S&C QCOR CLIA 2567s
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CLIA 2567s
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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

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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
▼ 04D1047702 Mana Urgent Care Wedington 1188 Salem Road, Suite 6 Fayetteville AR 05/19/2021 ZR0P11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D1047702 Mana Urgent Care Wedington 1188 Salem Road, Suite 6 Fayetteville AR 04/13/2023 CEY811 Standard
Deficiency Tag Deficiency Description Tag Type
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5407 PROCEDURE MANUAL Standard
▼ 04D1047702 Mana Urgent Care Wedington 1188 Salem Road, Suite 6 Fayetteville AR 03/19/2025 RMXQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5445 CONTROL PROCEDURES Standard
D5783 CORRECTIVE ACTIONS Standard
▼ 04D1048934 Wrmc Medical Complex Laboratory 195 Hospital Drive, Suite E Cherokee Village AR 12/20/2018 IZS611 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
D5445 CONTROL PROCEDURES Standard
▼ 04D1048934 Wrmc Medical Complex Laboratory 195 Hospital Drive, Suite E Cherokee Village AR 04/14/2021 U7DM11 Standard
Deficiency Tag Deficiency Description Tag Type
D5777 COMPARISON OF TEST RESULTS Standard
D5783 CORRECTIVE ACTIONS Standard
▼ 04D1048934 Wrmc Medical Complex Laboratory 195 Hospital Drive, Suite E Cherokee Village AR 05/04/2023 7DMY11 Standard
Deficiency Tag Deficiency Description Tag Type
D5783 CORRECTIVE ACTIONS Standard
▼ 04D1048934 Wrmc Medical Complex Laboratory 195 Hospital Drive, Suite E Cherokee Village AR 02/06/2025 SGZT11 Standard
Deficiency Tag Deficiency Description Tag Type
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 04D1050346 Baxter Health Premier Family Clinic 1417 Gladden Street Harrison AR 03/19/2025 SFK811 Standard
Deficiency Tag Deficiency Description Tag Type
D6018 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D1051462 Conway Hematology Oncology 350 Salem Rd Conway AR 03/07/2019 6CDP11 Standard
Deficiency Tag Deficiency Description Tag Type
D5783 CORRECTIVE ACTIONS Standard
D5785 CORRECTIVE ACTIONS Standard
▼ 04D1051971 Northwest Arkansas Pathology At Mercy Med Ctr 2710 Rife Medical Lane Rogers AR 04/21/2023 6OSB11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard