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.

CLIA ID Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 04D0928094 Chi St Vincent Medical Group Hot Springs 234 Broadway Glenwood AR 09/12/2024 8KXX11 Standard
Deficiency Tag Deficiency Description Tag Type
D2010 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D0928952 Pediatric Clinic Of Cabot, The 203 B Plaza Blvd Cabot AR 07/20/2018 IUV011 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
▼ 04D0928952 Pediatric Clinic Of Cabot, The 203 B Plaza Blvd Cabot AR 01/29/2021 DK8H11 Standard
Deficiency Tag Deficiency Description Tag Type
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
▼ 04D0929297 Angela R Styles Md Dermatology & Dermatopathology 201 South Rogers St Clarksville AR 04/10/2026 9UEJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D1001 CERTIFICATE OF WAIVER TESTS Standard
▼ 04D0933802 Patrick M Hatfield M D , P A 299 Eagle Mountain Blvd Batesville AR 05/02/2018 8QL411 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2098 ENDOCRINOLOGY Standard
D2107 ENDOCRINOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0933802 Patrick M Hatfield M D , P A 299 Eagle Mountain Blvd Batesville AR 10/13/2022 ZHR311 Standard
Deficiency Tag Deficiency Description Tag Type
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D5473 CONTROL PROCEDURES Standard
▼ 04D0933981 Northwest Medical Plaza- Westside 4077 Elm Springs Rd Ste 105 Springdale AR 08/22/2018 MWL811 Standard
Deficiency Tag Deficiency Description Tag Type
D5785 CORRECTIVE ACTIONS Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0933981 Northwest Medical Plaza- Westside 4077 Elm Springs Rd Ste 105 Springdale AR 03/23/2021 L6UF11 Standard
Deficiency Tag Deficiency Description Tag Type
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D0933981 Northwest Medical Plaza- Westside 4077 Elm Springs Rd Ste 105 Springdale AR 02/08/2023 GZWW11 Standard
Deficiency Tag Deficiency Description Tag Type
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 04D0933981 Northwest Medical Plaza- Westside 4077 Elm Springs Rd Ste 105 Springdale AR 07/21/2026 04TX11 Standard
Deficiency Tag Deficiency Description Tag Type
D1001 CERTIFICATE OF WAIVER TESTS Standard