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

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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
▼ 05D2084448 Healthstat Onsite Clinic/Western Growers- Watsonvi 150 Carnation Dr Ste 5 Freedom CA 05/24/2018 T80511 Complaint
Deficiency Tag Deficiency Description Tag Type
D1001 CERTIFICATE OF WAIVER TESTS Standard
▼ 05D2086481 San Carlos Center Laboratory, Pamf 301 Industrial Rd San Carlos CA 09/05/2019 UJBY11 Standard
Deficiency Tag Deficiency Description Tag Type
D2005 ENROLLMENT Standard
D2075 GENERAL IMMUNOLOGY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D2087620 Csi Medical Group 1127 Wilshire Blvd, Ste 600 Los Angeles CA 11/15/2019 F17Q11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
▼ 05D2087620 Csi Medical Group 1127 Wilshire Blvd, Ste 600 Los Angeles CA 08/24/2022 OWSL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5407 PROCEDURE MANUAL Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2087778 Madhu K Kris Md Inc 750 W Olive Ave, Ste 106 Merced CA 06/06/2022 ZDHQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5601 HISTOPATHOLOGY Standard
D5805 TEST REPORT Standard
▼ 05D2087829 Advanced Dermatology & Skin Cancer Specialists 1180 N Indian Cyn Dr Ste E315 Palm Springs CA 01/17/2018 8KH811 Standard
Deficiency Tag Deficiency Description Tag Type
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2087829 Advanced Dermatology & Skin Cancer Specialists 1180 N Indian Cyn Dr Ste E315 Palm Springs CA 02/13/2020 T36Z11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6095 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2087903 Advanced Diagnostics Lab 23275 S Pointe Dr, Ste 150 Laguna Hills CA 09/13/2018 81SM11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5300 PREANALYTIC SYSTEMS Condition
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5400 ANALYTIC SYSTEMS Condition
D5447 CONTROL PROCEDURES Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2090025 Alameda County Public Health 2901 Peralta Oaks Ct 2nd Fl Oakland CA 04/05/2022 KI5C11 Standard
Deficiency Tag Deficiency Description Tag Type
D5503 BACTERIOLOGY Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2090025 Alameda County Public Health 2901 Peralta Oaks Ct 2nd Fl Oakland CA 12/11/2025 S23Z11 Standard
Deficiency Tag Deficiency Description Tag Type
D3003 FACILITIES Standard
D3005 FACILITIES Standard
D6083 LABORATORY DIRECTOR RESPONSIBILITIES Standard