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
▼ 05D0585635 Adventist Health Tulare 869 North Cherry St Tulare CA 08/22/2024 V2ZX11 Standard
Deficiency Tag Deficiency Description Tag Type
D2121 HEMATOLOGY Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0586412 Rheumatology Services Medical Group 8329 Brimhall Rd Ste 801 Bakersfield CA 04/02/2018 3M3011 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0586412 Rheumatology Services Medical Group 8329 Brimhall Rd Ste 801 Bakersfield CA 04/03/2019 M59I11 Standard
Deficiency Tag Deficiency Description Tag Type
D2075 GENERAL IMMUNOLOGY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0586697 San Luis Dermatology And Laser Clinic, Inc 1551 Bishop St Ste 410 San Luis Obispo CA 12/18/2025 TUZJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
D5403 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0586887 San Luis Dermatology & Laser Clinic, Inc 15 Santa Rosa St San Luis Obispo CA 06/25/2024 RBER11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5401 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5441 CONTROL PROCEDURES Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6106 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0587665 Urology Associates Of The Central Coast 1310 Las Tablas Rd Ste 201 Templeton CA 08/21/2019 B4W011 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 05D0587831 Jasbir S Sandhu Md Inc 41324 12th St W, Ste B Palmdale CA 11/30/2020 B7W611 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
▼ 05D0587839 Sierra Medical Group Inc 38636 Medical Center Dr, Ste C Palmdale CA 10/01/2018 RFTX11 Standard
Deficiency Tag Deficiency Description Tag Type
D5301 TEST REQUEST Standard
D5447 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 05D0587839 Sierra Medical Group Inc 38636 Medical Center Dr, Ste C Palmdale CA 03/03/2021 1D7911 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5801 TEST REPORT Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0588593 Madera Community Hospital 1250 E Almond Ave Po Box 1328 Madera CA 11/05/2025 9WBR11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard