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
▼ 05D2095005 Prime Lab Inc 31344 Via Colinas, #104 Westlake Village CA 02/14/2023 DU8R11 Standard
Deficiency Tag Deficiency Description Tag Type
D5305 TEST REQUEST Standard
D5467 CONTROL PROCEDURES Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2096854 Palo Alto Medical Foundation 15400 Los Gatos Blvd Los Gatos CA 02/23/2018 3XVI11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 05D2096856 Individx 9600 Center Ave, Ste 100 Rancho Cucamonga CA 03/20/2018 PV1C11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D2098 ENDOCRINOLOGY Standard
D2121 HEMATOLOGY Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2096856 Individx 9600 Center Ave, Ste 100 Rancho Cucamonga CA 12/03/2018 S3F211 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D2107 ENDOCRINOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2096856 Individx 9600 Center Ave, Ste 100 Rancho Cucamonga CA 12/09/2020 EELJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D2075 GENERAL IMMUNOLOGY Standard
D2082 GENERAL IMMUNOLOGY Standard
D2087 ROUTINE CHEMISTRY Standard
D2093 ROUTINE CHEMISTRY Standard
D2105 ENDOCRINOLOGY Standard
D6092 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2096856 Individx 9600 Center Ave, Ste 100 Rancho Cucamonga CA 02/24/2023 KJK911 Standard
Deficiency Tag Deficiency Description Tag Type
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2096883 Flow Health Laboratories, Llc 8627 Washington Blvd Culver City CA 02/25/2021 VVPQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5200 GENERAL LABORATORY SYSTEMS Condition
D5201 CONFIDENTIALITY OF PATIENT INFORMATION Standard
D5205 COMPLAINT INVESTIGATIONS Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5805 TEST REPORT Standard
D6076 LABORATORY DIRECTOR Condition
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 05D2097959 California Dermatology Care 500 Alfred Nobel Dr Ste 185 Hercules CA 03/29/2018 BL3611 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
▼ 05D2097959 California Dermatology Care 500 Alfred Nobel Dr Ste 185 Hercules CA 12/03/2020 BRFK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 05D2097959 California Dermatology Care 500 Alfred Nobel Dr Ste 185 Hercules CA 09/29/2023 FZ1G11 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard