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
▼ 50D0922744 Karen I Fryberg Tulalip Health Clinic 7520 Totem Beach Road Tulalip WA 05/06/2022 ZJ9H11 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5449 CONTROL PROCEDURES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 50D0951120 Mhs-Tacoma Family Medicine 317 Martin Luther King Jr Way Tacoma WA 06/21/2023 M1N011 Standard
Deficiency Tag Deficiency Description Tag Type
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 50D1049793 Seattle Childrens Research Institute 307 Westlake Ave N 307w-4 Seattle WA 07/22/2024 OKY911 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5805 TEST REPORT Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6108 LABORATORY TECHNICAL SUPERVISOR Condition
D6111 TECHNICAL SUPERVISOR QUALIFICATIONS Standard
▼ 50D1072865 Omak Ihs Clinic 617 Benton Street Omak WA 06/20/2018 TD8V11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
▼ 50D1085511 North Pacific Dermatology, Ps 1200 112th Ave Ne Ste C-187 Bellevue WA 08/22/2023 U57911 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 50D2012035 Kittitas County Public Hospital District 2 111 Pine St Cle Elum WA 05/25/2023 7JGJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 50D2041210 Sanw Pathology 34612 6th Ave S Ste 110 Federal Way WA 05/30/2023 VKJ811 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 50D2043427 Pmg Lab- Hawthorne 551 E Hawthorne Rd Spokane WA 04/11/2023 UGL411 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D3031 RETENTION REQUIREMENTS Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5469 CONTROL PROCEDURES Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6040 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 50D2116270 Overlake Medical Clinic Lake Hills Urgent Care 619 156th Ave Se Bellevue WA 01/31/2024 9N9K11 Standard
Deficiency Tag Deficiency Description Tag Type
D5775 COMPARISON OF TEST RESULTS Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 50D2126255 Sea Mar Community Health Centers - Federal Way Med 31405 18th Ave S Federal Way WA 07/26/2024 68CS11 Standard
Deficiency Tag Deficiency Description Tag Type
D1001 CERTIFICATE OF WAIVER TESTS Standard
D5403 PROCEDURE MANUAL Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D5481 CONTROL PROCEDURES Standard
D5781 CORRECTIVE ACTIONS Standard
D5783 CORRECTIVE ACTIONS Standard
D6072 TESTING PERSONNEL RESPONSIBILITIES Standard
D6076 LABORATORY DIRECTOR Condition
D6078 LABORATORY DIRECTOR QUALIFICATIONS Standard