S&C QCOR CLIA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
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

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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
05D0644064 Sonoma County Public Health Laboratory 3313 Chanate Rd Santa Rosa CA 05/03/2022 09YZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
05D0644214 Sutter Valley Medical Foundation 440 Plumas Blvd Yuba City CA 09/10/2019 3JN711 Standard
Deficiency Tag Deficiency Description Tag Type
D2121 HEMATOLOGY Standard
05D0644240 Shasta County Public Health Lab 2650 Breslauer Way Redding CA 01/11/2018 0YRG11 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5775 COMPARISON OF TEST RESULTS Standard
05D0644240 Shasta County Public Health Lab 2650 Breslauer Way Redding CA 12/04/2019 EL4411 Standard
Deficiency Tag Deficiency Description Tag Type
D2020 BACTERIOLOGY Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6091 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6118 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
05D0644240 Shasta County Public Health Lab 2650 Breslauer Way Redding CA 03/09/2022 63DL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5775 COMPARISON OF TEST RESULTS Standard
05D0644240 Shasta County Public Health Lab 2650 Breslauer Way Redding CA 10/02/2023 JVVR11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2020 BACTERIOLOGY Standard
D6076 LABORATORY DIRECTOR Condition
D6089 LABORATORY DIRECTOR RESPONSIBILITIES Standard
05D0644257 Trinity Hospital Lab 60 Easter Ave Weaverville CA 02/16/2018 ZAOF11 Standard
Deficiency Tag Deficiency Description Tag Type
D2164 UNEXPECTED ANTIBODY DETECTION Standard
D2173 COMPATIBILITY TESTING Standard
D3031 RETENTION REQUIREMENTS Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5405 PROCEDURE MANUAL Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
05D0644257 Trinity Hospital Lab 60 Easter Ave Weaverville CA 07/30/2021 SIUY11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D2121 HEMATOLOGY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6023 LABORATORY DIRECTOR RESPONSIBILITIES Standard
05D0644257 Trinity Hospital Lab 60 Easter Ave Weaverville CA 11/08/2024 QX4411 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2118 TOXICOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
05D0664149 Roxbury Laboratory Associates Llc 435 N Roxbury Dr, Ste 300 Beverly Hills CA 11/20/2019 QECW11 Standard
Deficiency Tag Deficiency Description Tag Type
D2121 HEMATOLOGY Standard
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard