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
▼ 05D2246898 Sierra Hematology And Oncology Medical Center 576 N Sunrise Ave, Ste 210 Roseville CA 09/08/2025 8V3F11 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
▼ 05D2247735 Riverside Clinical Laboratory Inc 7177 Brockton Ave, Ste 338 Riverside CA 01/23/2024 J7VL11 Standard
Deficiency Tag Deficiency Description Tag Type
D3029 RETENTION REQUIREMENTS Standard
D5400 ANALYTIC SYSTEMS Condition
D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5427 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6076 LABORATORY DIRECTOR Condition
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6086 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2247848 Ellison Lab With Providence 12414 Exposition Blvd Ste 3 Los Angeles CA 07/02/2024 UQ6P11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2255280 Accurate Clinical Laboratory Corp 18800 Amar Rd, Ste C-11 Walnut CA 05/17/2023 6FNA11 Standard
Deficiency Tag Deficiency Description Tag Type
D3005 FACILITIES Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6095 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2257277 Rma Of Northern California - Palo Alto 1900 University Ave Ste 101 East Palo Alto CA 08/21/2025 C8P711 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6111 TECHNICAL SUPERVISOR QUALIFICATIONS Standard
D6143 GENERAL SUPERVISOR QUALIFICATIONS Standard
▼ 05D2258471 Wave Medical Group Inc 720 Paularino Ave, Ste 102 Costa Mesa CA 08/16/2024 FHIB11 Standard
Deficiency Tag Deficiency Description Tag Type
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6007 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2259881 William F Kivett Md Inc. 1140 Sonoma Ave Ste 1a Santa Rosa CA 05/16/2025 QCXJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D5789 TEST RECORDS Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2260410 Tekotest Lab Inc 3111 Winona Ave Ste 102 Burbank CA 12/19/2024 WRBU11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2028 BACTERIOLOGY Standard
D2064 VIROLOGY Standard
D6076 LABORATORY DIRECTOR Condition
D6089 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2262146 Dialogix Laboratories 570 Nevada St Ste E Redlands CA 11/12/2024 9CSJ11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2262146 Dialogix Laboratories 570 Nevada St Ste E Redlands CA 12/19/2024 ZQED11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2084 GENERAL IMMUNOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard