S&C QCOR CLIA 2567s
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CLIA 2567s
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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
▼ 03D1031629 North Mountain Medical & Rehabilitation Center 9155 N 3rd Street Phoenix AZ 10/16/2020 SJOF11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2094 ROUTINE CHEMISTRY Standard
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D1032321 Palo Verde Hematology Oncology 9250 W Thomas Rd, Ste 150 Phoenix AZ 02/05/2019 FDLO11 Standard
Deficiency Tag Deficiency Description Tag Type
D5301 TEST REQUEST Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D1032321 Palo Verde Hematology Oncology 9250 W Thomas Rd, Ste 150 Phoenix AZ 04/16/2024 PNYD11 Standard
Deficiency Tag Deficiency Description Tag Type
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5813 TEST REPORT Standard
▼ 03D1032610 East Valley Endocrinology Diabetes & Metabolism Pc 9500 E Ironwood Square Rd, Ste 201 Scottsdale AZ 07/12/2018 6MLB11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
D5787 TEST RECORDS Standard
D5801 TEST REPORT Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D1032610 East Valley Endocrinology Diabetes & Metabolism Pc 9500 E Ironwood Square Rd, Ste 201 Scottsdale AZ 02/10/2021 C93A11 Special
Deficiency Tag Deficiency Description Tag Type
D3000 FACILITY ADMINISTRATION Condition
▼ 03D1032610 East Valley Endocrinology Diabetes & Metabolism Pc 9500 E Ironwood Square Rd, Ste 201 Scottsdale AZ 02/10/2021 FG8611 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D1037447 Advanced Desert Dermatology 9191 W Thunderbird Rd, Ste D-101 Peoria AZ 06/28/2024 37BW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 03D1037447 Advanced Desert Dermatology 9191 W Thunderbird Rd, Ste D-101 Peoria AZ 07/03/2025 EHJC11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D1037969 Clin-Path Associates, Plc 1955 W Frye Rd, Pathology Laboratory Chandler AZ 05/17/2019 FYMJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5601 HISTOPATHOLOGY Standard
▼ 03D1040373 Banner Physician Specialists Arizona, Llc 14420 W Meeker Blvd, Ste 104 Sun City West AZ 07/12/2024 29TC11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard