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
▼ 04D1019429 C R Doc 2700 West Kingshighway Suite 4 Paragould AR 10/01/2019 6ZX811 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 04D1025855 Pillow Clinic P L L C 101 Shirley Hicks Drive Helena AR 03/15/2021 TM7S11 Complaint
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D1001 CERTIFICATE OF WAIVER TESTS Standard
▼ 04D1026829 First Care Family Medicine - Mena 1706 Highway 71 North Mena AR 02/07/2019 V2FH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D1026830 Saline Heart Group Pa 1000 Hwy 35 North, Suite 8 Benton AR 06/21/2018 RV7D11 Standard
Deficiency Tag Deficiency Description Tag Type
D5481 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 04D1026830 Saline Heart Group Pa 1000 Hwy 35 North, Suite 8 Benton AR 01/09/2023 DIEC11 Standard
Deficiency Tag Deficiency Description Tag Type
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5441 CONTROL PROCEDURES Standard
D5469 CONTROL PROCEDURES Standard
▼ 04D1026830 Saline Heart Group Pa 1000 Hwy 35 North, Suite 8 Benton AR 08/13/2024 1LA911 Standard
Deficiency Tag Deficiency Description Tag Type
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5441 CONTROL PROCEDURES Standard
D5469 CONTROL PROCEDURES Standard
D5783 CORRECTIVE ACTIONS Standard
▼ 04D1034068 Arkansas Gastroenterology 3401 Springhill Dr, Suite 400 North Little Rock AR 04/14/2021 V9FZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
▼ 04D1034068 Arkansas Gastroenterology 3401 Springhill Dr, Suite 400 North Little Rock AR 07/06/2023 RLWS11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D1034068 Arkansas Gastroenterology 3401 Springhill Dr, Suite 400 North Little Rock AR 03/27/2025 L4ZT11 Standard
Deficiency Tag Deficiency Description Tag Type
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D1034085 Premier Dermatology Pllc 901 Se Plaza Ave, Suite 5 Bentonville AR 01/30/2019 12ZE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard