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
▼ 04D0980285 Little Rock Children's Clinic P A 27 Corporate Hill Drive, Suite 100 Little Rock AR 02/22/2022 YHN111 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D0980285 Little Rock Children's Clinic P A 27 Corporate Hill Drive, Suite 100 Little Rock AR 05/11/2022 ZQLE11 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
▼ 04D0980285 Little Rock Children's Clinic P A 27 Corporate Hill Drive, Suite 100 Little Rock AR 11/16/2023 T9WH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D0980285 Little Rock Children's Clinic P A 27 Corporate Hill Drive, Suite 100 Little Rock AR 04/09/2024 V3GM11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D2097 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0980285 Little Rock Children's Clinic P A 27 Corporate Hill Drive, Suite 100 Little Rock AR 09/19/2025 N9BP11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
▼ 04D0980519 Amity Community Health Center 210 North Main Street Amity AR 05/10/2018 Q2LU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5313 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5801 TEST REPORT Standard
▼ 04D0984708 Arkansas Urology P A 1300 Centerview Drive, Room 1099/1106 A/B Little Rock AR 08/07/2019 2JJH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5601 HISTOPATHOLOGY Standard
▼ 04D0984708 Arkansas Urology P A 1300 Centerview Drive, Room 1099/1106 A/B Little Rock AR 02/22/2024 4UNH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5469 CONTROL PROCEDURES Standard
▼ 04D0984708 Arkansas Urology P A 1300 Centerview Drive, Room 1099/1106 A/B Little Rock AR 10/02/2025 6E0H11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0984836 Baker Ambulatory Surgery Center 810 Merriman Street Conway AR 05/13/2021 W8UC11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5407 PROCEDURE MANUAL Standard
D5447 CONTROL PROCEDURES Standard
D5463 CONTROL PROCEDURES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6035 TECHNICAL CONSULTANT QUALIFICATIONS Standard