S&C QCOR CLIA 2567s
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CLIA 2567s
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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

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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
▼ 04D1051971 Northwest Arkansas Pathology At Mercy Med Ctr 2710 Rife Medical Lane Rogers AR 07/23/2026 2GQ611 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D1051973 Nwa Pathology At Wrmc Fs Room 3214 North North Hills Blvd Fayetteville AR 02/12/2025 CPUD11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5403 PROCEDURE MANUAL Standard
D5629 CYTOLOGY Standard
D5631 CYTOLOGY Standard
D5637 CYTOLOGY Standard
D5645 CYTOLOGY Standard
D5655 CYTOLOGY Standard
D5657 CYTOLOGY Standard
D5659 CYTOLOGY Standard
D6076 LABORATORY DIRECTOR Condition
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6130 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D9999 null Memo
▼ 04D1051973 Nwa Pathology At Wrmc Fs Room 3214 North North Hills Blvd Fayetteville AR 07/23/2026 400E11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D1052514 Sherwood Urgent Care-Searcy,Ar 610 Shepherd Way Searcy AR 01/23/2019 PUCO11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5445 CONTROL PROCEDURES Standard
D5785 CORRECTIVE ACTIONS Standard
▼ 04D1052514 Sherwood Urgent Care-Searcy,Ar 610 Shepherd Way Searcy AR 07/30/2021 0VXC11 Standard
Deficiency Tag Deficiency Description Tag Type
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 04D1052514 Sherwood Urgent Care-Searcy,Ar 610 Shepherd Way Searcy AR 08/02/2023 TTT211 Standard
Deficiency Tag Deficiency Description Tag Type
D5807 TEST REPORT Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D1052897 Johnson Dermatology Clinic, Pllc 5921 Riley Park Drive Fort Smith AR 11/27/2018 897111 Standard
Deficiency Tag Deficiency Description Tag Type
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
▼ 04D1052897 Johnson Dermatology Clinic, Pllc 5921 Riley Park Drive Fort Smith AR 03/27/2025 5S1411 Standard
Deficiency Tag Deficiency Description Tag Type
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D1052983 Baxter Regional Crossroads Medical Clinic 1420 Highway 62 65 North Suite 1 Harrison AR 04/19/2023 RFHP11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D5805 TEST REPORT Standard
D6031 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D1053093 Hull Dermatology, Pa 500 S 52nd Street Rogers AR 10/10/2018 SKUF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard