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.

CLIA ID Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 04D0678110 Hilman Family Clinic, Pa 12 Medical Lane Conway AR 07/13/2018 S4UL11 Standard
Deficiency Tag Deficiency Description Tag Type
D3037 RETENTION REQUIREMENTS Standard
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
▼ 04D0678110 Hilman Family Clinic, Pa 12 Medical Lane Conway AR 01/28/2021 CJSM11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 04D0678110 Hilman Family Clinic, Pa 12 Medical Lane Conway AR 01/05/2023 ZOD111 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3000 FACILITY ADMINISTRATION Condition
▼ 04D0678110 Hilman Family Clinic, Pa 12 Medical Lane Conway AR 01/20/2023 5UFT12 Standard
Deficiency Tag Deficiency Description Tag Type
D1002 REPORTING OF SARS-CoV-2 TEST RESULTS Condition
▼ 04D0678110 Hilman Family Clinic, Pa 12 Medical Lane Conway AR 09/12/2024 5CMW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0681086 St Bernards Physician Clinics, Inc 415 East Matthews Avenue Jonesboro AR 03/27/2019 V5UM11 Standard
Deficiency Tag Deficiency Description Tag Type
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0682130 St Bernards Medical Center - Carson Street 300 Carson Street Jonesboro AR 01/05/2022 1EXI11 Standard
Deficiency Tag Deficiency Description Tag Type
D1001 CERTIFICATE OF WAIVER TESTS Standard
▼ 04D0683904 Nea Baptist Clinic Windover 1111 Windover Jonesboro AR 11/03/2021 SY2X11 Standard
Deficiency Tag Deficiency Description Tag Type
D2006 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D0687360 Unity Health Newport 1205 Mclain Newport AR 05/17/2018 RD7B11 Standard
Deficiency Tag Deficiency Description Tag Type
D5477 CONTROL PROCEDURES Standard
▼ 04D0687360 Unity Health Newport 1205 Mclain Newport AR 11/06/2020 7U3T11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5441 CONTROL PROCEDURES Standard
D5449 CONTROL PROCEDURES Standard
D5783 CORRECTIVE ACTIONS Standard