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
▼ 04D2165967 Mitchell Family Medicine, Llc 924 State Hwy 77 Marion AR 10/07/2020 IIPK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 04D2165967 Mitchell Family Medicine, Llc 924 State Hwy 77 Marion AR 07/03/2024 8PT611 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D2165967 Mitchell Family Medicine, Llc 924 State Hwy 77 Marion AR 05/12/2026 VWB711 Standard
Deficiency Tag Deficiency Description Tag Type
D5469 CONTROL PROCEDURES Standard
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 04D2166077 Hull Dermatology 9521 Sunset Dr Bella Vista AR 03/04/2020 7V2X11 Standard
Deficiency Tag Deficiency Description Tag Type
D5473 CONTROL PROCEDURES Standard
▼ 04D2166077 Hull Dermatology 9521 Sunset Dr Bella Vista AR 03/02/2022 NZ5211 Standard
Deficiency Tag Deficiency Description Tag Type
D5787 TEST RECORDS Standard
▼ 04D2166077 Hull Dermatology 9521 Sunset Dr Bella Vista AR 11/18/2025 VIIU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D2166284 Biomolecular Integrations Inc 1225 Breackenridge Drive Suite 108 Little Rock AR 06/23/2026 SC0I11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D2167266 Kion Pediatrics 3410 E Johnson Ave Suite T Jonesboro AR 11/07/2024 RL9T11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5783 CORRECTIVE ACTIONS Standard
▼ 04D2167461 Cabot Emergency Hospital 212 Willie Ray Drive Cabot AR 02/28/2020 UFIH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5445 CONTROL PROCEDURES Standard
D5447 CONTROL PROCEDURES Standard
D5481 CONTROL PROCEDURES Standard
D5783 CORRECTIVE ACTIONS Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D2167461 Cabot Emergency Hospital 212 Willie Ray Drive Cabot AR 03/08/2022 HF7P11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2131 HEMATOLOGY Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard