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
▼ 04D1053093 Hull Dermatology, Pa 500 S 52nd Street Rogers AR 10/10/2018 SKUF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D1057553 Unity Health Mcafee Medical Clinic 710 A Dewitt Henry Drive Beebe AR 05/26/2022 AXTF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5481 CONTROL PROCEDURES Standard
▼ 04D1057553 Unity Health Mcafee Medical Clinic 710 A Dewitt Henry Drive Beebe AR 03/15/2024 ZR6E11 Standard
Deficiency Tag Deficiency Description Tag Type
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D1057553 Unity Health Mcafee Medical Clinic 710 A Dewitt Henry Drive Beebe AR 03/09/2026 6JVR11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D1060221 White River Health Family Care 2200 Malcolm Avenue Suite B Newport AR 05/29/2019 VV4L11 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 04D1060221 White River Health Family Care 2200 Malcolm Avenue Suite B Newport AR 01/25/2024 Y5DP11 Standard
Deficiency Tag Deficiency Description Tag Type
D5779 CORRECTIVE ACTIONS Standard
D5783 CORRECTIVE ACTIONS Standard
▼ 04D1060965 Ft Smith Rheumatology 1501 Waldron Road Fort Smith AR 07/17/2019 7X1A11 Standard
Deficiency Tag Deficiency Description Tag Type
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D1061540 Sophia Meyer Family Medical 620 Broadway Van Buren AR 08/24/2021 V7UV11 Standard
Deficiency Tag Deficiency Description Tag Type
D5445 CONTROL PROCEDURES Standard
▼ 04D1062383 Northwest Medical Plaza At Sugar Creek 1102 Nw Lowes Ave Suite 2 Bentonville AR 02/28/2019 3Z2G11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5445 CONTROL PROCEDURES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D1062383 Northwest Medical Plaza At Sugar Creek 1102 Nw Lowes Ave Suite 2 Bentonville AR 12/15/2021 GERS11 Standard
Deficiency Tag Deficiency Description Tag Type
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard