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
▼ 05D0885471 Infectious Disease Research Lab 2260 Clove Dr San Jose CA 09/25/2018 P3QO11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3000 FACILITY ADMINISTRATION Condition
▼ 05D0885471 Infectious Disease Research Lab 2260 Clove Dr San Jose CA 09/21/2021 GICD11 Standard
Deficiency Tag Deficiency Description Tag Type
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 05D0886217 Central Valley Diagnostic Laboratory 31 W Alexander Ave Merced CA 08/13/2018 M1XY11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0886217 Central Valley Diagnostic Laboratory 31 W Alexander Ave Merced CA 08/17/2021 8HW311 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2087 ROUTINE CHEMISTRY Standard
D2096 ROUTINE CHEMISTRY Standard
D2109 TOXICOLOGY Standard
D2121 HEMATOLOGY Standard
D5401 PROCEDURE MANUAL Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6040 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D0886217 Central Valley Diagnostic Laboratory 31 W Alexander Ave Merced CA 10/05/2021 GE0R11 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
▼ 05D0887027 Antonio M Garcia, Md 586 E Mission Blvd Pomona CA 11/21/2018 VB4U11 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
▼ 05D0887027 Antonio M Garcia, Md 586 E Mission Blvd Pomona CA 06/02/2021 YH1W11 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
▼ 05D0887027 Antonio M Garcia, Md 586 E Mission Blvd Pomona CA 06/22/2021 JJMC11 Standard
Deficiency Tag Deficiency Description Tag Type
D2128 HEMATOLOGY Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D0887094 Richard G Bennett M D 50 Alessandro Pl, Ste 130 Pasadena CA 02/07/2022 0Y2D11 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
D3043 RETENTION REQUIREMENTS Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D6084 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6106 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0887857 Physicians Immunodiagnostic 512 S Verdugo Dr Burbank CA 04/27/2022 VPSJ11 Special
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5629 CYTOLOGY Standard
D6115 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D9999 null Memo