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

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
▼ 05D0602385 Equaltox, Llc 550 N Golden Circle, Ste B Santa Ana CA 09/07/2021 68VL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5441 CONTROL PROCEDURES Standard
D5781 CORRECTIVE ACTIONS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6024 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6036 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D0602385 Equaltox, Llc 550 N Golden Circle, Ste B Santa Ana CA 04/18/2023 A91S11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D2098 ENDOCRINOLOGY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0602385 Equaltox, Llc 550 N Golden Circle, Ste B Santa Ana CA 04/10/2024 Y4V211 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2098 ENDOCRINOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0602385 Equaltox, Llc 550 N Golden Circle, Ste B Santa Ana CA 09/18/2025 11CA11 Standard
Deficiency Tag Deficiency Description Tag Type
D2076 GENERAL IMMUNOLOGY Standard
D2087 ROUTINE CHEMISTRY Standard
D6089 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0602416 Sperm Bank Of California 2115 Milvia St, 2nd Flr Berkeley CA 10/01/2025 7XQT11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 05D0603376 Golden Gate Urology, Inc 2999 Regent St Ste 612 Berkeley CA 03/05/2020 O0G811 Standard
Deficiency Tag Deficiency Description Tag Type
D5507 BACTERIOLOGY Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0603818 Bruce R Carlton Md Inc 2101 Vale Rd, Ste 301 San Pablo CA 01/22/2018 M26511 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5477 CONTROL PROCEDURES Standard
▼ 05D0603818 Bruce R Carlton Md Inc 2101 Vale Rd, Ste 301 San Pablo CA 03/23/2022 L1PF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0604104 Joseph H Greenberg Md 750 Las Gallinas Ave, Ste 205 San Rafael CA 02/01/2019 K84T11 Standard
Deficiency Tag Deficiency Description Tag Type
D3043 RETENTION REQUIREMENTS Standard
D6087 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0604249 Marinhealth Dermatology 5000 Civic Center Dr San Rafael CA 02/19/2025 OZML11 Standard
Deficiency Tag Deficiency Description Tag Type
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard