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.

CMS Certification Number Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 04D0904608 Conway Womens Health Center Pa 2519 College Avenue Conway AR 05/28/2024 A6DJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6024 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0906636 Family Practice Assocs Of Clarksville 23 Professional Park Drive Clarksville AR 05/29/2018 2ZCG11 Special
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
▼ 04D0906636 Family Practice Assocs Of Clarksville 23 Professional Park Drive Clarksville AR 05/23/2019 52SQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5445 CONTROL PROCEDURES Standard
▼ 04D0906636 Family Practice Assocs Of Clarksville 23 Professional Park Drive Clarksville AR 01/27/2022 93DT11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5400 ANALYTIC SYSTEMS Condition
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5445 CONTROL PROCEDURES Standard
D5481 CONTROL PROCEDURES Standard
D5783 CORRECTIVE ACTIONS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6043 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D0906636 Family Practice Assocs Of Clarksville 23 Professional Park Drive Clarksville AR 01/17/2023 HOS911 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
▼ 04D0906636 Family Practice Assocs Of Clarksville 23 Professional Park Drive Clarksville AR 12/07/2023 FCYD11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D0906636 Family Practice Assocs Of Clarksville 23 Professional Park Drive Clarksville AR 10/14/2024 Y89K11 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
▼ 04D0906636 Family Practice Assocs Of Clarksville 23 Professional Park Drive Clarksville AR 10/29/2024 3YKQ11 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
▼ 04D0906636 Family Practice Assocs Of Clarksville 23 Professional Park Drive Clarksville AR 09/10/2025 LYPM11 Standard
Deficiency Tag Deficiency Description Tag Type
D5783 CORRECTIVE ACTIONS Standard
▼ 04D0906640 Hope Family Practice Center 820 S Main St Hope AR 05/24/2024 6OXE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard