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.

CMS Certification Number Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 03D0534325 Havasu Regional Medical Center 101 Civic Center Ln Lake Havasu City AZ 04/02/2019 I5L311 Complaint
Deficiency Tag Deficiency Description Tag Type
D3000 FACILITY ADMINISTRATION Condition
D3023 REQUIREMENTS FOR TRANSFUSION SERVICES Standard
D5026 IMMUNOHEMATOLOGY Condition
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5777 COMPARISON OF TEST RESULTS Standard
D5789 TEST RECORDS Standard
D5800 POSTANALYTIC SYSTEMS Condition
D5801 TEST REPORT Standard
D5821 TEST REPORT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6076 LABORATORY DIRECTOR Condition
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6175 TESTING PERSONNEL RESPONSIBILITIES Standard
D6179 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 03D0641866 Arizona State Public Health Laboratory 250 N 17th Ave Phoenix AZ 05/02/2024 YMZS11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5300 PREANALYTIC SYSTEMS Condition
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5401 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5481 CONTROL PROCEDURES Standard
▼ 03D0662659 Donor Network Of Arizona 2010 W Rio Salado Pkwy Tempe AZ 03/05/2026 FM9N11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5781 CORRECTIVE ACTIONS Standard
D5785 CORRECTIVE ACTIONS Standard
D6151 GENERAL SUPERVISOR RESPONSIBILITIES Standard
▼ 03D0662724 Saguaro Dermatology 2150 S Dobson Rd Ste 1 Mesa AZ 02/17/2021 5XWE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
▼ 03D0662724 Saguaro Dermatology 2150 S Dobson Rd Ste 1 Mesa AZ 09/06/2023 N6EV11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5473 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D0666037 Associates In Dermatology Care Dba 11000 N Scottsdale Rd, Ste 120 Scottsdale AZ 02/27/2018 3VYE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5787 TEST RECORDS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5805 TEST REPORT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D0666037 Associates In Dermatology Care Dba 11000 N Scottsdale Rd, Ste 120 Scottsdale AZ 01/16/2025 FT8Y11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5473 CONTROL PROCEDURES Standard
▼ 03D0667429 Phoenix Children's Pediatrics - Paradise Valley 4848 E Cactus Rd #620 Scottsdale AZ 02/13/2019 DWIN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D0675003 Haven Of Tucson 3705 N Swan Rd Tucson AZ 05/23/2023 3H7Z11 Standard
Deficiency Tag Deficiency Description Tag Type
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D0675619 Honorhealth Medical Group Saguaro 18404 N Tatum Boulevard #101 Phoenix AZ 02/08/2018 CYZ111 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard