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.

CLIA ID Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 04D0468338 Baxter Health Fulton County Hospital 679 N Main St Salem AR 10/25/2018 XOZN11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5783 CORRECTIVE ACTIONS Standard
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 04D0468338 Baxter Health Fulton County Hospital 679 N Main St Salem AR 04/16/2021 2NSP11 Standard
Deficiency Tag Deficiency Description Tag Type
D5317 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D0468338 Baxter Health Fulton County Hospital 679 N Main St Salem AR 05/03/2023 YNLJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5026 IMMUNOHEMATOLOGY Condition
D5400 ANALYTIC SYSTEMS Condition
D5401 PROCEDURE MANUAL Standard
D5441 CONTROL PROCEDURES Standard
D5551 IMMUNOHEMATOLOGY Standard
D5783 CORRECTIVE ACTIONS Standard
D6076 LABORATORY DIRECTOR Condition
D6087 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6089 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 04D0468338 Baxter Health Fulton County Hospital 679 N Main St Salem AR 01/23/2025 RIX711 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5407 PROCEDURE MANUAL Standard
▼ 04D0468338 Baxter Health Fulton County Hospital 679 N Main St Salem AR 11/04/2025 HCGQ11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2172 UNEXPECTED ANTIBODY DETECTION Standard
D2181 COMPATIBILITY TESTING Standard
D6076 LABORATORY DIRECTOR Condition
D6089 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0468338 Baxter Health Fulton County Hospital 679 N Main St Salem AR 06/09/2026 8N4O11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2076 GENERAL IMMUNOLOGY Standard
D2084 GENERAL IMMUNOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0468385 Mcclintock Family Medicine 306 North Chestnut Street Harrison AR 05/01/2019 QYDW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5783 CORRECTIVE ACTIONS Standard
D5785 CORRECTIVE ACTIONS Standard
▼ 04D0468429 Mercy Clinic Berryville 207 Carter Street Berryville AR 03/09/2021 UZIN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0468429 Mercy Clinic Berryville 207 Carter Street Berryville AR 12/07/2022 7PD811 Standard
Deficiency Tag Deficiency Description Tag Type
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
▼ 04D0468513 Regional Family Medicine 630 Burnett Drive Mountain Home AR 01/27/2021 039S11 Standard
Deficiency Tag Deficiency Description Tag Type
D5469 CONTROL PROCEDURES Standard