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
▼ 04D1081363 Ozarks Community Hospital At Gravette 1101 Sw Jackson Street Gravette AR 11/28/2018 33KV11 Standard
Deficiency Tag Deficiency Description Tag Type
D5400 ANALYTIC SYSTEMS Condition
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5441 CONTROL PROCEDURES Standard
D5469 CONTROL PROCEDURES Standard
D5481 CONTROL PROCEDURES Standard
D5775 COMPARISON OF TEST RESULTS Standard
D5783 CORRECTIVE ACTIONS Standard
▼ 04D1081363 Ozarks Community Hospital At Gravette 1101 Sw Jackson Street Gravette AR 07/01/2021 ZY1211 Standard
Deficiency Tag Deficiency Description Tag Type
D5551 IMMUNOHEMATOLOGY Standard
▼ 04D1081363 Ozarks Community Hospital At Gravette 1101 Sw Jackson Street Gravette AR 06/23/2023 3XZH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
D5441 CONTROL PROCEDURES Standard
D5783 CORRECTIVE ACTIONS Standard
▼ 04D1081363 Ozarks Community Hospital At Gravette 1101 Sw Jackson Street Gravette AR 01/31/2025 7TYK11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2153 ABO GROUP AND D(RHO) TYPING Standard
D6076 LABORATORY DIRECTOR Condition
D6089 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D1081363 Ozarks Community Hospital At Gravette 1101 Sw Jackson Street Gravette AR 03/06/2025 0P9W11 Standard
Deficiency Tag Deficiency Description Tag Type
D6018 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D1082030 Chi St Vincent Hospital Hot Springs Laboratory 300 Werner Street Hot Springs AR 11/30/2023 ZOZ611 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5401 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D1084977 Healthcare Express 1509 W Loop 281 Longview TX 05/24/2022 A53R11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 04D1084977 Healthcare Express 1509 W Loop 281 Longview TX 06/28/2023 E9DW11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5401 PROCEDURE MANUAL Standard
D5447 CONTROL PROCEDURES Standard
▼ 04D1085608 White River Medical Center 1710 Harrison Street Batesville AR 12/06/2018 QPRK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5463 CONTROL PROCEDURES Standard
D5481 CONTROL PROCEDURES Standard
D5785 CORRECTIVE ACTIONS Standard
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D1085608 White River Medical Center 1710 Harrison Street Batesville AR 09/23/2021 QT4J11 Standard
Deficiency Tag Deficiency Description Tag Type
D3015 REQUIREMENTS FOR TRANSFUSION SERVICES Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5559 IMMUNOHEMATOLOGY Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard