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
▼ 05D0618592 Modoc Medical Center 1111 N Nagle St Alturas CA 03/08/2022 E2O811 Standard
Deficiency Tag Deficiency Description Tag Type
D2121 HEMATOLOGY Standard
▼ 05D0618592 Modoc Medical Center 1111 N Nagle St Alturas CA 10/02/2025 F53L11 Standard
Deficiency Tag Deficiency Description Tag Type
D2173 COMPATIBILITY TESTING Standard
▼ 05D0618601 Surprise Valley Health Care 741 Main St Cedarville CA 01/10/2018 LYVH11 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2016 SUCCESSFUL PARTICIPATION Condition
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5447 CONTROL PROCEDURES Standard
D5473 CONTROL PROCEDURES Standard
D5775 COMPARISON OF TEST RESULTS Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0618601 Surprise Valley Health Care 741 Main St Cedarville CA 12/23/2020 RRJ211 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D2118 TOXICOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0618601 Surprise Valley Health Care 741 Main St Cedarville CA 04/07/2021 RB1311 Standard
Deficiency Tag Deficiency Description Tag Type
D2153 ABO GROUP AND D(RHO) TYPING Standard
D2160 ABO GROUP AND D(RHO) TYPING Standard
D2173 COMPATIBILITY TESTING Standard
D2179 COMPATIBILITY TESTING Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6087 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6092 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0618601 Surprise Valley Health Care 741 Main St Cedarville CA 06/18/2021 7V9E11 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
▼ 05D0618601 Surprise Valley Health Care 741 Main St Cedarville CA 10/01/2025 03CR11 Standard
Deficiency Tag Deficiency Description Tag Type
D2109 TOXICOLOGY Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0618613 Eastern Plumas Health Care 500 E 1st Ave Portola CA 06/06/2018 KVT511 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
▼ 05D0618613 Eastern Plumas Health Care 500 E 1st Ave Portola CA 11/20/2018 N74E11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2084 GENERAL IMMUNOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0618613 Eastern Plumas Health Care 500 E 1st Ave Portola CA 06/25/2019 3EZC11 Standard
Deficiency Tag Deficiency Description Tag Type
D3029 RETENTION REQUIREMENTS Standard