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
▼ 03D2054155 Dermatology & Plastic Surgery Of Arizona 698 E Wetmore Ste 310 Tucson AZ 10/17/2023 K4U411 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5425 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D5475 CONTROL PROCEDURES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D2054440 Center For Dermatology, Pllc-Chandler 10440 E Riggs Rd, Ste 160 Chandler AZ 09/12/2022 559I11 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5787 TEST RECORDS Standard
▼ 03D2056360 Epiphany Dermatology Of Arizona, Llc 2525 E Carefree Hwy, Ste 144, Bldg 6 Phoenix AZ 08/27/2019 XJ9P11 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
▼ 03D2056360 Epiphany Dermatology Of Arizona, Llc 2525 E Carefree Hwy, Ste 144, Bldg 6 Phoenix AZ 11/05/2024 B9LS11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5473 CONTROL PROCEDURES Standard
▼ 03D2056387 Brenda Latowsky Md Pllc 20201 N Scottsdale Healthcare Dr Ste 260 Scottsdale AZ 08/15/2024 Z4ID11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5473 CONTROL PROCEDURES Standard
D5607 HISTOPATHOLOGY Standard
D5805 TEST REPORT Standard
▼ 03D2057079 Chandler Surgery Center 1475 W Chandler Blvd Chandler AZ 01/10/2018 C90511 Standard
Deficiency Tag Deficiency Description Tag Type
D2128 HEMATOLOGY Standard
D5407 PROCEDURE MANUAL Standard
D5447 CONTROL PROCEDURES Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6031 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6066 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 03D2057816 Yuma Dermatology 1079 W 23rd Street Yuma AZ 02/13/2023 GQ7Q11 Standard
Deficiency Tag Deficiency Description Tag Type
D5473 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 03D2058341 Prescott Healthcare Solutions, Llc Dba 3151 N Windsong Dr Prescott Valley AZ 08/08/2018 5NYQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5801 TEST REPORT Standard
D5805 TEST REPORT Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 03D2058341 Prescott Healthcare Solutions, Llc Dba 3151 N Windsong Dr Prescott Valley AZ 11/27/2019 8D4W11 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
▼ 03D2058341 Prescott Healthcare Solutions, Llc Dba 3151 N Windsong Dr Prescott Valley AZ 10/23/2020 PBI611 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5305 TEST REQUEST Standard
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5469 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5801 TEST REPORT Standard