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
04D2161079 Healthcare Express Dequeen 1021 W Collin Raye Dr De Queen AR 01/27/2020 SZHD11 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
D5785 CORRECTIVE ACTIONS Standard
D5813 TEST REPORT Standard
04D2161175 Unity Health Harris Medical Clinic 1200 Mclain St Newport AR 10/04/2021 ADSS11 Standard
Deficiency Tag Deficiency Description Tag Type
D5785 CORRECTIVE ACTIONS Standard
04D2161175 Unity Health Harris Medical Clinic 1200 Mclain St Newport AR 07/15/2025 D26211 Standard
Deficiency Tag Deficiency Description Tag Type
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
04D2161175 Unity Health Harris Medical Clinic 1200 Mclain St Newport AR 01/14/2026 B3LK11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D2131 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
04D2162253 Chi St Vincent Cancer Center 10001 Lile Drive Little Rock AR 01/07/2020 RP8I11 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
04D2162253 Chi St Vincent Cancer Center 10001 Lile Drive Little Rock AR 02/12/2026 SREY11 Standard
Deficiency Tag Deficiency Description Tag Type
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
04D2165967 Mitchell Family Medicine, Llc 924 State Hwy 77 Marion AR 10/07/2020 IIPK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
04D2165967 Mitchell Family Medicine, Llc 924 State Hwy 77 Marion AR 07/03/2024 8PT611 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
04D2166077 Hull Dermatology 9521 Sunset Dr Bella Vista AR 03/04/2020 7V2X11 Standard
Deficiency Tag Deficiency Description Tag Type
D5473 CONTROL PROCEDURES Standard
04D2166077 Hull Dermatology 9521 Sunset Dr Bella Vista AR 03/02/2022 NZ5211 Standard
Deficiency Tag Deficiency Description Tag Type
D5787 TEST RECORDS Standard