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
▼ 03D0991404 Arizona Andrology Lab & Cryobank 850 N Kolb Rd Ste B Tucson AZ 02/27/2025 GTQ911 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5801 TEST REPORT Standard
D6175 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 03D0991526 Arizona Urology Specialists, Llc - Tpk 17300 N Perimeter Dr, 2nd Floor Scottsdale AZ 03/16/2018 SDK911 Standard
Deficiency Tag Deficiency Description Tag Type
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 03D0991526 Arizona Urology Specialists, Llc - Tpk 17300 N Perimeter Dr, 2nd Floor Scottsdale AZ 02/01/2023 QD2811 Standard
Deficiency Tag Deficiency Description Tag Type
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5473 CONTROL PROCEDURES Standard
▼ 03D0991526 Arizona Urology Specialists, Llc - Tpk 17300 N Perimeter Dr, 2nd Floor Scottsdale AZ 01/09/2025 2LKO11 Standard
Deficiency Tag Deficiency Description Tag Type
D5425 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 03D0992206 Arizona Dermatology 6644 E Baseline Rd Ste 102 Mesa AZ 02/07/2023 NLTR11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 03D0992206 Arizona Dermatology 6644 E Baseline Rd Ste 102 Mesa AZ 01/16/2025 AQQU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 03D1000791 Richard L Averitte, Jr Pllc 20401 N 73rd St Suite 230 Scottsdale AZ 07/30/2019 L0PN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5607 HISTOPATHOLOGY Standard
▼ 03D1000963 Nadc Cottonwood 450 S Willard St Ste 115 Cottonwood AZ 08/24/2023 D1DP11 Standard
Deficiency Tag Deficiency Description Tag Type
D5803 TEST REPORT Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 03D1002763 All Dermatology 14239 W Bell Rd Ste 101 Surprise AZ 01/10/2024 2W0W11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5473 CONTROL PROCEDURES Standard
▼ 03D1003646 Ginger Ryan Clinic 1100 F Ave Douglas AZ 04/24/2018 EQXF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard