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

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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
04D0703618 Little Rock Pediatric Clinic 500 South University, Suite 615 Little Rock AR 01/08/2018 8HE512 Standard
Deficiency Tag Deficiency Description Tag Type
D2010 TESTING OF PROFICIENCY TESTING SAMPLES null
D5481 CONTROL PROCEDURES null
04D0703618 Little Rock Pediatric Clinic 500 South University, Suite 615 Little Rock AR 05/16/2019 N0DP11 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
04D0703618 Little Rock Pediatric Clinic 500 South University, Suite 615 Little Rock AR 01/26/2022 T16Y11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
04D0703618 Little Rock Pediatric Clinic 500 South University, Suite 615 Little Rock AR 12/15/2023 F1NM11 Standard
Deficiency Tag Deficiency Description Tag Type
D5783 CORRECTIVE ACTIONS Standard
04D0710916 St Vincent Morrilton Respiratory #4 Hospital Drive Morrilton AR 11/07/2018 4MLQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
04D0712705 Nea Baptist Red Wolf Clinic 3001 Apache Drive Jonesboro AR 01/30/2018 G22L11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
04D0712705 Nea Baptist Red Wolf Clinic 3001 Apache Drive Jonesboro AR 03/05/2018 TUIM11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2017 REINSTATEMENT OF NONWAIVED LABORATORIES Condition
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
04D0712705 Nea Baptist Red Wolf Clinic 3001 Apache Drive Jonesboro AR 03/13/2024 G2AH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5783 CORRECTIVE ACTIONS Standard
04D0712705 Nea Baptist Red Wolf Clinic 3001 Apache Drive Jonesboro AR 12/03/2025 CLP811 Standard
Deficiency Tag Deficiency Description Tag Type
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
04D0719487 North Hills Surgery Center 3271 North Wimberly Drive, Ste 1 Fayetteville AR 02/24/2021 NT6111 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard