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.

CMS Certification Number Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 04D2078963 Baptist Eye And Surgery Center 9800 Baptist Health Drive, Suite 660 Little Rock AR 06/01/2023 H6UW11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D2131 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D2078963 Baptist Eye And Surgery Center 9800 Baptist Health Drive, Suite 660 Little Rock AR 07/25/2024 9D6611 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
▼ 04D2081659 Advanced Dermatology & Skin Cancer Center 701 Nw Mcnelly Rd Bentonville AR 08/17/2018 DB7F12 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT null
D6076 LABORATORY DIRECTOR null
D6103 LABORATORY DIRECTOR RESPONSIBILITIES null
▼ 04D2084417 Pathology Partners, Llc 11904 Kanis Road, Suite H8 Little Rock AR 03/01/2018 HWXJ12 Standard
Deficiency Tag Deficiency Description Tag Type
D2015 TESTING OF PROFICIENCY TESTING SAMPLES null
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES null
▼ 04D2086145 Healthcare Express - Maumelle 11819 Maumelle Blvd Maumelle AR 03/05/2020 8Q7W11 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
▼ 04D2086145 Healthcare Express - Maumelle 11819 Maumelle Blvd Maumelle AR 10/24/2022 X2JF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5893 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 04D2086422 Interventional Pain Management 525 Burnett Drive Mountain Home AR 04/19/2022 S0L311 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D2086422 Interventional Pain Management 525 Burnett Drive Mountain Home AR 10/13/2025 D4DU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 04D2090071 Apollo Medical 111 Cordoba Center Hot Springs Village AR 05/24/2018 9JWF11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2017 REINSTATEMENT OF NONWAIVED LABORATORIES Condition
D2130 HEMATOLOGY Standard
D5024 HEMATOLOGY Condition
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5447 CONTROL PROCEDURES Standard
D5783 CORRECTIVE ACTIONS Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D2090071 Apollo Medical 111 Cordoba Center Hot Springs Village AR 02/09/2021 P6TO11 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard