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

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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
▼ 04D0467303 Autumn Road Family Practice, Pa 904 Autumn Road, Suite 200 Little Rock AR 07/31/2026 WHD511 Standard
Deficiency Tag Deficiency Description Tag Type
D5783 CORRECTIVE ACTIONS 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
▼ 04D0467415 Woman's Clinic Diagnostic Services, The 9601 Baptist Health Drive, Suite 1200 Little Rock AR 09/06/2023 INQX11 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
▼ 04D0467415 Woman's Clinic Diagnostic Services, The 9601 Baptist Health Drive, Suite 1200 Little Rock AR 02/21/2025 KHJ311 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
▼ 04D0467474 Office Park Family Practice 1415 Breckenridge Drive Little Rock AR 10/10/2022 FYRS11 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
▼ 04D0467474 Office Park Family Practice 1415 Breckenridge Drive Little Rock AR 10/19/2022 MOKX11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2123 HEMATOLOGY Standard
▼ 04D0467525 Central Arkansas Pediatric Clinic 2301 Springhill Road, Suite 200 Benton AR 06/07/2018 CDV311 Standard
Deficiency Tag Deficiency Description Tag Type
D5781 CORRECTIVE ACTIONS Standard
▼ 04D0467525 Central Arkansas Pediatric Clinic 2301 Springhill Road, Suite 200 Benton AR 01/20/2021 XW8X11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D0467525 Central Arkansas Pediatric Clinic 2301 Springhill Road, Suite 200 Benton AR 01/06/2023 T7U611 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D0467679 Pediatric Associates Of West Memphis 108 West Tyler West Memphis AR 11/27/2019 8JVF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5783 CORRECTIVE ACTIONS Standard