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
▼ 04D2172595 Arkansas Dermatology 500 South University Avenue, Suite 708 Little Rock AR 08/31/2022 CGYY11 Standard
Deficiency Tag Deficiency Description Tag Type
D5473 CONTROL PROCEDURES Standard
▼ 04D2172595 Arkansas Dermatology 500 South University Avenue, Suite 708 Little Rock AR 06/25/2024 FII311 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
▼ 04D2173838 Salem Family Clinic P A 507 N Main St Salem AR 04/07/2021 BVJC11 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D3031 RETENTION REQUIREMENTS Standard
D5813 TEST REPORT Standard
▼ 04D2173838 Salem Family Clinic P A 507 N Main St Salem AR 05/02/2023 YQ2811 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 04D2173838 Salem Family Clinic P A 507 N Main St Salem AR 04/28/2025 M45011 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D2175145 Greenwood Labs, Llc - Molecular Division 8907 Kanis Road, Suite 401, Rooms 2 And 3 Little Rock AR 03/29/2021 XN7H11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 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