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
▼ 04D2185017 Dermatology Group Of Ar 5 Medical Park Drive, Suite 200 Benton AR 03/06/2025 QEIY11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D2187214 Hendrix Medical Clinic 1700 Altus, Suite 110 Conway AR 02/18/2025 1NO511 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D2189814 Institute Of Interventional Pain Management 3110 W Main Street Russellville AR 10/24/2025 RNFR11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D2190122 Conway Cardiovascular Surgery Center 650 United Drive Suite 120 Conway AR 06/09/2021 RPGY11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5407 PROCEDURE MANUAL Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5447 CONTROL PROCEDURES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D2190122 Conway Cardiovascular Surgery Center 650 United Drive Suite 120 Conway AR 07/27/2023 9RL111 Standard
Deficiency Tag Deficiency Description Tag Type
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 04D2190122 Conway Cardiovascular Surgery Center 650 United Drive Suite 120 Conway AR 05/13/2025 S1HH11 Standard
Deficiency Tag Deficiency Description Tag Type
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D2196275 Arkansas Heart Hospital Llc-Encore 1901 Encore Way Bryant AR 10/13/2021 LQXH11 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5441 CONTROL PROCEDURES Standard
D5445 CONTROL PROCEDURES Standard
D5783 CORRECTIVE ACTIONS Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D2196275 Arkansas Heart Hospital Llc-Encore 1901 Encore Way Bryant AR 09/20/2023 GONF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5551 IMMUNOHEMATOLOGY Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D2196275 Arkansas Heart Hospital Llc-Encore 1901 Encore Way Bryant AR 08/20/2025 PFBI11 Standard
Deficiency Tag Deficiency Description Tag Type
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 04D2211596 Pafford Health Systems, Medical Clinic 100 East 20th Street, Suite D Hope AR 05/17/2022 SPQZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5400 ANALYTIC SYSTEMS Condition
D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5447 CONTROL PROCEDURES Standard
D5449 CONTROL PROCEDURES Standard