S&C QCOR CLIA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
CLIA 2567s
Selection Criteria

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.

CMS Certification Number Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
04D0642180 Dewitt Hospital And Nursing Home 1641 South Whitehead Drive De Witt AR 11/17/2022 1WMD11 Standard
Deficiency Tag Deficiency Description Tag Type
D5559 IMMUNOHEMATOLOGY Standard
D5783 CORRECTIVE ACTIONS Standard
04D0642180 Dewitt Hospital And Nursing Home 1641 South Whitehead Drive De Witt AR 06/12/2024 LXZ611 Standard
Deficiency Tag Deficiency Description Tag Type
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5401 PROCEDURE MANUAL Standard
04D0642285 Arkansas Methodist Medical Center 900 West Kingshighway Paragould AR 01/10/2019 HMQJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5441 CONTROL PROCEDURES Standard
D5451 CONTROL PROCEDURES Standard
D5469 CONTROL PROCEDURES Standard
D5481 CONTROL PROCEDURES Standard
D5781 CORRECTIVE ACTIONS Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
04D0642286 Nea Baptist Clinic - Main Laboratory 4802 E Johnson Ave Jonesboro AR 10/31/2018 RNZL11 Standard
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
04D0642286 Nea Baptist Clinic - Main Laboratory 4802 E Johnson Ave Jonesboro AR 10/06/2021 SU5T11 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5481 CONTROL PROCEDURES Standard
04D0642286 Nea Baptist Clinic - Main Laboratory 4802 E Johnson Ave Jonesboro AR 04/14/2023 3E2H11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5783 CORRECTIVE ACTIONS Standard
04D0642286 Nea Baptist Clinic - Main Laboratory 4802 E Johnson Ave Jonesboro AR 08/21/2023 ETI811 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
04D0642286 Nea Baptist Clinic - Main Laboratory 4802 E Johnson Ave Jonesboro AR 01/15/2025 RI3611 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
04D0642295 Arkansas Methodist Medical Center 4000 Linwood Drive, Suite D Paragould AR 01/15/2019 R5VR11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5783 CORRECTIVE ACTIONS Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
04D0642313 Izard Regional Hospital 61 Grasse Street Calico Rock AR 01/17/2019 OJPY11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5400 ANALYTIC SYSTEMS Condition
D5445 CONTROL PROCEDURES Standard
D5469 CONTROL PROCEDURES Standard
D5555 IMMUNOHEMATOLOGY Standard
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard