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
▼ 04D2115207 Ael - Conway 2425 Dave Ward Drive Conway AR 07/19/2023 CZPO11 Standard
Deficiency Tag Deficiency Description Tag Type
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 04D2115497 Pinnacle Dermatology 16115 St Vincent Way Suite 300 Little Rock AR 07/12/2018 YM5O11 Standard
Deficiency Tag Deficiency Description Tag Type
D5473 CONTROL PROCEDURES Standard
▼ 04D2115497 Pinnacle Dermatology 16115 St Vincent Way Suite 300 Little Rock AR 02/24/2020 LBUU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 04D2117481 Baptist Health Medical Center Conway 1555 Exchange Avenue Conway AR 07/31/2019 34GD11 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D5441 CONTROL PROCEDURES Standard
D5445 CONTROL PROCEDURES Standard
D5469 CONTROL PROCEDURES Standard
D5783 CORRECTIVE ACTIONS Standard
▼ 04D2118858 Interventional Pain Management Center 3800 E Johnson, Suite E Jonesboro AR 10/07/2021 Y33711 Standard
Deficiency Tag Deficiency Description Tag Type
D1001 CERTIFICATE OF WAIVER TESTS Standard
▼ 04D2118858 Interventional Pain Management Center 3800 E Johnson, Suite E Jonesboro AR 09/27/2023 1MD511 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 04D2119423 White River Health Family Care 1217 Batesville Blvd Batesville AR 05/27/2020 6O1711 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2123 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D2119423 White River Health Family Care 1217 Batesville Blvd Batesville AR 09/02/2021 0O2G11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5785 CORRECTIVE ACTIONS Standard
▼ 04D2121560 Arkansas Pathology Associates Histology Hot Spgs 300 Werner St Hot Springs AR 02/06/2019 22Z111 Standard
Deficiency Tag Deficiency Description Tag Type
D5781 CORRECTIVE ACTIONS Standard
▼ 04D2122809 Unity Health Lab Of Path 1200 South Main St, Suite Lop Searcy AR 10/09/2025 2MB211 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard