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

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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.

CLIA ID Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 04D2057827 Lake Hamilton Family Medicine 1661 Airport Rd Suite F Hot Springs AR 01/13/2026 TQCG11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D6015 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D2060723 Healthcare Express - Arkblvd 125 Arkansas Blvd Texarkana AR 01/10/2018 PUWN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5785 CORRECTIVE ACTIONS Standard
▼ 04D2065828 Sills Dermatology 1003 Windover Rd Jonesboro AR 03/20/2018 JEY411 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D2065828 Sills Dermatology 1003 Windover Rd Jonesboro AR 09/13/2022 8URE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D2070026 Narmc Internal Medicine 724 N Spring Street, Suite C Harrison AR 09/04/2018 WRUK11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D2070026 Narmc Internal Medicine 724 N Spring Street, Suite C Harrison AR 03/07/2023 3DYW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D2070026 Narmc Internal Medicine 724 N Spring Street, Suite C Harrison AR 10/11/2024 TQFG11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D2070026 Narmc Internal Medicine 724 N Spring Street, Suite C Harrison AR 08/10/2026 YYJ311 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5409 PROCEDURE MANUAL Standard
▼ 04D2070331 Northwest Arkansas Internal Medicine 5212 Village Parkway, Suite 2 Rogers AR 07/09/2019 IX2F11 Standard
Deficiency Tag Deficiency Description Tag Type
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D2070630 Mercy Bella Vista 1 Mercy Way Bella Vista AR 01/10/2018 Q0XD11 Standard
Deficiency Tag Deficiency Description Tag Type
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard