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
▼ 50D0669238 David C Wynecoop Memorial Clinic 6203 Agency Loop Rd Wellpinit WA 04/18/2022 V01O11 Special, Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 50D0670412 Lummi Nation Health Ctr 2608 Kwina Rd Bellingham WA 02/20/2024 DMNL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5449 CONTROL PROCEDURES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 50D0697375 Planned Parenthood Of Greater Wa And N Idaho 1117 Tieton Dr Yakima WA 08/15/2023 X42Z11 Standard
Deficiency Tag Deficiency Description Tag Type
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 50D0705043 Yakama Indian Health Center 401 Buster Rd Toppenish WA 06/20/2019 211411 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5507 BACTERIOLOGY Standard
▼ 50D0889256 Virginia Mason Franciscan Health Bellevue 11695 Ne 4th St Bellevue WA 04/07/2023 56MX11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5400 ANALYTIC SYSTEMS Condition
D5407 PROCEDURE MANUAL Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5447 CONTROL PROCEDURES Standard
D5775 COMPARISON OF TEST RESULTS Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6030 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6049 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 50D0922744 Karen I Fryberg Tulalip Health Clinic 7520 Totem Beach Road Tulalip WA 11/23/2020 D9VX11 Standard
Deficiency Tag Deficiency Description Tag Type
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5445 CONTROL PROCEDURES Standard
▼ 50D0922744 Karen I Fryberg Tulalip Health Clinic 7520 Totem Beach Road Tulalip WA 05/06/2022 ZJ9H11 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5449 CONTROL PROCEDURES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 50D0951120 Mhs-Tacoma Family Medicine 317 Martin Luther King Jr Way Tacoma WA 06/21/2023 M1N011 Standard
Deficiency Tag Deficiency Description Tag Type
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 50D1049793 Seattle Childrens Research Institute 307 Westlake Ave N 307w-4 Seattle WA 07/22/2024 OKY911 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5805 TEST REPORT Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6108 LABORATORY TECHNICAL SUPERVISOR Condition
D6111 TECHNICAL SUPERVISOR QUALIFICATIONS Standard
▼ 50D1072865 Omak Ihs Clinic 617 Benton Street Omak WA 06/20/2018 TD8V11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard