S&C QCOR CLIA 2567s
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CLIA 2567s
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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

Use these filters if you know the name (or partial name) of the facility you are searching for.

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
▼ 05D0582270 Csi Medical Group 1165 N Euclid St Anaheim CA 09/20/2019 9IZD11 Standard
Deficiency Tag Deficiency Description Tag Type
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
▼ 05D0584503 Planned Parenthood Of California 518 Garden St Santa Barbara CA 01/22/2025 WTAQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D0584671 J Robert West, Md Inc Dba Luminous Dermatology 504 W Pueblo St, Ste 102 Santa Barbara CA 11/09/2021 0RHB11 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 05D0584696 Forefront Dermatology - Pacific, Pc 105 W Mission St Santa Barbara CA 10/31/2019 6UC011 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
▼ 05D0584696 Forefront Dermatology - Pacific, Pc 105 W Mission St Santa Barbara CA 06/24/2021 AW6O11 Standard
Deficiency Tag Deficiency Description Tag Type
D3043 RETENTION REQUIREMENTS Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0584696 Forefront Dermatology - Pacific, Pc 105 W Mission St Santa Barbara CA 12/20/2023 PFN911 Standard
Deficiency Tag Deficiency Description Tag Type
D3041 RETENTION REQUIREMENTS Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5445 CONTROL PROCEDURES Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0585142 Family Healthcare Network - Delano 1230 Jefferson St Delano CA 08/13/2019 TDZQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0585142 Family Healthcare Network - Delano 1230 Jefferson St Delano CA 10/29/2019 70Y811 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2107 ENDOCRINOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0585635 Adventist Health Tulare 869 North Cherry St Tulare CA 03/14/2019 KVZ111 Standard
Deficiency Tag Deficiency Description Tag Type
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 05D0585635 Adventist Health Tulare 869 North Cherry St Tulare CA 10/05/2021 FZS411 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2162 ABO GROUP AND D(RHO) TYPING Standard
D6076 LABORATORY DIRECTOR Condition
D6089 LABORATORY DIRECTOR RESPONSIBILITIES Standard