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.

CLIA ID Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 04D0642122 Howard Memorial Hospital 130 Medical Circle Nashville AR 04/26/2023 GD5P11 Standard
Deficiency Tag Deficiency Description Tag Type
D5477 CONTROL PROCEDURES Standard
▼ 04D0642122 Howard Memorial Hospital 130 Medical Circle Nashville AR 02/06/2025 LJKZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5805 TEST REPORT Standard
▼ 04D0642180 Dewitt Hospital And Nursing Home 1641 South Whitehead Drive De Witt AR 03/29/2018 02N511 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 04D0642180 Dewitt Hospital And Nursing Home 1641 South Whitehead Drive De Witt AR 09/16/2020 GUDT11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D5445 CONTROL PROCEDURES Standard
D5469 CONTROL PROCEDURES Standard
D5481 CONTROL PROCEDURES Standard
D5545 HEMATOLOGY Standard
▼ 04D0642180 Dewitt Hospital And Nursing Home 1641 South Whitehead Drive De Witt AR 11/17/2022 1WMD11 Standard
Deficiency Tag Deficiency Description Tag Type
D5559 IMMUNOHEMATOLOGY Standard
D5783 CORRECTIVE ACTIONS Standard
▼ 04D0642180 Dewitt Hospital And Nursing Home 1641 South Whitehead Drive De Witt AR 06/12/2024 LXZ611 Standard
Deficiency Tag Deficiency Description Tag Type
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5401 PROCEDURE MANUAL Standard
▼ 04D0642180 Dewitt Hospital And Nursing Home 1641 South Whitehead Drive De Witt AR 04/09/2026 IHSP11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D0642285 Arkansas Methodist Medical Center 900 West Kingshighway Paragould AR 01/10/2019 HMQJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5441 CONTROL PROCEDURES Standard
D5451 CONTROL PROCEDURES Standard
D5469 CONTROL PROCEDURES Standard
D5481 CONTROL PROCEDURES Standard
D5781 CORRECTIVE ACTIONS Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0642286 Nea Baptist Clinic - Main Laboratory 4802 E Johnson Ave Jonesboro AR 10/31/2018 RNZL11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0642286 Nea Baptist Clinic - Main Laboratory 4802 E Johnson Ave Jonesboro AR 10/06/2021 SU5T11 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5481 CONTROL PROCEDURES Standard