S&C QCOR CLIA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
CLIA 2567s
Selection Criteria

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

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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
04D2135841 Sark-Opl 7200 South Hazel Street Pine Bluff AR 04/17/2018 5MSU11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5024 HEMATOLOGY Condition
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5545 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
04D2135841 Sark-Opl 7200 South Hazel Street Pine Bluff AR 02/12/2020 TI4X11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
04D2137781 Dermatology Group Of Arkansas 9601 Baptist Health Drive, Ste 690 Little Rock AR 03/10/2020 0YAK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5219 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
04D2137781 Dermatology Group Of Arkansas 9601 Baptist Health Drive, Ste 690 Little Rock AR 06/22/2022 IF9L11 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
04D2137781 Dermatology Group Of Arkansas 9601 Baptist Health Drive, Ste 690 Little Rock AR 04/19/2024 C61H11 Standard
Deficiency Tag Deficiency Description Tag Type
D5803 TEST REPORT Standard
04D2137781 Dermatology Group Of Arkansas 9601 Baptist Health Drive, Ste 690 Little Rock AR 02/12/2026 NC5R11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
04D2139193 Mercy Clinic Convenient Care Rogers Ave 6801 Rogers Avenue Fort Smith AR 08/02/2018 Z5MK11 Standard
Deficiency Tag Deficiency Description Tag Type
D2005 ENROLLMENT Standard
04D2139193 Mercy Clinic Convenient Care Rogers Ave 6801 Rogers Avenue Fort Smith AR 02/12/2020 M3QL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
04D2139224 Mercy Clinic Primary Care Towson Ave 4620 Towson Avenue Fort Smith AR 08/01/2018 L42Q11 Standard
Deficiency Tag Deficiency Description Tag Type
D2005 ENROLLMENT Standard
04D2140674 Baptist Health Urgent Care - Alma Highway 2521 Alma Hwy Van Buren AR 01/07/2020 0UT211 Standard
Deficiency Tag Deficiency Description Tag Type
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard