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
▼ 04D0939863 St Vincent Family Clinic - Jacksonville 1110 W Main Street Jacksonville AR 02/20/2026 QGIL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
▼ 04D0945801 Occupational Health Partners - Highland Park 4334 East Highland Jonesboro AR 01/25/2018 LFLM12 Standard
Deficiency Tag Deficiency Description Tag Type
D5445 CONTROL PROCEDURES null
▼ 04D0945801 Occupational Health Partners - Highland Park 4334 East Highland Jonesboro AR 03/16/2022 MPGF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D0946993 Fountain Lake Family Medicine 4517 Park Avenue Hot Springs AR 05/29/2018 LFBN11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0946993 Fountain Lake Family Medicine 4517 Park Avenue Hot Springs AR 09/23/2020 D8VT11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0948582 Arkansas Heart Hospital Clinic Llc- Little Rock #7 Shackelford West Little Rock AR 02/09/2024 AY7511 Standard
Deficiency Tag Deficiency Description Tag Type
D5481 CONTROL PROCEDURES Standard
D5779 CORRECTIVE ACTIONS Standard
D5783 CORRECTIVE ACTIONS Standard
▼ 04D0948582 Arkansas Heart Hospital Clinic Llc- Little Rock #7 Shackelford West Little Rock AR 09/16/2025 GM6211 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D0949890 Arkansas Dermatology Center 2210 West Main Street Russellville AR 04/08/2021 MDMD11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5401 PROCEDURE MANUAL Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D0950842 Chi St Vincent North 2215 Wildwood Avenue Sherwood AR 11/15/2024 UBU611 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D0955947 Dr Robert Kennedy - Chenal Family Practice 11215 Hermitage Rd, Suite 103 Little Rock AR 01/08/2018 SREK12 Standard
Deficiency Tag Deficiency Description Tag Type
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL null
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT null