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
▼ 05D0664149 Roxbury Laboratory Associates Llc 435 N Roxbury Dr, Ste 300 Beverly Hills CA 01/09/2020 JO2T11 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
▼ 05D0664149 Roxbury Laboratory Associates Llc 435 N Roxbury Dr, Ste 300 Beverly Hills CA 12/04/2020 Z9YE11 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
▼ 05D0664149 Roxbury Laboratory Associates Llc 435 N Roxbury Dr, Ste 300 Beverly Hills CA 11/10/2021 V0SR11 Standard
Deficiency Tag Deficiency Description Tag Type
D2021 BACTERIOLOGY Standard
D2087 ROUTINE CHEMISTRY Standard
D2123 HEMATOLOGY Standard
D6015 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0664149 Roxbury Laboratory Associates Llc 435 N Roxbury Dr, Ste 300 Beverly Hills CA 06/14/2023 23G511 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
▼ 05D0664149 Roxbury Laboratory Associates Llc 435 N Roxbury Dr, Ste 300 Beverly Hills CA 05/02/2024 QFT511 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2122 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6010 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0665059 San Bernardino County Pub Hth Lab 150 E Holt Blvd Ontario CA 01/16/2018 151S11 Standard
Deficiency Tag Deficiency Description Tag Type
D2047 PARASITOLOGY Standard
D5407 PROCEDURE MANUAL Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5441 CONTROL PROCEDURES Standard
D6007 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0665059 San Bernardino County Pub Hth Lab 150 E Holt Blvd Ontario CA 09/22/2020 FMSB11 Standard
Deficiency Tag Deficiency Description Tag Type
D2020 BACTERIOLOGY Standard
D2038 MYCOLOGY Standard
D2071 SYPHILIS SEROLOGY Standard
▼ 05D0665059 San Bernardino County Pub Hth Lab 150 E Holt Blvd Ontario CA 03/03/2022 GSKV11 Standard
Deficiency Tag Deficiency Description Tag Type
D2047 PARASITOLOGY Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 05D0665059 San Bernardino County Pub Hth Lab 150 E Holt Blvd Ontario CA 02/06/2024 VCWX11 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5441 CONTROL PROCEDURES Standard
D6007 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6042 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D0665695 City Of Hope National Medical Center 1500 East Duarte Road Duarte CA 09/12/2025 YIF411 Complaint
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5300 PREANALYTIC SYSTEMS Condition
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard