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
▼ 04D1007969 Cornerstone Medical Clinic Pllc 825 North Main Street, Suite 1 Harrison AR 12/13/2019 210X11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D1013224 Randy D Walker Md Pllc 1553 West Collin Raye Drive De Queen AR 02/04/2021 UELZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5785 CORRECTIVE ACTIONS Standard
D6035 TECHNICAL CONSULTANT QUALIFICATIONS Standard
▼ 04D1013224 Randy D Walker Md Pllc 1553 West Collin Raye Drive De Queen AR 10/24/2024 Q4XS11 Standard
Deficiency Tag Deficiency Description Tag Type
D1001 CERTIFICATE OF WAIVER TESTS Standard
▼ 04D1013769 Monfee Medical Clinic 3812 West Main Russellville AR 11/01/2023 16GD11 Standard
Deficiency Tag Deficiency Description Tag Type
D2010 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5447 CONTROL PROCEDURES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D1016224 St Bernards Physician Clinics, Inc 333 Red Wolf Blvd Jonesboro AR 02/07/2024 OVQX11 Standard
Deficiency Tag Deficiency Description Tag Type
D5545 HEMATOLOGY Standard
D5779 CORRECTIVE ACTIONS Standard
▼ 04D1017876 U A M S Cytogenetics 5800 West 10th Street, Suite 200 Little Rock AR 02/16/2018 GRCB11 Standard
Deficiency Tag Deficiency Description Tag Type
D5785 CORRECTIVE ACTIONS Standard
▼ 04D1017876 U A M S Cytogenetics 5800 West 10th Street, Suite 200 Little Rock AR 04/02/2026 DH5H11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5473 CONTROL PROCEDURES Standard
D5477 CONTROL PROCEDURES Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D1018945 Arkansas Anatomic Pathology Laboratory And 225 East Washington Avenue Jonesboro AR 01/15/2025 6TTQ11 Special
Deficiency Tag Deficiency Description Tag Type
D5629 CYTOLOGY Standard
D9999 null Memo
▼ 04D1018945 Arkansas Anatomic Pathology Laboratory And 225 East Washington Avenue Jonesboro AR 12/17/2025 C7W211 Standard
Deficiency Tag Deficiency Description Tag Type
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D1019429 C R Doc 2700 West Kingshighway Suite 4 Paragould AR 01/26/2018 LL1W12 Standard
Deficiency Tag Deficiency Description Tag Type
D6042 TECHNICAL CONSULTANT RESPONSIBILITIES null