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
▼ 04D2126505 Dermatology Clinic, The 610 W Commerce Drive Bryant AR 02/13/2018 LMP011 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
▼ 04D2127194 Walnut Ridge Family Medical Clinic 1045 West Main Street, Suite C Walnut Ridge AR 03/23/2018 R8JJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D5300 PREANALYTIC SYSTEMS Condition
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5317 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5400 ANALYTIC SYSTEMS Condition
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5441 CONTROL PROCEDURES Standard
D5469 CONTROL PROCEDURES Standard
D5481 CONTROL PROCEDURES Standard
D5783 CORRECTIVE ACTIONS Standard
D5785 CORRECTIVE ACTIONS Standard
▼ 04D2127194 Walnut Ridge Family Medical Clinic 1045 West Main Street, Suite C Walnut Ridge AR 08/22/2019 PH0511 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5781 CORRECTIVE ACTIONS Standard
▼ 04D2127194 Walnut Ridge Family Medical Clinic 1045 West Main Street, Suite C Walnut Ridge AR 03/14/2025 U7ME11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2107 ENDOCRINOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D2127194 Walnut Ridge Family Medical Clinic 1045 West Main Street, Suite C Walnut Ridge AR 08/27/2025 OIL311 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D6031 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D2131795 Healthcare Express 23150 I30 North Bryant AR 03/03/2022 6WH111 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 04D2132375 Franks Dermatology 4220 North Rodney Parham #320 Little Rock AR 05/11/2018 O8UP11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5300 PREANALYTIC SYSTEMS Condition
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5400 ANALYTIC SYSTEMS Condition
D5403 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5473 CONTROL PROCEDURES Standard
D5805 TEST REPORT Standard
D6076 LABORATORY DIRECTOR Condition
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6106 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D2132375 Franks Dermatology 4220 North Rodney Parham #320 Little Rock AR 04/22/2024 CO5511 Standard
Deficiency Tag Deficiency Description Tag Type
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 04D2132375 Franks Dermatology 4220 North Rodney Parham #320 Little Rock AR 01/23/2026 JFXX11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D2133880 Mediscope Arkansas Llc 1116 Ar-161 Jacksonville AR 01/05/2018 5BLX11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D8100 INSPECTION REQUIREMENTS Condition
D8301 INITIAL INSPECTION OF CERT OF COMPLIANCE LABS Standard