayetteville AR 04/01/2021 JP8811 Standard
Deficiency Tag Deficiency Description Tag Type
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5449 CONTROL PROCEDURES Standard
D5537 ROUTINE CHEMISTRY Standard
▼ 04D0468584 Fayetteville Diagnostic Clinic 3344 North Futrall Drive Fayetteville AR 11/16/2022 010Z11 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
▼ 04D0468584 Fayetteville Diagnostic Clinic 3344 North Futrall Drive Fayetteville AR 01/14/2026 PHMP11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0468591 Parkhill Clinic For Women 3215 N North Hills Boulevard, Suite 3 Fayetteville AR 09/07/2023 JRWC11 Standard
Deficiency Tag Deficiency Description Tag Type
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5441 CONTROL PROCEDURES Standard
D5805 TEST REPORT Standard
▼ 04D0468598 Pat Walker Health Center, University Of Ar, Fayett Pat Walker Health Center, University Of Arkansas Fayetteville AR 07/19/2018 BTR211 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5469 CONTROL PROCEDURES Standard
D5783 CORRECTIVE ACTIONS Standard
▼ 04D0468598 Pat Walker Health Center, University Of Ar, Fayett Pat Walker Health Center, University Of Arkansas Fayetteville AR 03/08/2023 FQ3311 Standard
Deficiency Tag Deficiency Description Tag Type
D5783 CORRECTIVE ACTIONS Standard
▼ 04D0468602 North Hills Dermatology Pllc 3256 N Northhills Boulevard Fayetteville AR 03/27/2018 YC1611 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D0468729 Gentry Medical Center 643 East Third Street Gentry AR 06/19/2018 NSBJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5481 CONTROL PROCEDURES Standard
▼ 04D0468729 Gentry Medical Center 643 East Third Street Gentry AR 05/28/2019 D1N211 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
▼ 04D0468729 Gentry Medical Center 643 East Third Street Gentry AR 01/15/2020 VQ0J11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard