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
▼ 04D0671112 John Ed Chambers Memorial Hospital 719 Detroit St Danville AR 06/19/2025 UXPA11 Standard
Deficiency Tag Deficiency Description Tag Type
D1001 CERTIFICATE OF WAIVER TESTS Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
▼ 04D0672555 Dr Ronald Smith 527 North 6th Street Blytheville AR 04/26/2021 NIJG11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D2131 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0675460 Uams-South Central 1601 West 40th Ave Pine Bluff AR 04/04/2019 O0T111 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5441 CONTROL PROCEDURES Standard
D5469 CONTROL PROCEDURES Standard
▼ 04D0675460 Uams-South Central 1601 West 40th Ave Pine Bluff AR 08/18/2021 J7BK11 Standard
Deficiency Tag Deficiency Description Tag Type
D2005 ENROLLMENT Standard
▼ 04D0678110 Hilman Family Clinic, Pa 12 Medical Lane Conway AR 07/13/2018 S4UL11 Standard
Deficiency Tag Deficiency Description Tag Type
D3037 RETENTION REQUIREMENTS Standard
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
▼ 04D0678110 Hilman Family Clinic, Pa 12 Medical Lane Conway AR 01/28/2021 CJSM11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 04D0678110 Hilman Family Clinic, Pa 12 Medical Lane Conway AR 01/05/2023 ZOD111 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3000 FACILITY ADMINISTRATION Condition
▼ 04D0678110 Hilman Family Clinic, Pa 12 Medical Lane Conway AR 01/20/2023 5UFT12 Standard
Deficiency Tag Deficiency Description Tag Type
D1002 REPORTING OF SARS-CoV-2 TEST RESULTS Condition
▼ 04D0678110 Hilman Family Clinic, Pa 12 Medical Lane Conway AR 09/12/2024 5CMW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0681086 St Bernards Physician Clinics, Inc 415 East Matthews Avenue Jonesboro AR 03/27/2019 V5UM11 Standard
Deficiency Tag Deficiency Description Tag Type
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard