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
▼ 05D0605512 Allied Laboratories, Inc 453 Ravendale Dr Ste B Mountain View CA 01/30/2019 9WLC11 Standard
Deficiency Tag Deficiency Description Tag Type
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 05D0605512 Allied Laboratories, Inc 453 Ravendale Dr Ste B Mountain View CA 08/12/2024 MGHN11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2107 ENDOCRINOLOGY Standard
D2108 ENDOCRINOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0605631 Csi Medical Group 204 Green Valley Rd Freedom CA 02/07/2025 X4IQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5401 PROCEDURE MANUAL Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 05D0605685 Csi Medical Group 9460 No Name Uno Ste 210 Gilroy CA 10/20/2020 WZTG11 Standard
Deficiency Tag Deficiency Description Tag Type
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 05D0606752 Palo Alto Medical Foundation 2025 Soquel Ave Santa Cruz CA 11/20/2018 MHK311 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
▼ 05D0606752 Palo Alto Medical Foundation 2025 Soquel Ave Santa Cruz CA 04/24/2019 01YV11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D2109 TOXICOLOGY Standard
D2121 HEMATOLOGY Standard
D2123 HEMATOLOGY Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5775 COMPARISON OF TEST RESULTS Standard
▼ 05D0606752 Palo Alto Medical Foundation 2025 Soquel Ave Santa Cruz CA 03/13/2024 UTVV11 Standard
Deficiency Tag Deficiency Description Tag Type
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5815 TEST REPORT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0607216 Urology Associates Of Silicon Valley 2460 Samaritan Dr San Jose CA 10/03/2025 K2L211 Standard
Deficiency Tag Deficiency Description Tag Type
D3003 FACILITIES Standard
D3005 FACILITIES Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6083 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0608994 Abdallah Khourdaji Md 801 S Ham Ln Ste A Lodi CA 06/06/2025 6PTF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0609318 Sutter Gould Medical Foundation 2545 W Hammer Lane Stockton CA 09/25/2018 U4UG11 Standard
Deficiency Tag Deficiency Description Tag Type
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard