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.

CLIA ID Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 05D0541587 Medical Group Inc,The 1245 Wilshire Blvd Ste 903 Los Angeles CA 04/12/2019 T9IJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D5449 CONTROL PROCEDURES Standard
D5471 CONTROL PROCEDURES Standard
D5477 CONTROL PROCEDURES Standard
D5555 IMMUNOHEMATOLOGY Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6091 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 05D0541587 Medical Group Inc,The 1245 Wilshire Blvd Ste 903 Los Angeles CA 12/28/2021 BP4L11 Standard
Deficiency Tag Deficiency Description Tag Type
D2075 GENERAL IMMUNOLOGY Standard
D2099 ENDOCRINOLOGY Standard
D2107 ENDOCRINOLOGY Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6023 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0543663 Bedford Health Associates 9001 Wilshire Ste 200 Beverly Hills CA 11/21/2019 U9BT11 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5400 ANALYTIC SYSTEMS Condition
D5441 CONTROL PROCEDURES Standard
D5481 CONTROL PROCEDURES Standard
D5783 CORRECTIVE ACTIONS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6014 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6022 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6024 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6072 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 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 01/26/2026 J4UN11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2121 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 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