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
▼ 05D0543663 Bedford Health Associates 9001 Wilshire Ste 200 Beverly Hills CA 11/18/2021 W52111 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D5400 ANALYTIC SYSTEMS Condition
D5447 CONTROL PROCEDURES Standard
D6015 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0543664 Nassir Medical Corporation Laboratory 5901 W Olympic Blvd, Ste 505 Los Angeles CA 04/21/2022 W2D411 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5463 CONTROL PROCEDURES Standard
D5787 TEST RECORDS Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6031 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0543664 Nassir Medical Corporation Laboratory 5901 W Olympic Blvd, Ste 505 Los Angeles CA 01/27/2026 1SN611 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D2121 HEMATOLOGY Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0543719 Privilege Dx Medical Laboratories, Inc 10133 Riverside Dr Toluca Lake CA 01/03/2018 OPW711 Standard
Deficiency Tag Deficiency Description Tag Type
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 05D0543719 Privilege Dx Medical Laboratories, Inc 10133 Riverside Dr Toluca Lake CA 02/12/2020 PSXZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D2121 HEMATOLOGY Standard
D6095 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0543719 Privilege Dx Medical Laboratories, Inc 10133 Riverside Dr Toluca Lake CA 12/06/2022 0B3311 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0543719 Privilege Dx Medical Laboratories, Inc 10133 Riverside Dr Toluca Lake CA 12/09/2025 YOM811 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D2098 ENDOCRINOLOGY Standard
D2121 HEMATOLOGY Standard
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0544111 James Richards, Md 6222 W Manchester Ave, Ste A Los Angeles CA 04/12/2018 32LM11 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
▼ 05D0544111 James Richards, Md 6222 W Manchester Ave, Ste A Los Angeles CA 01/07/2021 KDHX11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
▼ 05D0544111 James Richards, Md 6222 W Manchester Ave, Ste A Los Angeles CA 04/05/2022 QUJZ11 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