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
▼ 05D0612335 Sonoma Specialty Hospital 501 Petaluma Ave Sebastopol CA 02/24/2021 PTRW11 Standard
Deficiency Tag Deficiency Description Tag Type
D2025 BACTERIOLOGY Standard
D2087 ROUTINE CHEMISTRY Standard
D6022 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0612335 Sonoma Specialty Hospital 501 Petaluma Ave Sebastopol CA 04/12/2021 NKYO11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0612335 Sonoma Specialty Hospital 501 Petaluma Ave Sebastopol CA 05/31/2024 57PA11 Standard
Deficiency Tag Deficiency Description Tag Type
D2088 ROUTINE CHEMISTRY Standard
D2122 HEMATOLOGY Standard
D2173 COMPATIBILITY TESTING Standard
D3027 RETENTION REQUIREMENTS Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5815 TEST REPORT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6087 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0612446 Sonoma Valley Hospital District 347 Andrieux St Sonoma CA 11/27/2018 RWK511 Standard
Deficiency Tag Deficiency Description Tag Type
D2020 BACTERIOLOGY Standard
D2087 ROUTINE CHEMISTRY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5473 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0612446 Sonoma Valley Hospital District 347 Andrieux St Sonoma CA 07/21/2021 LUD311 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2181 COMPATIBILITY TESTING Standard
D6076 LABORATORY DIRECTOR Condition
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6089 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0612446 Sonoma Valley Hospital District 347 Andrieux St Sonoma CA 05/05/2022 JTN211 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D2098 ENDOCRINOLOGY Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0612446 Sonoma Valley Hospital District 347 Andrieux St Sonoma CA 10/16/2025 5UH511 Standard
Deficiency Tag Deficiency Description Tag Type
D2075 GENERAL IMMUNOLOGY Standard
D2109 TOXICOLOGY Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5447 CONTROL PROCEDURES Standard
D5789 TEST RECORDS Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0613463 Sierra Hematology & Oncology 6555 Coyle Ave Ste 301 Carmichael CA 12/06/2018 IJ1M11 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2121 HEMATOLOGY Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D0615137 Advanced Cosmetic Surgery & Dermatology 276 Kingsbury Grade Ste 101 Stateline NV 06/10/2019 U7HY11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
▼ 05D0615137 Advanced Cosmetic Surgery & Dermatology 276 Kingsbury Grade Ste 101 Stateline NV 12/15/2023 JVYM11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard