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
▼ 05D0670449 Csulb-Student Health Services 1250 Bellflower Blvd, Rm 241a Long Beach CA 05/02/2019 OFB511 Standard
Deficiency Tag Deficiency Description Tag Type
D2020 BACTERIOLOGY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 05D0671449 David Lieu Md Dba Fine Needle 320 S Garfield Ave Ste 278 Alhambra CA 04/13/2022 VXRI11 Special
Deficiency Tag Deficiency Description Tag Type
D5032 CYTOLOGY Condition
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5629 CYTOLOGY Standard
D5633 CYTOLOGY Standard
D5637 CYTOLOGY Standard
D5641 CYTOLOGY Standard
D5645 CYTOLOGY Standard
D5647 CYTOLOGY Standard
D5659 CYTOLOGY Standard
D6130 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6133 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D9999 null Memo
▼ 05D0676091 Office Laboratory Associates 16133 Ventura Blvd, Ste 350 Encino CA 02/18/2021 D3IF11 Standard
Deficiency Tag Deficiency Description Tag Type
D2121 HEMATOLOGY Standard
D6074 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 05D0676091 Office Laboratory Associates 16133 Ventura Blvd, Ste 350 Encino CA 11/09/2021 O9NL11 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
▼ 05D0676091 Office Laboratory Associates 16133 Ventura Blvd, Ste 350 Encino CA 09/10/2025 47K711 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
D6036 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6064 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 05D0676164 Sw Medical Laboratory, Inc 3151 Airway Ave, Suite M1 Costa Mesa CA 01/26/2021 IXA311 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0676164 Sw Medical Laboratory, Inc 3151 Airway Ave, Suite M1 Costa Mesa CA 04/08/2021 PYRL11 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
▼ 05D0676808 Providence Medical Foundation 500 Doyle Park Dr Ste 100 Santa Rosa CA 05/15/2025 8BYX11 Standard
Deficiency Tag Deficiency Description Tag Type
D2020 BACTERIOLOGY Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D5477 CONTROL PROCEDURES Standard
D6007 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0678303 Sant P Chawla Md Inc 2811 Wilshire Blvd, Ste 414 Santa Monica CA 09/21/2018 17RI11 Standard
Deficiency Tag Deficiency Description Tag Type
D2006 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 05D0678303 Sant P Chawla Md Inc 2811 Wilshire Blvd, Ste 414 Santa Monica CA 12/07/2022 HJGB11 Standard
Deficiency Tag Deficiency Description Tag Type
D2121 HEMATOLOGY Standard
D5403 PROCEDURE MANUAL Standard
D6031 LABORATORY DIRECTOR RESPONSIBILITIES Standard