S&C QCOR CLIA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
CLIA 2567s
Selection Criteria

Time Interval

Please select the calendar year or years for which you would like data.

US State or Territory:

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
04D1002596 Nea Baptist Clinic - Pediatrics 4910 Medical Blvd Ste A Jonesboro AR 01/21/2021 RK4J11 Standard
Deficiency Tag Deficiency Description Tag Type
D5813 TEST REPORT Standard
04D1005851 Nea Baptist Clinic - Hilltop 4901 East Johnson Avenue Jonesboro AR 08/18/2021 D79Y11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
04D1007429 Healthy Connections 136 Health Park Drive Mena AR 12/09/2020 371E11 Standard
Deficiency Tag Deficiency Description Tag Type
D5783 CORRECTIVE ACTIONS Standard
04D1007429 Healthy Connections 136 Health Park Drive Mena AR 01/17/2023 08NT11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
04D1007969 Cornerstone Medical Clinic Pllc 825 North Main Street, Suite 1 Harrison AR 12/13/2019 210X11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
04D1013224 Randy D Walker Md Pllc 1553 West Collin Raye Drive De Queen AR 02/04/2021 UELZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5785 CORRECTIVE ACTIONS Standard
D6035 TECHNICAL CONSULTANT QUALIFICATIONS Standard
04D1013224 Randy D Walker Md Pllc 1553 West Collin Raye Drive De Queen AR 10/24/2024 Q4XS11 Standard
Deficiency Tag Deficiency Description Tag Type
D1001 CERTIFICATE OF WAIVER TESTS Standard
04D1013769 Monfee Medical Clinic 3812 West Main Russellville AR 11/01/2023 16GD11 Standard
Deficiency Tag Deficiency Description Tag Type
D2010 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5447 CONTROL PROCEDURES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
04D1016224 St Bernards Physician Clinics, Inc 333 Red Wolf Blvd Jonesboro AR 02/07/2024 OVQX11 Standard
Deficiency Tag Deficiency Description Tag Type
D5545 HEMATOLOGY Standard
D5779 CORRECTIVE ACTIONS Standard
04D1017876 U A M S Cytogenetics 5800 West 10th Street, Suite 200 Little Rock AR 02/16/2018 GRCB11 Standard
Deficiency Tag Deficiency Description Tag Type
D5785 CORRECTIVE ACTIONS Standard