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
▼ 04D0667580 Baptist Health Medical Center-Stuttgart 1703 North Buerkle Stuttgart AR 11/19/2021 6EPD11 Standard
Deficiency Tag Deficiency Description Tag Type
D5481 CONTROL PROCEDURES Standard
▼ 04D0667580 Baptist Health Medical Center-Stuttgart 1703 North Buerkle Stuttgart AR 07/24/2025 J79D11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5441 CONTROL PROCEDURES Standard
D5783 CORRECTIVE ACTIONS Standard
▼ 04D0667580 Baptist Health Medical Center-Stuttgart 1703 North Buerkle Stuttgart AR 04/28/2026 4OSX11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0669583 Rogers Family Practice 1615 B West Persimmon Rogers AR 06/28/2021 Q8TQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6043 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D0671112 John Ed Chambers Memorial Hospital 719 Detroit St Danville AR 05/31/2018 CZI812 Standard
Deficiency Tag Deficiency Description Tag Type
D5024 HEMATOLOGY null
D5317 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL null
D5400 ANALYTIC SYSTEMS null
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT null
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT null
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT null
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT null
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE null
D5431 MAINTENANCE AND FUNCTION CHECKS null
D5441 CONTROL PROCEDURES null
D5469 CONTROL PROCEDURES null
D5559 IMMUNOHEMATOLOGY null
D5779 CORRECTIVE ACTIONS null
D5781 CORRECTIVE ACTIONS null
D5789 TEST RECORDS null
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR null
D6014 LABORATORY DIRECTOR RESPONSIBILITIES null
D6023 LABORATORY DIRECTOR RESPONSIBILITIES null
D6024 LABORATORY DIRECTOR RESPONSIBILITIES null
D6076 LABORATORY DIRECTOR null
D6096 LABORATORY DIRECTOR RESPONSIBILITIES null
▼ 04D0671112 John Ed Chambers Memorial Hospital 719 Detroit St Danville AR 10/06/2021 QXON11 Standard
Deficiency Tag Deficiency Description Tag Type
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D0671112 John Ed Chambers Memorial Hospital 719 Detroit St Danville AR 06/19/2025 UXPA11 Standard
Deficiency Tag Deficiency Description Tag Type
D1001 CERTIFICATE OF WAIVER TESTS Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
▼ 04D0672555 Dr Ronald Smith 527 North 6th Street Blytheville AR 04/26/2021 NIJG11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D2131 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0675460 Uams-South Central 1601 West 40th Ave Pine Bluff AR 04/04/2019 O0T111 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5441 CONTROL PROCEDURES Standard
D5469 CONTROL PROCEDURES Standard
▼ 04D0675460 Uams-South Central 1601 West 40th Ave Pine Bluff AR 08/18/2021 J7BK11 Standard
Deficiency Tag Deficiency Description Tag Type
D2005 ENROLLMENT Standard