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
▼ 04D0642286 Nea Baptist Clinic - Main Laboratory 4802 E Johnson Ave Jonesboro AR 04/14/2023 3E2H11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5783 CORRECTIVE ACTIONS Standard
▼ 04D0642286 Nea Baptist Clinic - Main Laboratory 4802 E Johnson Ave Jonesboro AR 08/21/2023 ETI811 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
▼ 04D0642286 Nea Baptist Clinic - Main Laboratory 4802 E Johnson Ave Jonesboro AR 01/15/2025 RI3611 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D0642295 Arkansas Methodist Medical Center 4000 Linwood Drive, Suite D Paragould AR 01/15/2019 R5VR11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5783 CORRECTIVE ACTIONS Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0642313 Izard Regional Hospital 61 Grasse Street Calico Rock AR 01/17/2019 OJPY11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5400 ANALYTIC SYSTEMS Condition
D5445 CONTROL PROCEDURES Standard
D5469 CONTROL PROCEDURES Standard
D5555 IMMUNOHEMATOLOGY Standard
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D0642313 Izard Regional Hospital 61 Grasse Street Calico Rock AR 05/27/2020 YCNR11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D6076 LABORATORY DIRECTOR Condition
D6092 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0642313 Izard Regional Hospital 61 Grasse Street Calico Rock AR 07/22/2021 VIUL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5469 CONTROL PROCEDURES Standard
D5545 HEMATOLOGY Standard
D5783 CORRECTIVE ACTIONS Standard
▼ 04D0642313 Izard Regional Hospital 61 Grasse Street Calico Rock AR 07/13/2023 THZD11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5555 IMMUNOHEMATOLOGY Standard
D5783 CORRECTIVE ACTIONS Standard
D8103 BASIC INSPECTION REQUIREMENTS Standard
▼ 04D0642313 Izard Regional Hospital 61 Grasse Street Calico Rock AR 01/08/2024 79XN11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0642313 Izard Regional Hospital 61 Grasse Street Calico Rock AR 10/28/2024 T9VE11 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