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

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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.

CLIA ID Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 04D0469265 Oklahoma Blood Institute, Arkansas Blood Institute 5300 South U Street Fort Smith AR 02/23/2018 H15G11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2011 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2013 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D6076 LABORATORY DIRECTOR Condition
D6088 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6089 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0469307 Mercy Hospital Booneville 880 West Main Street Booneville AR 11/29/2018 ER6Q11 Standard
Deficiency Tag Deficiency Description Tag Type
D5481 CONTROL PROCEDURES Standard
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 04D0469307 Mercy Hospital Booneville 880 West Main Street Booneville AR 06/18/2021 VD3X11 Standard
Deficiency Tag Deficiency Description Tag Type
D5441 CONTROL PROCEDURES Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 04D0469307 Mercy Hospital Booneville 880 West Main Street Booneville AR 10/10/2022 PXN411 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2181 COMPATIBILITY TESTING Standard
D6076 LABORATORY DIRECTOR Condition
D6089 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0469307 Mercy Hospital Booneville 880 West Main Street Booneville AR 07/31/2023 2MBU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5024 HEMATOLOGY Condition
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5441 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 04D0469307 Mercy Hospital Booneville 880 West Main Street Booneville AR 05/01/2025 WLUB11 Standard
Deficiency Tag Deficiency Description Tag Type
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5401 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5441 CONTROL PROCEDURES Standard
D5469 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6076 LABORATORY DIRECTOR Condition
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0469373 Mercy Waldron 1341 W 6th St Waldron AR 02/06/2019 QV6211 Standard
Deficiency Tag Deficiency Description Tag Type
D5469 CONTROL PROCEDURES Standard
D5481 CONTROL PROCEDURES Standard
D5551 IMMUNOHEMATOLOGY Standard
▼ 04D0469373 Mercy Waldron 1341 W 6th St Waldron AR 03/22/2021 MT7D11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D2107 ENDOCRINOLOGY Standard
D2108 ENDOCRINOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0469373 Mercy Waldron 1341 W 6th St Waldron AR 07/23/2021 N7SQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5781 CORRECTIVE ACTIONS Standard
D5783 CORRECTIVE ACTIONS Standard
▼ 04D0469373 Mercy Waldron 1341 W 6th St Waldron AR 10/29/2021 EYM411 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