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
▼ 65D0862073 Guam Memorial Hospital Blood Gas Lab 850 Gov Carlos G Camacho Rd Tamuning GU 07/17/2025 YNWE11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5775 COMPARISON OF TEST RESULTS Standard
D6045 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
D6066 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 65D0959480 Northern Region Community Hlth Ctr Lab 520 West Santa Monica Avenue Dededo GU 09/27/2021 00T711 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D5801 TEST REPORT Standard
D6030 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 65D0959480 Northern Region Community Hlth Ctr Lab 520 West Santa Monica Avenue Dededo GU 07/17/2025 T8V111 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5401 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 65D0970478 Diagnostic Laboratory Services Inc - Fhp 548 S Marine Corps Dr Tamuning GU 09/21/2021 PHYP11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 65D0970478 Diagnostic Laboratory Services Inc - Fhp 548 S Marine Corps Dr Tamuning GU 09/29/2022 J44F11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 65D0970478 Diagnostic Laboratory Services Inc - Fhp 548 S Marine Corps Dr Tamuning GU 05/04/2023 Q1ST11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2087 ROUTINE CHEMISTRY Standard
D2097 ROUTINE CHEMISTRY Standard
D5449 CONTROL PROCEDURES Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 65D0970478 Diagnostic Laboratory Services Inc - Fhp 548 S Marine Corps Dr Tamuning GU 07/22/2025 NUHL11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5401 PROCEDURE MANUAL Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5473 CONTROL PROCEDURES Standard
▼ 65D2137458 Diagnostic Laboratory Services - Amc-1 1244 N Marine Corps Dr Tamuning GU 09/27/2021 B77B11 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
▼ 65D2137458 Diagnostic Laboratory Services - Amc-1 1244 N Marine Corps Dr Tamuning GU 07/16/2025 2GNX11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5401 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 65D2137459 Diagnostic Laboratory Services, Inc - Amc-2 263 Vietnam Veterans Hwy Mangilao GU 03/26/2019 LZO511 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5805 TEST REPORT Standard
D6031 LABORATORY DIRECTOR RESPONSIBILITIES Standard