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
▼ 05D2091424 Orange County Vascular & Endovascular 11190 Warner Ave Ste 408 Santa Ana CA 03/06/2020 3FHK11 Standard
Deficiency Tag Deficiency Description Tag Type
D2121 HEMATOLOGY Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2093075 Exer Medical Corporation 19346 Nordhoff St Northridge CA 07/02/2024 E3QX11 Standard
Deficiency Tag Deficiency Description Tag Type
D3003 FACILITIES Standard
D6011 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2093483 Elite Urgent Care Inc 1524 Mchenry Ave, Ste 130 Modesto CA 10/06/2020 POF011 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2123 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2093483 Elite Urgent Care Inc 1524 Mchenry Ave, Ste 130 Modesto CA 06/07/2022 2I8311 Standard
Deficiency Tag Deficiency Description Tag Type
D1002 REPORTING OF SARS-CoV-2 TEST RESULTS Condition
D2122 HEMATOLOGY Standard
D2123 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2093483 Elite Urgent Care Inc 1524 Mchenry Ave, Ste 130 Modesto CA 05/16/2024 GWGL11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2093854 Sutter Gould Medical Foundation - Turlock Urgent 3100 W Christoffersen Pkwy Turlock CA 08/21/2018 TKF211 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
▼ 05D2093854 Sutter Gould Medical Foundation - Turlock Urgent 3100 W Christoffersen Pkwy Turlock CA 07/09/2019 4GQN11 Standard
Deficiency Tag Deficiency Description Tag Type
D3041 RETENTION REQUIREMENTS Standard
D5407 PROCEDURE MANUAL Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D2094015 Vedanta Laboratories, Inc 1020 Calle Recodo San Clemente CA 03/02/2018 M50H11 Standard
Deficiency Tag Deficiency Description Tag Type
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5467 CONTROL PROCEDURES Standard
D5775 COMPARISON OF TEST RESULTS Standard
D5781 CORRECTIVE ACTIONS Standard
D5805 TEST REPORT Standard
D6091 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2094986 Coastal Hills Dermatology 600 Corporate Dr Ste 100 Ladera Ranch CA 09/09/2020 QL7W11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2094986 Coastal Hills Dermatology 600 Corporate Dr Ste 100 Ladera Ranch CA 03/26/2025 PHMF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard