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

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
▼ 05D0563772 Sun Clinical Laboratories 9349 Telstar Ave Ste A & B El Monte CA 03/02/2022 E8U311 Special
Deficiency Tag Deficiency Description Tag Type
D5032 CYTOLOGY Condition
D5629 CYTOLOGY Standard
D5633 CYTOLOGY Standard
D5637 CYTOLOGY Standard
D5645 CYTOLOGY Standard
D5659 CYTOLOGY Standard
D6130 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6133 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D9999 null Memo
▼ 05D0563772 Sun Clinical Laboratories 9349 Telstar Ave Ste A & B El Monte CA 05/31/2023 6WQR11 Standard
Deficiency Tag Deficiency Description Tag Type
D2109 TOXICOLOGY Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0563772 Sun Clinical Laboratories 9349 Telstar Ave Ste A & B El Monte CA 06/09/2023 7C3E11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2118 TOXICOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0563772 Sun Clinical Laboratories 9349 Telstar Ave Ste A & B El Monte CA 01/09/2025 KUR811 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2118 TOXICOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0563772 Sun Clinical Laboratories 9349 Telstar Ave Ste A & B El Monte CA 07/09/2025 GX5R11 Standard
Deficiency Tag Deficiency Description Tag Type
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0563935 Laurie M Woll Do Dermatology 9301 Central Ave Ste 201 Montclair CA 10/08/2021 S2PX11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D6095 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0565078 Lab-Eval Services 1028 E Walnut Creek Parkway West Covina CA 04/11/2018 HTI411 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D3011 FACILITIES Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5403 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0565938 South Bay Skin & Cancer Medical Group, Inc 256 Landis Ave Ste 300 Chula Vista CA 04/10/2025 TB1I11 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5787 TEST RECORDS Standard
D5805 TEST REPORT Standard
▼ 05D0566592 Michael N Rutman Do Amc 2355 S Melrose Dr Vista CA 02/15/2022 X8SR11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0566592 Michael N Rutman Do Amc 2355 S Melrose Dr Vista CA 07/28/2022 0QU311 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