S&C QCOR CLIA 2567s
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CLIA 2567s
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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
▼ 05D0873272 Vibra Hospital Of San Bernardino, Llc 1760 W 16th St San Bernardino CA 06/27/2018 9PK211 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0874154 Digestive Care Consultants 23451 Madison St, Ste 290 Torrance CA 05/03/2019 IZED11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2013 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5401 PROCEDURE MANUAL Standard
▼ 05D0874154 Digestive Care Consultants 23451 Madison St, Ste 290 Torrance CA 06/11/2021 L8OB11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5407 PROCEDURE MANUAL Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D0875212 Watsonville Health Center 1430 Freedom Blvd Ste D Watsonville CA 02/28/2018 HB0S11 Standard
Deficiency Tag Deficiency Description Tag Type
D3001 FACILITIES Standard
D5201 CONFIDENTIALITY OF PATIENT INFORMATION Standard
▼ 05D0875883 Skin Cancer And Dermatologic Surgery 421 N Rodeo Dr, Ste T-7 2nd Fl Beverly Hills CA 07/12/2019 35YF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5219 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 05D0875883 Skin Cancer And Dermatologic Surgery 421 N Rodeo Dr, Ste T-7 2nd Fl Beverly Hills CA 09/09/2025 881R11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0876462 Family Planning Associates 2322 Butano Dr Ste 205 Sacramento CA 05/07/2018 US5011 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 05D0876462 Family Planning Associates 2322 Butano Dr Ste 205 Sacramento CA 04/20/2022 O8ZO11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0876618 Laboratory Medicine Consultants Inc 240 S La Cienega Blvd Ste 101 Beverly Hills CA 12/04/2020 NT3T11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2107 ENDOCRINOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0876618 Laboratory Medicine Consultants Inc 240 S La Cienega Blvd Ste 101 Beverly Hills CA 05/15/2024 PL8C11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2028 BACTERIOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard