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
▼ 04D0991904 Southern Medical Group 211 East Stadium Magnolia AR 05/16/2018 NV4M11 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 04D0991904 Southern Medical Group 211 East Stadium Magnolia AR 11/08/2019 Z4TE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5469 CONTROL PROCEDURES Standard
▼ 04D0991904 Southern Medical Group 211 East Stadium Magnolia AR 05/26/2022 XM1R11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5445 CONTROL PROCEDURES Standard
▼ 04D0992550 Mercy Clinic Family Medicine - Lowell 325 South 6th Place Lowell AR 08/21/2018 M6LH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D1002596 Nea Baptist Clinic - Pediatrics 4910 Medical Blvd Ste A Jonesboro AR 01/21/2021 RK4J11 Standard
Deficiency Tag Deficiency Description Tag Type
D5813 TEST REPORT Standard
▼ 04D1002596 Nea Baptist Clinic - Pediatrics 4910 Medical Blvd Ste A Jonesboro AR 05/06/2026 68EY11 Standard
Deficiency Tag Deficiency Description Tag Type
D5813 TEST REPORT Standard
▼ 04D1005851 Nea Baptist Clinic - Hilltop 4901 East Johnson Avenue Jonesboro AR 08/18/2021 D79Y11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D1007429 Healthy Connections 136 Health Park Drive Mena AR 12/09/2020 371E11 Standard
Deficiency Tag Deficiency Description Tag Type
D5783 CORRECTIVE ACTIONS Standard
▼ 04D1007429 Healthy Connections 136 Health Park Drive Mena AR 01/17/2023 08NT11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
▼ 04D1007429 Healthy Connections 136 Health Park Drive Mena AR 06/25/2026 LY7N11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard