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
▼ 04D1071460 Nea Baptist Clinic Paragould 4700 West Kingshighway Paragould AR 04/11/2018 XF5G11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D1071460 Nea Baptist Clinic Paragould 4700 West Kingshighway Paragould AR 01/20/2021 5GEL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5445 CONTROL PROCEDURES Standard
▼ 04D1073725 Western Yell County Medical Clinic 310 West Broadway Street Havana AR 12/14/2021 LD9K11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5403 PROCEDURE MANUAL Standard
▼ 04D1073729 Ozark Dermatology Clinic 901 Se 22nd St Bentonville AR 05/22/2024 WHNL11 Standard
Deficiency Tag Deficiency Description Tag Type
D6030 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D1073729 Ozark Dermatology Clinic 901 Se 22nd St Bentonville AR 12/09/2025 1IYO11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D1075419 Arkansas Dermatology 2645 Hwy 25b North Heber Springs AR 09/24/2024 FK9K11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D1077583 Baptist Health Extended Care Hospital - Lr 9601 Baptist Health Drive, 10th Floor Little Rock AR 10/27/2023 BDC911 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5893 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 04D1080274 Community Clinic - Rogers Medical 1233 W Poplar Rogers AR 07/10/2018 3ONP11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5481 CONTROL PROCEDURES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D1080274 Community Clinic - Rogers Medical 1233 W Poplar Rogers AR 09/12/2024 NH0511 Standard
Deficiency Tag Deficiency Description Tag Type
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D1080419 Chi St Vincent Med Group Hot Springs Pediatrics 225 Mcauley Court Hot Springs AR 03/22/2018 8TF611 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard