S&C QCOR CLIA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
CLIA 2567s
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CLIA ID and Facility Name

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Other Survey Characteristics

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CLIA ID Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 04D0719487 North Hills Surgery Center 3271 North Wimberly Drive, Ste 1 Fayetteville AR 02/24/2021 NT6111 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D0719487 North Hills Surgery Center 3271 North Wimberly Drive, Ste 1 Fayetteville AR 02/10/2023 DLWK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5441 CONTROL PROCEDURES Standard
▼ 04D0719487 North Hills Surgery Center 3271 North Wimberly Drive, Ste 1 Fayetteville AR 09/27/2024 XRZX11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5445 CONTROL PROCEDURES Standard
▼ 04D0721589 Mena Regional Health System Respiratory Care 311 North Morrow Mena AR 06/19/2018 RJVX11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D0857702 Piggott Community Hospital Respiratory Therapy 1206 Gordon Duckworth Drive Piggott AR 04/29/2021 9H4S11 Standard
Deficiency Tag Deficiency Description Tag Type
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D0859547 Bearden Health Center 150 School St Bearden AR 01/04/2018 RS4I11 Standard
Deficiency Tag Deficiency Description Tag Type
D5785 CORRECTIVE ACTIONS Standard
▼ 04D0859547 Bearden Health Center 150 School St Bearden AR 08/16/2022 M11Q11 Standard
Deficiency Tag Deficiency Description Tag Type
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0859547 Bearden Health Center 150 School St Bearden AR 04/28/2026 O6MN11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3000 FACILITY ADMINISTRATION Condition
▼ 04D0859556 Lewisville Family Practice Center 1117 South Chestnut Street Lewisville AR 07/31/2018 MZ4D11 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 04D0871044 Glenwood Family Medicine 248 Highway 70 East Glenwood AR 09/26/2019 BMAP11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5401 PROCEDURE MANUAL Standard