S&C QCOR CLIA 2567s
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CLIA 2567s
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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.

CMS Certification Number Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 04D2176977 Mainline Health Systems Inc 1012 E Church St Warren AR 06/08/2021 I46V11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5407 PROCEDURE MANUAL Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D2177406 Exacta Laboratory Systems 2400 E Kiehl Ave Sherwood AR 09/14/2022 RB8W11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5441 CONTROL PROCEDURES Standard
D5469 CONTROL PROCEDURES Standard
D5783 CORRECTIVE ACTIONS Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D2178013 Arkansas Dermatology 106 S Inglewood, Suite B Russellville AR 02/05/2021 MRTV11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D5473 CONTROL PROCEDURES Standard
▼ 04D2178013 Arkansas Dermatology 106 S Inglewood, Suite B Russellville AR 02/24/2023 Q6KI11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D2178791 Greenwood Labs Llc 8907 Kanis Rd, Ste 401, Room #4 Little Rock AR 03/29/2021 UEOW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
▼ 04D2182040 Namida Lab, Inc 1905 E Mission Blvd, Suite 6 Fayetteville AR 05/25/2022 734Y11 Standard
Deficiency Tag Deficiency Description Tag Type
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 04D2184929 Highlands Oncology Group Lab Iii 3901 Parkway Circle Springdale AR 07/28/2021 T5DX11 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5469 CONTROL PROCEDURES Standard
D5781 CORRECTIVE ACTIONS Standard
▼ 04D2184929 Highlands Oncology Group Lab Iii 3901 Parkway Circle Springdale AR 09/14/2023 CMWC11 Standard
Deficiency Tag Deficiency Description Tag Type
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D2184929 Highlands Oncology Group Lab Iii 3901 Parkway Circle Springdale AR 06/18/2025 0NIY11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5400 ANALYTIC SYSTEMS Condition
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5469 CONTROL PROCEDURES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D2185017 Dermatology Group Of Ar 5 Medical Park Drive, Suite 200 Benton AR 04/28/2023 82OT11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6011 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard