S&C QCOR CLIA 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
CLIA 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

US State or Territory:

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
▼ 05D1106796 Kaiser Foundation Hospital 13652 Cantara St, Bldg 5, Ll Panorama City CA 08/03/2018 FVOX11 Standard
Deficiency Tag Deficiency Description Tag Type
D2121 HEMATOLOGY Standard
▼ 05D2001806 Csi Medical Group 1524 Mchenry Ave, Ste 470 Modesto CA 01/29/2026 NUQT11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 05D2005875 Joselito C Cabaccan, Md 2690 S White Rd, Ste 50 San Jose CA 10/30/2019 17N411 Standard
Deficiency Tag Deficiency Description Tag Type
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 05D2006073 North Valley Gi Medical Group 870 Shasta St Ste 200 Yuba City CA 02/26/2025 IPXC11 Standard
Deficiency Tag Deficiency Description Tag Type
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5393 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2006397 Affiliated Pathologists 20001 S Rancho Way Rancho Dominguez CA 01/08/2018 FLCD11 Standard
Deficiency Tag Deficiency Description Tag Type
D5453 CONTROL PROCEDURES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6117 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 05D2006397 Affiliated Pathologists 20001 S Rancho Way Rancho Dominguez CA 02/03/2020 ZJDJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 05D2006397 Affiliated Pathologists 20001 S Rancho Way Rancho Dominguez CA 06/06/2024 N4YW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5407 PROCEDURE MANUAL Standard
D5625 CYTOLOGY Standard
D5629 CYTOLOGY Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6106 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2007262 Sutter Gould Medical Foundation Lab 2505 W Hammer Lane Stockton CA 03/05/2019 WTTK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2007334 Tlc Laboratory 13422 Newport Ave, Suite L Tustin CA 01/25/2019 FZVU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5783 CORRECTIVE ACTIONS Standard
D6024 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2007334 Tlc Laboratory 13422 Newport Ave, Suite L Tustin CA 10/01/2020 ZPC511 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