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
▼ 05D2057775 Cynvenio Biosystems Inc 2260 Townsgate Rd Ste 2 Westlake Village CA 03/12/2018 57JM11 Standard
Deficiency Tag Deficiency Description Tag Type
D5400 ANALYTIC SYSTEMS Condition
D5441 CONTROL PROCEDURES Standard
D5453 CONTROL PROCEDURES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2057857 Sansum Clinic - Hitchcock 215 Pesetas Ln Santa Barbara CA 01/17/2020 DZR411 Standard
Deficiency Tag Deficiency Description Tag Type
D5463 CONTROL PROCEDURES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D2057857 Sansum Clinic - Hitchcock 215 Pesetas Ln Santa Barbara CA 09/27/2023 KM9911 Standard
Deficiency Tag Deficiency Description Tag Type
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D6007 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2059771 I2b Lab Llc 4631 Teller Ave Ste 100 Newport Beach CA 03/30/2018 BLF611 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5481 CONTROL PROCEDURES Standard
D6076 LABORATORY DIRECTOR Condition
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6086 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2060022 Pacific Reproductive Center 116 E Broadway Blvd Ste 300 Glendale CA 07/29/2025 PC4811 Standard
Deficiency Tag Deficiency Description Tag Type
D2014 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2060295 San Diego Family Dermatology 15725 Pomerado Rd Ste 102 Poway CA 02/23/2018 6B3511 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 05D2060295 San Diego Family Dermatology 15725 Pomerado Rd Ste 102 Poway CA 09/10/2020 Y8DJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 05D2061359 Boswell Dermatology 5701 N West Ave Fresno CA 02/13/2020 95WL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
▼ 05D2061756 Central Valley Specialty 730 17th St Modesto CA 02/20/2018 ETFR11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2061756 Central Valley Specialty 730 17th St Modesto CA 04/11/2018 QFO311 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard