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

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
▼ 04D2117481 Baptist Health Medical Center Conway 1555 Exchange Avenue Conway AR 07/31/2019 34GD11 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D5441 CONTROL PROCEDURES Standard
D5445 CONTROL PROCEDURES Standard
D5469 CONTROL PROCEDURES Standard
D5783 CORRECTIVE ACTIONS Standard
▼ 04D2118858 Interventional Pain Management Center 3800 E Johnson, Suite E Jonesboro AR 10/07/2021 Y33711 Standard
Deficiency Tag Deficiency Description Tag Type
D1001 CERTIFICATE OF WAIVER TESTS Standard
▼ 04D2118858 Interventional Pain Management Center 3800 E Johnson, Suite E Jonesboro AR 09/27/2023 1MD511 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 04D2119423 White River Health Family Care 1217 Batesville Blvd Batesville AR 05/27/2020 6O1711 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2123 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D2119423 White River Health Family Care 1217 Batesville Blvd Batesville AR 09/02/2021 0O2G11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5785 CORRECTIVE ACTIONS Standard
▼ 04D2121560 Arkansas Pathology Associates Histology Hot Spgs 300 Werner St Hot Springs AR 02/06/2019 22Z111 Standard
Deficiency Tag Deficiency Description Tag Type
D5781 CORRECTIVE ACTIONS Standard
▼ 04D2122809 Unity Health Lab Of Path 1200 South Main St, Suite Lop Searcy AR 10/09/2025 2MB211 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
▼ 04D2123677 Arthritis And Rheumatism Associates 2231 Hill Park Cove Jonesboro AR 08/19/2021 VYUM11 Standard
Deficiency Tag Deficiency Description Tag Type
D5783 CORRECTIVE ACTIONS Standard
▼ 04D2123677 Arthritis And Rheumatism Associates 2231 Hill Park Cove Jonesboro AR 07/10/2025 LV8G11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D2126474 Vitas Laboratory 1311 Fort Street Barling AR 01/31/2018 K6Z011 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D1001 CERTIFICATE OF WAIVER TESTS Standard
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D3031 RETENTION REQUIREMENTS Standard
D5200 GENERAL LABORATORY SYSTEMS Condition
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5300 PREANALYTIC SYSTEMS Condition
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5317 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5400 ANALYTIC SYSTEMS Condition
D5403 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5449 CONTROL PROCEDURES Standard
D5783 CORRECTIVE ACTIONS Standard
D5805 TEST REPORT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6015 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6040 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6042 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6044 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6076 LABORATORY DIRECTOR Condition
D6086 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard