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
▼ 05D2112676 Ca Dept Of Public Health, Drinking Water & 850 Marina Bay Pkwy, Rm G-164 Richmond CA 06/22/2021 B2UH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 05D2112676 Ca Dept Of Public Health, Drinking Water & 850 Marina Bay Pkwy, Rm G-164 Richmond CA 03/29/2023 DHFL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 05D2112676 Ca Dept Of Public Health, Drinking Water & 850 Marina Bay Pkwy, Rm G-164 Richmond CA 05/14/2025 GRNB11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 05D2113231 Scpmg Central Medical Offices 3733 San Dimas St Bakersfield CA 08/02/2019 K3BL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 05D2115152 Southern Sierra Specialty Lab 105 E Sydnor, Ste 100 Ridgecrest CA 11/13/2025 KPU211 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5401 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5485 CONTROL PROCEDURES Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6089 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2115541 Precision Dermatology Inc 770 Tamalpias Dr Ste 403 Corte Madera CA 07/19/2019 0SXB11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2115541 Precision Dermatology Inc 770 Tamalpias Dr Ste 403 Corte Madera CA 12/09/2021 017411 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 05D2115541 Precision Dermatology Inc 770 Tamalpias Dr Ste 403 Corte Madera CA 05/14/2025 XC3611 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5601 HISTOPATHOLOGY Standard
D6084 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6086 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2115860 Specialized University Pathologists 8201 Beverly Blvd Ste 405 Los Angeles CA 04/17/2024 SHNW11 Special
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2001 ENROLLMENT Standard
D5032 CYTOLOGY Condition
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5473 CONTROL PROCEDURES Standard
D5623 CYTOLOGY Standard
D5625 CYTOLOGY Standard
D5629 CYTOLOGY Standard
D5655 CYTOLOGY Standard
D5657 CYTOLOGY Standard
D5659 CYTOLOGY Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5805 TEST REPORT Standard
D6076 LABORATORY DIRECTOR Condition
D6088 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6115 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D9999 null Memo
▼ 05D2115863 Alexis Dougherty Inc 601 E Arrellaga St, Ste 101 Santa Barbara CA 04/09/2025 NTDQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5779 CORRECTIVE ACTIONS Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard