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
▼ 05D0700348 Riverside Community Hospital 4445 Magnolia Ave, R3 Riverside CA 06/06/2019 NCMK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5801 TEST REPORT Standard
D5805 TEST REPORT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5893 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6024 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6025 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0701455 Golden State Dermatology 1324 Nelson Ave Ste B Modesto CA 03/07/2019 6HPE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5477 CONTROL PROCEDURES Standard
▼ 05D0701941 Advantage Urology 16311 Ventura Blvd Ste 800 Encino CA 09/24/2024 BKWV11 Standard
Deficiency Tag Deficiency Description Tag Type
D5393 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5781 CORRECTIVE ACTIONS Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0702479 Unilab Corporation 6985 Arlington Ave, Ste A Riverside CA 03/04/2019 7CJJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 05D0702862 Laguna Honda Hospital 375 Laguna Honda Blvd San Francisco CA 12/08/2021 XU4Y11 Standard
Deficiency Tag Deficiency Description Tag Type
D6121 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 05D0703841 Sonoma State University 1801 E Cotati Ave Rohnert Park CA 05/22/2018 LEDW11 Standard
Deficiency Tag Deficiency Description Tag Type
D6076 LABORATORY DIRECTOR Condition
D6078 LABORATORY DIRECTOR QUALIFICATIONS Standard
▼ 05D0703841 Sonoma State University 1801 E Cotati Ave Rohnert Park CA 07/20/2021 J85Y11 Standard
Deficiency Tag Deficiency Description Tag Type
D6076 LABORATORY DIRECTOR Condition
D6078 LABORATORY DIRECTOR QUALIFICATIONS Standard
▼ 05D0704107 Premier Pathology 7630 Vineland Ave, Ste 202 Sun Valley CA 07/30/2019 YUQ011 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D5309 TEST REQUEST Standard
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5801 TEST REPORT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 05D0704107 Premier Pathology 7630 Vineland Ave, Ste 202 Sun Valley CA 04/24/2024 O0IH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5805 TEST REPORT Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6087 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0704813 Kristin K Walker Md, Inc 89 Davis Rd Ste 180 Orinda CA 01/02/2018 MY3L11 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5401 PROCEDURE MANUAL Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6106 LABORATORY DIRECTOR RESPONSIBILITIES Standard