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

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
▼ 03D1014573 Arizona Reproductive Medicine Specialist 2730 S Val Vista Dr, Bldg 5, Ste 128 Gilbert AZ 09/17/2019 DOJA11 Standard
Deficiency Tag Deficiency Description Tag Type
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6168 TESTING PERSONNEL Condition
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 03D1018983 Camp Lowell Medical Specialists 3190 N Swan Rd Tucson AZ 02/21/2023 NFXM11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5607 HISTOPATHOLOGY Standard
D5805 TEST REPORT Standard
▼ 03D1022984 Kpc Promise Hospital Of Phoenix 433 E 6th St Mesa AZ 08/29/2018 XTTJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5407 PROCEDURE MANUAL Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 03D1022984 Kpc Promise Hospital Of Phoenix 433 E 6th St Mesa AZ 05/10/2021 TMC511 Standard
Deficiency Tag Deficiency Description Tag Type
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5813 TEST REPORT Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 03D1022984 Kpc Promise Hospital Of Phoenix 433 E 6th St Mesa AZ 09/06/2023 7JXN11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D2097 ROUTINE CHEMISTRY Standard
D2130 HEMATOLOGY Standard
D2131 HEMATOLOGY Standard
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5407 PROCEDURE MANUAL Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5537 ROUTINE CHEMISTRY Standard
D5775 COMPARISON OF TEST RESULTS Standard
D5787 TEST RECORDS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5805 TEST REPORT Standard
D5807 TEST REPORT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6015 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6040 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6041 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6042 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 03D1025475 Az Orthopedic Specialty Hospital 2905 W Warner Road Ste 101 Chandler AZ 09/30/2022 DKC611 Standard
Deficiency Tag Deficiency Description Tag Type
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D3027 RETENTION REQUIREMENTS Standard
D3037 RETENTION REQUIREMENTS Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5400 ANALYTIC SYSTEMS Condition
D5445 CONTROL PROCEDURES Standard
D5775 COMPARISON OF TEST RESULTS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5801 TEST REPORT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 03D1026009 Ronald M Mann, Md, Pc Dba Catalina Dermatology 7355 E Tanque Verde Tucson AZ 11/13/2018 94OX11 Standard
Deficiency Tag Deficiency Description Tag Type
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 03D1026009 Ronald M Mann, Md, Pc Dba Catalina Dermatology 7355 E Tanque Verde Tucson AZ 11/08/2023 21AT11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 03D1026042 Palo Verde Hematology Oncology, Ltd 7373 N Scottsdale Rd Bldg E-100 Scottsdale AZ 10/10/2018 BT0311 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D1026968 Fry Laboratories Llc 14807 N 73rd St Ste 102 Scottsdale AZ 11/29/2018 XV0P11 Standard
Deficiency Tag Deficiency Description Tag Type
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard