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
▼ 04D1084977 Healthcare Express 1509 W Loop 281 Longview TX 06/28/2023 E9DW11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5401 PROCEDURE MANUAL Standard
D5447 CONTROL PROCEDURES Standard
▼ 04D1085608 White River Medical Center 1710 Harrison Street Batesville AR 12/06/2018 QPRK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5463 CONTROL PROCEDURES Standard
D5481 CONTROL PROCEDURES Standard
D5785 CORRECTIVE ACTIONS Standard
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D1085608 White River Medical Center 1710 Harrison Street Batesville AR 09/23/2021 QT4J11 Standard
Deficiency Tag Deficiency Description Tag Type
D3015 REQUIREMENTS FOR TRANSFUSION SERVICES Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5559 IMMUNOHEMATOLOGY Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 04D1085608 White River Medical Center 1710 Harrison Street Batesville AR 02/16/2022 9K0S11 Special
Deficiency Tag Deficiency Description Tag Type
D5032 CYTOLOGY Condition
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5401 PROCEDURE MANUAL Standard
D5403 PROCEDURE MANUAL Standard
D5473 CONTROL PROCEDURES Standard
D5629 CYTOLOGY Standard
D5655 CYTOLOGY Standard
D5657 CYTOLOGY Standard
D5659 CYTOLOGY Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6076 LABORATORY DIRECTOR Condition
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6106 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D9999 null Memo
▼ 04D1085608 White River Medical Center 1710 Harrison Street Batesville AR 08/17/2023 EMMO11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D1085608 White River Medical Center 1710 Harrison Street Batesville AR 05/29/2025 FWDK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5473 CONTROL PROCEDURES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D1085870 Arkansas Dermatology 15506 Hwy 5 Ste A Cabot AR 04/15/2021 G8DZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D6101 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6168 TESTING PERSONNEL Condition
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 04D1085870 Arkansas Dermatology 15506 Hwy 5 Ste A Cabot AR 05/11/2023 XLLK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D1091246 Convenient Care South 79th Street 3505 South 79th Street Fort Smith AR 06/29/2022 RSQL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 04D1093915 Northwest Health Physician's Specialty Hospital 3873 North Parkview Drive Fayetteville AR 04/04/2018 XPTF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard