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
▼ 04D2099298 Community Clinic Fayetteville Medical 3162 W Martin Luther King Blvd Fayetteville AR 11/13/2020 T8TV11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5445 CONTROL PROCEDURES Standard
▼ 04D2100526 Christus Trinity Clinic 3502 Richmond Rd Texarkana TX 01/29/2019 9F6Z11 Standard
Deficiency Tag Deficiency Description Tag Type
D2130 HEMATOLOGY Standard
▼ 04D2102180 Kota Cancer Clinic ,Pllc 180 Medical Park Place Hot Springs AR 05/08/2018 3EC011 Standard
Deficiency Tag Deficiency Description Tag Type
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 04D2102180 Kota Cancer Clinic ,Pllc 180 Medical Park Place Hot Springs AR 10/12/2022 ZXQZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D2102180 Kota Cancer Clinic ,Pllc 180 Medical Park Place Hot Springs AR 07/25/2024 O2EA11 Standard
Deficiency Tag Deficiency Description Tag Type
D5481 CONTROL PROCEDURES Standard
▼ 04D2108006 Russellville Pediatric & Adolescent Clinic 220 N Sidney St Russellville AR 03/26/2021 U9EC11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D2108006 Russellville Pediatric & Adolescent Clinic 220 N Sidney St Russellville AR 08/13/2026 FJ8H11 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
▼ 04D2115088 Baptist Health Family Clinic - Conway 625 United Drive, Suite 120 Conway AR 04/26/2022 IORW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D2115207 Ael - Conway 2425 Dave Ward Drive Conway AR 01/30/2019 OH3W11 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5481 CONTROL PROCEDURES Standard
D5783 CORRECTIVE ACTIONS Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6030 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D2115207 Ael - Conway 2425 Dave Ward Drive Conway AR 07/06/2021 Q26T11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard