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
▼ 03D0718167 Pediatric Associates Pc 7720 N 16th St #110 Phoenix AZ 05/23/2018 62SU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5407 PROCEDURE MANUAL Standard
D5477 CONTROL PROCEDURES Standard
D6031 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 03D0718167 Pediatric Associates Pc 7720 N 16th St #110 Phoenix AZ 01/13/2021 PF5G11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 03D0718167 Pediatric Associates Pc 7720 N 16th St #110 Phoenix AZ 03/07/2023 VB0Z11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2028 BACTERIOLOGY Standard
D5445 CONTROL PROCEDURES Standard
D5477 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5801 TEST REPORT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6022 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D0718167 Pediatric Associates Pc 7720 N 16th St #110 Phoenix AZ 02/19/2025 R09W11 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5407 PROCEDURE MANUAL Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 03D0720805 Prescott Urology 811 Ainsworth Dr, Suite 101 Prescott AZ 10/05/2021 XXL311 Standard
Deficiency Tag Deficiency Description Tag Type
D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 03D0859649 Campus Health Service Arizona State Universty Health Services Tempe AZ 12/20/2018 NU4I11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5445 CONTROL PROCEDURES Standard
▼ 03D0859649 Campus Health Service Arizona State Universty Health Services Tempe AZ 08/03/2021 O4KU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
▼ 03D0859649 Campus Health Service Arizona State Universty Health Services Tempe AZ 12/14/2023 9YZM11 Standard
Deficiency Tag Deficiency Description Tag Type
D5205 COMPLAINT INVESTIGATIONS Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 03D0861861 Honorhealth Cancer Care 5750 West Thunderbird Road, Suite C300 Glendale AZ 02/26/2019 LY1X11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 03D0868991 Allegiant Healthcare West, Llc 3130 E Broadway Road Mesa AZ 01/27/2020 OTNC11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5787 TEST RECORDS Standard