S&C QCOR CLIA 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
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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
▼ 03D1004425 Kevin A Fuciarelli Md Pc 10615 N Hayden Rd C-102 Scottsdale AZ 03/22/2019 5IUS11 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
▼ 03D1004425 Kevin A Fuciarelli Md Pc 10615 N Hayden Rd C-102 Scottsdale AZ 10/21/2021 BE8C11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D5473 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D1004425 Kevin A Fuciarelli Md Pc 10615 N Hayden Rd C-102 Scottsdale AZ 04/12/2024 MBHF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D1007998 Harmony Healthcare Pllc 1361 S Alma School Rd Mesa AZ 12/19/2019 ZBWI11 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 03D1011584 Camelback Dermatology & Skin Surgery 4512 North 40th St Phoenix AZ 10/29/2024 22R511 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 03D1012127 Bisbee Family Health Center 108 Arizona St Bisbee AZ 04/24/2018 PSKD11 Standard
Deficiency Tag Deficiency Description Tag Type
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D1012182 Quality Of Life Medical Center, Llc 5390 E Erickson Drive Tucson AZ 05/22/2018 8Y7211 Standard
Deficiency Tag Deficiency Description Tag Type
D5301 TEST REQUEST Standard
D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5805 TEST REPORT Standard
D6115 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 03D1012182 Quality Of Life Medical Center, Llc 5390 E Erickson Drive Tucson AZ 01/20/2021 DDCM11 Standard
Deficiency Tag Deficiency Description Tag Type
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5305 TEST REQUEST Standard
D5407 PROCEDURE MANUAL Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 03D1012182 Quality Of Life Medical Center, Llc 5390 E Erickson Drive Tucson AZ 06/21/2023 9NUA11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5305 TEST REQUEST Standard
D5407 PROCEDURE MANUAL Standard
D5469 CONTROL PROCEDURES Standard
D5781 CORRECTIVE ACTIONS Standard
D5801 TEST REPORT Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6125 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 03D1012182 Quality Of Life Medical Center, Llc 5390 E Erickson Drive Tucson AZ 01/21/2025 ZZEW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5469 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5807 TEST REPORT Standard