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

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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
▼ 04D2178013 Arkansas Dermatology 106 S Inglewood, Suite B Russellville AR 08/11/2026 PBER11 Standard
Deficiency Tag Deficiency Description Tag Type
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D2178791 Greenwood Labs Llc 8907 Kanis Rd, Ste 401, Room #4 Little Rock AR 03/29/2021 UEOW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
▼ 04D2182040 Namida Lab, Inc 1905 E Mission Blvd, Suite 6 Fayetteville AR 05/25/2022 734Y11 Standard
Deficiency Tag Deficiency Description Tag Type
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 04D2184929 Highlands Oncology Group Lab Iii 3901 Parkway Circle Springdale AR 07/28/2021 T5DX11 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5469 CONTROL PROCEDURES Standard
D5781 CORRECTIVE ACTIONS Standard
▼ 04D2184929 Highlands Oncology Group Lab Iii 3901 Parkway Circle Springdale AR 09/14/2023 CMWC11 Standard
Deficiency Tag Deficiency Description Tag Type
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D2184929 Highlands Oncology Group Lab Iii 3901 Parkway Circle Springdale AR 06/18/2025 0NIY11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5400 ANALYTIC SYSTEMS Condition
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5469 CONTROL PROCEDURES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D2185017 Dermatology Group Of Ar 5 Medical Park Drive, Suite 200 Benton AR 04/28/2023 82OT11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6011 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 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