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
▼ 03D1076661 English Dermatology 1729 N Trekell Rd #124 Casa Grande AZ 02/17/2023 DXTQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D1079575 Virtual Scientific, Inc 15403 S 24th St Phoenix AZ 01/15/2025 YM5011 Standard
Deficiency Tag Deficiency Description Tag Type
D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 03D1079908 English Dermatology 20940 North Tatum Blvd Ste 200 Phoenix AZ 03/03/2023 CX3T11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
▼ 03D1081123 Southwest Skin Specialists, Llc Dba 14506 W Granite Valley Dr #206 Sun City West AZ 05/09/2018 L8T211 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D1081123 Southwest Skin Specialists, Llc Dba 14506 W Granite Valley Dr #206 Sun City West AZ 10/21/2020 Q9Z411 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5441 CONTROL PROCEDURES Standard
D5473 CONTROL PROCEDURES Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 03D1081123 Southwest Skin Specialists, Llc Dba 14506 W Granite Valley Dr #206 Sun City West AZ 05/31/2023 CBN411 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D5473 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5803 TEST REPORT Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D1082336 Footcare Specialists Of Arizona 10503 W Thunderbird Blvd Ste #109 Sun City AZ 01/31/2018 7FCE11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2044 MYCOLOGY Standard
D2046 MYCOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D1082336 Footcare Specialists Of Arizona 10503 W Thunderbird Blvd Ste #109 Sun City AZ 09/10/2018 V4KQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
▼ 03D1083140 Roadrunner Foot And Ankle 13660 N 94th Drive Ste A-3 Peoria AZ 11/07/2023 4NFY11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5301 TEST REQUEST Standard
D5803 TEST REPORT Standard
D5805 TEST REPORT Standard
▼ 03D1083664 Omni Dermatology Inc 4801 E Mcdowell Rd Ste 150 Phoenix AZ 01/25/2023 5RYE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5801 TEST REPORT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard