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
▼ 04D0693675 Drew County Laboratory 778 Scogin Drive Monticello AR 01/25/2019 C55V11 Standard
Deficiency Tag Deficiency Description Tag Type
D5317 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5481 CONTROL PROCEDURES Standard
D5785 CORRECTIVE ACTIONS Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 04D0693675 Drew County Laboratory 778 Scogin Drive Monticello AR 07/09/2021 VH2Y11 Standard
Deficiency Tag Deficiency Description Tag Type
D3015 REQUIREMENTS FOR TRANSFUSION SERVICES Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5441 CONTROL PROCEDURES Standard
D5445 CONTROL PROCEDURES Standard
D5553 IMMUNOHEMATOLOGY Standard
D5783 CORRECTIVE ACTIONS Standard
D5785 CORRECTIVE ACTIONS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 04D0693675 Drew County Laboratory 778 Scogin Drive Monticello AR 10/25/2021 FURK11 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
▼ 04D0693675 Drew County Laboratory 778 Scogin Drive Monticello AR 08/25/2023 ITSX11 Standard
Deficiency Tag Deficiency Description Tag Type
D3000 FACILITY ADMINISTRATION Condition
D3015 REQUIREMENTS FOR TRANSFUSION SERVICES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0693675 Drew County Laboratory 778 Scogin Drive Monticello AR 05/22/2025 9B8J11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5783 CORRECTIVE ACTIONS Standard
▼ 04D0693675 Drew County Laboratory 778 Scogin Drive Monticello AR 07/25/2025 LHX711 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
▼ 04D0696277 Wynne Physicians Clinic, Llc 710 South Falls Wynne AR 01/05/2018 6W7412 Standard
Deficiency Tag Deficiency Description Tag Type
D5785 CORRECTIVE ACTIONS null
▼ 04D0696277 Wynne Physicians Clinic, Llc 710 South Falls Wynne AR 02/14/2024 8NCQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D2010 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 04D0696277 Wynne Physicians Clinic, Llc 710 South Falls Wynne AR 12/16/2025 G5YT11 Standard
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
▼ 04D0696799 Westgate Family Medicine 2266 Albert Pike Road Hot Springs AR 01/04/2023 LS7311 Standard
Deficiency Tag Deficiency Description Tag Type
D5785 CORRECTIVE ACTIONS Standard