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.

CMS Certification Number Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 04D0719487 North Hills Surgery Center 3271 North Wimberly Drive, Ste 1 Fayetteville AR 02/10/2023 DLWK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5441 CONTROL PROCEDURES Standard
▼ 04D0719487 North Hills Surgery Center 3271 North Wimberly Drive, Ste 1 Fayetteville AR 09/27/2024 XRZX11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5445 CONTROL PROCEDURES Standard
▼ 04D0721589 Mena Regional Health System Respiratory Care 311 North Morrow Mena AR 06/19/2018 RJVX11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D0857702 Piggott Community Hospital Respiratory Therapy 1206 Gordon Duckworth Drive Piggott AR 04/29/2021 9H4S11 Standard
Deficiency Tag Deficiency Description Tag Type
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D0859547 Bearden Health Center 150 School St Bearden AR 01/04/2018 RS4I11 Standard
Deficiency Tag Deficiency Description Tag Type
D5785 CORRECTIVE ACTIONS Standard
▼ 04D0859547 Bearden Health Center 150 School St Bearden AR 08/16/2022 M11Q11 Standard
Deficiency Tag Deficiency Description Tag Type
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0859556 Lewisville Family Practice Center 1117 South Chestnut Street Lewisville AR 07/31/2018 MZ4D11 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 04D0871044 Glenwood Family Medicine 248 Highway 70 East Glenwood AR 09/26/2019 BMAP11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5401 PROCEDURE MANUAL Standard
▼ 04D0872195 Mcgehee Family Clinic 1507 South 1st Street Mcgehee AR 04/12/2018 6JA911 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 04D0872195 Mcgehee Family Clinic 1507 South 1st Street Mcgehee AR 08/14/2019 S11L11 Standard
Deficiency Tag Deficiency Description Tag Type
D1001 CERTIFICATE OF WAIVER TESTS Standard
D5441 CONTROL PROCEDURES Standard
D6056 CLINICAL CONSULTANT Condition
D6059 CLINICAL CONSULTANT RESPONSIBILITIES Standard