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
▼ 05D0911779 Sutter Maternity & Surgery Center 2900 Chanticleer Ave Santa Cruz CA 04/28/2021 E7VL11 Standard
Deficiency Tag Deficiency Description Tag Type
D2089 ROUTINE CHEMISTRY Standard
D2123 HEMATOLOGY Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0911779 Sutter Maternity & Surgery Center 2900 Chanticleer Ave Santa Cruz CA 03/13/2024 5OB511 Standard
Deficiency Tag Deficiency Description Tag Type
D5301 TEST REQUEST Standard
D6007 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D0912267 Northern California Childrens 2825 J Street, Ste 435 Sacramento CA 04/21/2022 J7C511 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
D5407 PROCEDURE MANUAL Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5813 TEST REPORT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6084 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0912268 Scpmg San Marcos Laboratory 400 Craven Rd, Bld #3, Ste 236 San Marcos CA 01/08/2026 SDSW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0912897 Golden State Dermatology 6769 N Fresno St, Ste 101 Fresno CA 09/04/2025 SX5D11 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
D3043 RETENTION REQUIREMENTS Standard
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0913493 Madera Family Medical Group 1111 W 4th St Madera CA 08/19/2021 W2AC11 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6030 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6051 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D0914812 Primex Clinical Laboratories, Inc 16742 Stagg St, Ste 120 Van Nuys CA 06/25/2018 14F611 Standard
Deficiency Tag Deficiency Description Tag Type
D2075 GENERAL IMMUNOLOGY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0914812 Primex Clinical Laboratories, Inc 16742 Stagg St, Ste 120 Van Nuys CA 10/18/2023 BDFO11 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0914812 Primex Clinical Laboratories, Inc 16742 Stagg St, Ste 120 Van Nuys CA 03/20/2024 LCRB11 Special
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5032 CYTOLOGY Condition
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5625 CYTOLOGY Standard
D5635 CYTOLOGY Standard
D5637 CYTOLOGY Standard
D5641 CYTOLOGY Standard
D5645 CYTOLOGY Standard
D5647 CYTOLOGY Standard
D5651 CYTOLOGY Standard
D5653 CYTOLOGY Standard
D5655 CYTOLOGY Standard
D5657 CYTOLOGY Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6076 LABORATORY DIRECTOR Condition
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6089 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6130 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6167 CYTOTECHNOLOGIST RESPONSIBILITIES Standard
D9999 null Memo
▼ 05D0916538 Aw Cytohistology Laboratory 1700 C St Bakersfield CA 03/30/2022 KZD611 Special
Deficiency Tag Deficiency Description Tag Type
D5032 CYTOLOGY Condition
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5629 CYTOLOGY Standard
D5633 CYTOLOGY Standard
D5637 CYTOLOGY Standard
D5641 CYTOLOGY Standard
D5647 CYTOLOGY Standard
D5657 CYTOLOGY Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6123 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6130 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D9999 null Memo