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
▼ 04D1085608 White River Medical Center 1710 Harrison Street Batesville AR 02/16/2022 9K0S11 Special
Deficiency Tag Deficiency Description Tag Type
D5032 CYTOLOGY Condition
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5401 PROCEDURE MANUAL Standard
D5403 PROCEDURE MANUAL Standard
D5473 CONTROL PROCEDURES Standard
D5629 CYTOLOGY Standard
D5655 CYTOLOGY Standard
D5657 CYTOLOGY Standard
D5659 CYTOLOGY Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6076 LABORATORY DIRECTOR Condition
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6106 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D9999 null Memo
▼ 04D1085608 White River Medical Center 1710 Harrison Street Batesville AR 08/17/2023 EMMO11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D1085608 White River Medical Center 1710 Harrison Street Batesville AR 05/29/2025 FWDK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5473 CONTROL PROCEDURES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D1085608 White River Medical Center 1710 Harrison Street Batesville AR 05/27/2026 UB0J11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2084 GENERAL IMMUNOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D1085870 Arkansas Dermatology 15506 Hwy 5 Ste A Cabot AR 04/15/2021 G8DZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D6101 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6168 TESTING PERSONNEL Condition
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 04D1085870 Arkansas Dermatology 15506 Hwy 5 Ste A Cabot AR 05/11/2023 XLLK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D1091246 Convenient Care South 79th Street 3505 South 79th Street Fort Smith AR 06/29/2022 RSQL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 04D1093915 Northwest Health Physician's Specialty Hospital 3873 North Parkview Drive Fayetteville AR 04/04/2018 XPTF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D1094440 Advanced Dermatology & Skin Cancer Center 1444 E Stearns St, Suite 11 Fayetteville AR 01/11/2018 66IT11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2017 REINSTATEMENT OF NONWAIVED LABORATORIES Condition
D2046 MYCOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D1095441 Arkansas Pain Centers, Ltd 308 Smokey Lane North Little Rock AR 07/09/2019 K61W12 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2116 TOXICOLOGY null
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT null
D5300 PREANALYTIC SYSTEMS null
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL null
D5315 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL null
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT null
D6076 LABORATORY DIRECTOR null
D6092 LABORATORY DIRECTOR RESPONSIBILITIES null
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES null
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES null