S&C QCOR CLIA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
CLIA 2567s
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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
03D1102253 Arizona Urology, Llc 13555 W Mcdowell Rd, Suite 302 Goodyear AZ 08/23/2023 N9M911 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2020 BACTERIOLOGY Standard
D2026 BACTERIOLOGY Standard
D2028 BACTERIOLOGY Standard
D6076 LABORATORY DIRECTOR Condition
D6089 LABORATORY DIRECTOR RESPONSIBILITIES Standard
03D1105604 Vitalant Irl And Trans Svcs 1524 W 14th St, Ste 120 Rm 204 Tempe AZ 08/28/2025 GEYF11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
03D1105892 Kingman Oncology Institute 890 Airway Ave Kingman AZ 08/23/2018 O9Z611 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5787 TEST RECORDS Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
03D1105892 Kingman Oncology Institute 890 Airway Ave Kingman AZ 02/21/2024 MQ9N11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5407 PROCEDURE MANUAL Standard
03D1106857 Lmc-Havasu Regional Medical Center (Ap) 101 Civic Center Lane Lake Havasu City AZ 06/22/2018 31J711 Standard
Deficiency Tag Deficiency Description Tag Type
D5473 CONTROL PROCEDURES Standard
D5629 CYTOLOGY Standard
D5645 CYTOLOGY Standard
03D2001285 Phoenix Skin Medical Surgical Group 5056 N Central Avenue Phoenix AZ 01/19/2023 KSDM11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5607 HISTOPATHOLOGY Standard
D5787 TEST RECORDS Standard
03D2001463 Angela Wyatt Dermatology 150 N Verde St Ste 101 Flagstaff AZ 07/14/2022 RYCB11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
03D2004764 White Mountain Dermatology 7100 N Overfield Road Casa Grande AZ 01/04/2022 F1FL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
03D2006336 Cyrex Laboratories, Llc 2602 S 24th St Phoenix AZ 12/07/2018 3U8W11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
03D2006336 Cyrex Laboratories, Llc 2602 S 24th St Phoenix AZ 02/23/2024 HKFZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5475 CONTROL PROCEDURES Standard