S&C QCOR CLIA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
CLIA 2567s
Selection Criteria

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

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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
05D0551024 Simone A Mckitty, Md Inc 3440 W Lomita Blvd Ste 442 Torrance CA 12/02/2025 04ML11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5401 PROCEDURE MANUAL Standard
D5787 TEST RECORDS Standard
D5805 TEST REPORT Standard
D6076 LABORATORY DIRECTOR Condition
05D0553139 Greater Long Beach Genito Urinary Medical Group 3650 South St Ste 408 Lakewood CA 02/26/2018 V88311 Standard
Deficiency Tag Deficiency Description Tag Type
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5441 CONTROL PROCEDURES Standard
05D0553139 Greater Long Beach Genito Urinary Medical Group 3650 South St Ste 408 Lakewood CA 12/21/2020 M50Q11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D6018 LABORATORY DIRECTOR RESPONSIBILITIES Standard
05D0553321 Los Alamitos Hematology/Oncology 3801 Katella Ave Ste 207 Los Alamitos CA 01/09/2019 RK9N11 Standard
Deficiency Tag Deficiency Description Tag Type
D5200 GENERAL LABORATORY SYSTEMS Condition
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5400 ANALYTIC SYSTEMS Condition
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6030 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6042 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
05D0553321 Los Alamitos Hematology/Oncology 3801 Katella Ave Ste 207 Los Alamitos CA 05/17/2021 3UCG11 Standard
Deficiency Tag Deficiency Description Tag Type
D2121 HEMATOLOGY Standard
D3031 RETENTION REQUIREMENTS Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5801 TEST REPORT Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6023 LABORATORY DIRECTOR RESPONSIBILITIES Standard
05D0553321 Los Alamitos Hematology/Oncology 3801 Katella Ave Ste 207 Los Alamitos CA 04/22/2024 IB3511 Standard
Deficiency Tag Deficiency Description Tag Type
D2121 HEMATOLOGY Standard
D2128 HEMATOLOGY Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5441 CONTROL PROCEDURES Standard
D5779 CORRECTIVE ACTIONS Standard
D6018 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6024 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6030 LABORATORY DIRECTOR RESPONSIBILITIES Standard
05D0553670 Cor Healthcare Medical Associates 1360 W 6th Ste 315 San Pedro CA 01/11/2018 HC0E11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
05D0553994 Centers For Family Medicine Dba Optum 5500 E Atherton St Ste 416 Long Beach CA 12/06/2021 MB0B11 Standard
Deficiency Tag Deficiency Description Tag Type
D2099 ENDOCRINOLOGY Standard
D2105 ENDOCRINOLOGY Standard
D6073 TESTING PERSONNEL RESPONSIBILITIES Standard
05D0554022 Los Angeles Hematology 3650 East South St, Ste 212 Lakewood CA 09/24/2025 XFC711 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
05D0554051 Coast Hematology-Oncology 701 E 28th St Ste 418 Long Beach CA 01/15/2019 9MYG11 Standard
Deficiency Tag Deficiency Description Tag Type
D2122 HEMATOLOGY Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6036 TECHNICAL CONSULTANT RESPONSIBILITIES Standard