S&C QCOR CLIA 2567s
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CLIA 2567s
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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
▼ 04D0696799 Westgate Family Medicine 2266 Albert Pike Road Hot Springs AR 08/22/2024 R9SG11 Standard
Deficiency Tag Deficiency Description Tag Type
D2010 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D0696892 Dermatology Clinic Pa, The 3633 Central Avenue, Suite N Hot Springs AR 01/24/2023 RT6H11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D0697409 Wrmc Surgery Clinic 501 Virginia Drive Batesville AR 06/19/2025 4MJ111 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
▼ 04D0697597 St Bernards Physician Clinics, Inc 21110 Hwy 18 East Monette AR 09/19/2018 2WUM11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
▼ 04D0697597 St Bernards Physician Clinics, Inc 21110 Hwy 18 East Monette AR 04/30/2021 B7QK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
▼ 04D0697597 St Bernards Physician Clinics, Inc 21110 Hwy 18 East Monette AR 11/22/2024 LFNF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5779 CORRECTIVE ACTIONS Standard
▼ 04D0699364 Hot Springs Pediatric Clinic Pa 1920 Malvern Avenue Hot Springs AR 02/10/2021 O2PO11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 04D0699949 Baptist Health Medical Center Nlr Resp Care Dept 3333 Springhill Drive North Little Rock AR 07/16/2024 62B611 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0701554 Hamilton West Family Medicine 1629 Airport Road Suite B Hot Springs AR 05/18/2023 NVR611 Standard
Deficiency Tag Deficiency Description Tag Type
D5893 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 04D0703611 Dr John Michael Carney 11321 Interstate-30, Suite 201 Little Rock AR 02/05/2021 028E11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard