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
▼ 04D1062383 Northwest Medical Plaza At Sugar Creek 1102 Nw Lowes Ave Suite 2 Bentonville AR 08/06/2025 HZML11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D1062412 Gunnar H Gibson Md 4200 North Rodney Parham Suite 202 Little Rock AR 09/25/2020 R50O11 Standard
Deficiency Tag Deficiency Description Tag Type
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D1062412 Gunnar H Gibson Md 4200 North Rodney Parham Suite 202 Little Rock AR 06/07/2024 D8P111 Standard
Deficiency Tag Deficiency Description Tag Type
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 04D1068190 Madison County Medical/Surgery Clinic 705 Phillips Place Huntsville AR 02/09/2022 G0FC11 Standard
Deficiency Tag Deficiency Description Tag Type
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
▼ 04D1068190 Madison County Medical/Surgery Clinic 705 Phillips Place Huntsville AR 03/03/2026 X5P011 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
▼ 04D1071460 Nea Baptist Clinic Paragould 4700 West Kingshighway Paragould AR 04/11/2018 XF5G11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D1071460 Nea Baptist Clinic Paragould 4700 West Kingshighway Paragould AR 01/20/2021 5GEL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5445 CONTROL PROCEDURES Standard
▼ 04D1073725 Western Yell County Medical Clinic 310 West Broadway Street Havana AR 12/14/2021 LD9K11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5403 PROCEDURE MANUAL Standard
▼ 04D1073729 Ozark Dermatology Clinic 901 Se 22nd St Bentonville AR 05/22/2024 WHNL11 Standard
Deficiency Tag Deficiency Description Tag Type
D6030 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D1073729 Ozark Dermatology Clinic 901 Se 22nd St Bentonville AR 12/09/2025 1IYO11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard