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

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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
▼ 05D0558190 Boris Ratiner Md Inc 18386 Ventura Blvd Tarzana CA 09/19/2024 CDH111 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0558842 Providence Facey Medical Foundation- 11333 Sepulveda Blvd, Ste 100 Mission Hills CA 10/07/2021 01O811 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5807 TEST REPORT Standard
D6018 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6026 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D0558842 Providence Facey Medical Foundation- 11333 Sepulveda Blvd, Ste 100 Mission Hills CA 02/16/2023 L8H411 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D6031 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0558842 Providence Facey Medical Foundation- 11333 Sepulveda Blvd, Ste 100 Mission Hills CA 07/15/2025 4JWS11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0559170 Los Angeles Heart Specialists 18370 Burbank Blvd, Ste 401 Tarzana CA 11/20/2018 4PSK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5803 TEST REPORT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 05D0559170 Los Angeles Heart Specialists 18370 Burbank Blvd, Ste 401 Tarzana CA 11/16/2023 8EBY11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6023 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0559244 Tarzana Endocrine And Medical Group Laboratory 18370 Burbank Blvd Ste 300 Tarzana CA 07/20/2018 L3TE11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D2098 ENDOCRINOLOGY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0560511 Genesis Healthcare Partners Pc 5522 Sepulveda Blvd Sherman Oaks CA 10/31/2025 TQCG11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D6015 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0560567 Charles E Weidmann Md 15243 Vanowen St Ste 306 Van Nuys CA 12/07/2021 R4KQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5817 TEST REPORT Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0560613 Robert Hartman Md 5400 Balboa Blvd, Ste 329 Encino CA 01/22/2018 BH1H11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5779 CORRECTIVE ACTIONS Standard