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
▼ 04D1094440 Advanced Dermatology & Skin Cancer Center 1444 E Stearns St, Suite 11 Fayetteville AR 01/11/2018 66IT11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2017 REINSTATEMENT OF NONWAIVED LABORATORIES Condition
D2046 MYCOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D1095441 Arkansas Pain Centers, Ltd 308 Smokey Lane North Little Rock AR 07/09/2019 K61W12 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2116 TOXICOLOGY null
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT null
D5300 PREANALYTIC SYSTEMS null
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL null
D5315 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL null
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT null
D6076 LABORATORY DIRECTOR null
D6092 LABORATORY DIRECTOR RESPONSIBILITIES null
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES null
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES null
▼ 04D1101488 Central Arkansas Gastroenterology 212 Natural Resources Drive Little Rock AR 03/15/2018 XHNO11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D1101488 Central Arkansas Gastroenterology 212 Natural Resources Drive Little Rock AR 02/20/2020 DRDH11 Standard
Deficiency Tag Deficiency Description Tag Type
D6084 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D2003330 Planned Parenthood Of Arkansas And Eastern Ok 3729 North Crossover St Suite 107 Fayetteville AR 04/05/2018 0OZW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5785 CORRECTIVE ACTIONS Standard
▼ 04D2003330 Planned Parenthood Of Arkansas And Eastern Ok 3729 North Crossover St Suite 107 Fayetteville AR 01/28/2019 0ZLC11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2153 ABO GROUP AND D(RHO) TYPING Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D2006249 Family Medicine Of White Hall 7245 Sheridan Rd White Hall AR 07/03/2019 2OWJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 04D2006249 Family Medicine Of White Hall 7245 Sheridan Rd White Hall AR 08/21/2023 3Z2611 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D2006249 Family Medicine Of White Hall 7245 Sheridan Rd White Hall AR 09/17/2025 IJUA11 Standard
Deficiency Tag Deficiency Description Tag Type
D5445 CONTROL PROCEDURES Standard
▼ 04D2008889 Arkansas Dermatology 1708 North Buerkle Rd Stuttgart AR 06/11/2021 4Q4111 Standard
Deficiency Tag Deficiency Description Tag Type
D6168 TESTING PERSONNEL Condition
D6171 TESTING PERSONNEL QUALIFICATIONS Standard