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
▼ 05D2144192 Redwood Family Dermatology 555 S Dora St Ste B Ukiah CA 07/23/2025 181111 Standard
Deficiency Tag Deficiency Description Tag Type
D5821 TEST REPORT Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6066 TESTING PERSONNEL QUALIFICATIONS Standard
D6098 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2144305 Skin And Beauty Center- Verdugo Hills 1818 Verdugo Blvd Ste 304 Glendale CA 09/14/2021 H9MY11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2144307 Skin And Beauty Center (Sbc) 2220 N Screenland Dr, Ste 101 Burbank CA 05/10/2023 WOKD11 Standard
Deficiency Tag Deficiency Description Tag Type
D6076 LABORATORY DIRECTOR Condition
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6168 TESTING PERSONNEL Condition
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 05D2144307 Skin And Beauty Center (Sbc) 2220 N Screenland Dr, Ste 101 Burbank CA 06/26/2025 1CEH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5815 TEST REPORT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2145028 Cell Diagnostics Inc 1737 E Washington Blvd Ste 5 Pasadena CA 12/06/2018 91GG11 Standard
Deficiency Tag Deficiency Description Tag Type
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2145028 Cell Diagnostics Inc 1737 E Washington Blvd Ste 5 Pasadena CA 10/19/2021 9DG711 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D6087 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2146088 Yosemite Pathology Medical Group Inc 2303 Camino Ramon Ste 104 San Ramon CA 02/21/2019 IHB611 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
▼ 05D2146088 Yosemite Pathology Medical Group Inc 2303 Camino Ramon Ste 104 San Ramon CA 06/12/2024 QTFF11 Special
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2001 ENROLLMENT Standard
D5403 PROCEDURE MANUAL Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5655 CYTOLOGY Standard
D6076 LABORATORY DIRECTOR Condition
D6088 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6115 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D9999 null Memo
▼ 05D2146683 Sutter Gould Medical Foundation 445 W Eaton Ave, Ste 1121 Tracy CA 07/11/2019 8V8211 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6022 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D2146683 Sutter Gould Medical Foundation 445 W Eaton Ave, Ste 1121 Tracy CA 04/07/2022 PBF111 Standard
Deficiency Tag Deficiency Description Tag Type
D2121 HEMATOLOGY Standard