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
▼ 05D0544111 James Richards, Md 6222 W Manchester Ave, Ste A Los Angeles CA 08/30/2023 32G511 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D2094 ROUTINE CHEMISTRY Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6018 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6023 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0544125 Howard Sofen Md 8930 S Sepulveda Blvd, Ste 114 Los Angeles CA 05/21/2019 XJKE11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D0000 Initial Comments - Not A Deficiency Citation Memo
D1001 CERTIFICATE OF WAIVER TESTS Standard
D8100 INSPECTION REQUIREMENTS Condition
D8103 BASIC INSPECTION REQUIREMENTS Standard
▼ 05D0544401 Marshall Fichman Md 50 N La Cienega Blvd Ste 204 Beverly Hills CA 08/14/2018 9TJM11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0544401 Marshall Fichman Md 50 N La Cienega Blvd Ste 204 Beverly Hills CA 11/19/2018 5DFZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D1001 CERTIFICATE OF WAIVER TESTS Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6007 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6014 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6070 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 05D0544561 Tower Dermatology 8631 W 3rd St Ste 1035e Los Angeles CA 07/29/2024 7VJR11 Standard
Deficiency Tag Deficiency Description Tag Type
D3043 RETENTION REQUIREMENTS Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D5787 TEST RECORDS Standard
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0544572 Beverly Lab Associates 8750 Wilshire Blvd, Ste 350 Beverly Hills CA 01/24/2019 535011 Standard
Deficiency Tag Deficiency Description Tag Type
D2075 GENERAL IMMUNOLOGY Standard
D2121 HEMATOLOGY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6007 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6036 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D0544572 Beverly Lab Associates 8750 Wilshire Blvd, Ste 350 Beverly Hills CA 03/24/2020 NM7411 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
▼ 05D0544586 Elayne K Garber Md A Medical Corp 8631 W 3rd St Ste 700e Los Angeles CA 03/07/2022 HR0U11 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D6084 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6121 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 05D0544586 Elayne K Garber Md A Medical Corp 8631 W 3rd St Ste 700e Los Angeles CA 05/19/2025 ECPD11 Standard
Deficiency Tag Deficiency Description Tag Type
D2122 HEMATOLOGY Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5481 CONTROL PROCEDURES Standard
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0544604 Brian E Dubow, Md 435 N Roxbury Dr Ste 204 Beverly Hills CA 06/10/2025 LGZO11 Standard
Deficiency Tag Deficiency Description Tag Type
D5821 TEST REPORT Standard
D6098 LABORATORY DIRECTOR RESPONSIBILITIES Standard