S&C QCOR CLIA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
CLIA 2567s
Selection Criteria

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

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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
03D2006536 Pdp Az Dermatopathology Lab 6320 W Union Hills Dr, Bldg A Ste 200 Glendale AZ 06/05/2019 TJ5K11 Standard
Deficiency Tag Deficiency Description Tag Type
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
03D2006536 Pdp Az Dermatopathology Lab 6320 W Union Hills Dr, Bldg A Ste 200 Glendale AZ 06/18/2021 DMB611 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5473 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
03D2006536 Pdp Az Dermatopathology Lab 6320 W Union Hills Dr, Bldg A Ste 200 Glendale AZ 12/06/2023 00X211 Standard
Deficiency Tag Deficiency Description Tag Type
D5475 CONTROL PROCEDURES Standard
03D2006536 Pdp Az Dermatopathology Lab 6320 W Union Hills Dr, Bldg A Ste 200 Glendale AZ 06/11/2025 BBEH11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
03D2006566 Cchci Vista Pediatrics Suite 700 155 Calle Portal, Ste 700 Sierra Vista AZ 04/24/2018 YRBJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
03D2008065 Arizona Gastrointestinal Associates, Plc 20100 N 51st Ave Ste 615 Glendale AZ 08/12/2021 KHDI11 Standard
Deficiency Tag Deficiency Description Tag Type
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
03D2008065 Arizona Gastrointestinal Associates, Plc 20100 N 51st Ave Ste 615 Glendale AZ 03/14/2024 384Y11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5425 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5475 CONTROL PROCEDURES Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6168 TESTING PERSONNEL Condition
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
03D2008875 Csl Plasma, Inc- Tucson 4775 S Butterfield Dr Ste 175-195 Tucson AZ 04/11/2019 82V611 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
03D2012104 Southwest Skin Specialists, Ltd 5010 E Shea Blvd, Ste 130 Scottsdale AZ 08/08/2024 4HNR11 Standard
Deficiency Tag Deficiency Description Tag Type
D5779 CORRECTIVE ACTIONS Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
03D2016741 Desert Pain And Rehab Specialists 11047 N 19th Ave Phoenix AZ 01/12/2018 SCD112 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS null
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT null
D5305 TEST REQUEST null
D5401 PROCEDURE MANUAL null
D5427 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE null
D5433 MAINTENANCE AND FUNCTION CHECKS null
D5447 CONTROL PROCEDURES null
D5481 CONTROL PROCEDURES null
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT null
D6076 LABORATORY DIRECTOR null
D6093 LABORATORY DIRECTOR RESPONSIBILITIES null
D6102 LABORATORY DIRECTOR RESPONSIBILITIES null
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES null