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.

CMS Certification Number Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 03D0970146 Michael J Huether Md Pc 5980 N La Cholla Blvd Tucson AZ 04/03/2018 PGGB11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5787 TEST RECORDS Standard
▼ 03D0974359 Arizona Dermatology 1500 S White Mountain Road, Suite 401 Show Low AZ 03/27/2023 JZT411 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D0974359 Arizona Dermatology 1500 S White Mountain Road, Suite 401 Show Low AZ 01/14/2025 2BPG11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D0975935 Southwest Skin Specialists, Llc Dba 14537 W Indian School Rd, Ste 700 Goodyear AZ 09/24/2018 YTBD11 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5473 CONTROL PROCEDURES Standard
▼ 03D0975935 Southwest Skin Specialists, Llc Dba 14537 W Indian School Rd, Ste 700 Goodyear AZ 03/25/2021 UIHN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 03D0978674 Arizona Advanced Reproductive Lab 4518 E Camp Lowell Drive Tucson AZ 11/04/2025 PU1N11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5301 TEST REQUEST Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 03D0981265 Internal Medicine Of Arizona Pc 4840 E Indian School Road, Ste 101 Phoenix AZ 01/12/2022 R20E11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5445 CONTROL PROCEDURES Standard
D5787 TEST RECORDS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6042 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 03D0981265 Internal Medicine Of Arizona Pc 4840 E Indian School Road, Ste 101 Phoenix AZ 05/01/2024 504411 Standard
Deficiency Tag Deficiency Description Tag Type
D5469 CONTROL PROCEDURES Standard
▼ 03D0986978 Pathology Biomedical Consulting, Inc 7436 N La Cholla Blvd Tucson AZ 09/25/2019 O0BR11 Standard
Deficiency Tag Deficiency Description Tag Type
D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 03D0991404 Arizona Andrology Lab & Cryobank 850 N Kolb Rd Ste B Tucson AZ 02/08/2023 4D8P11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard