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
▼ 05D0684217 Kay Dermatology, Inc 201 S Buena Vista St, Ste 420 Burbank CA 12/09/2024 PXJQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D3043 RETENTION REQUIREMENTS Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D5779 CORRECTIVE ACTIONS Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0684312 Gerald N Bock Md 1617 St Marks Plz, Ste C Stockton CA 12/01/2021 QDZU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
▼ 05D0684312 Gerald N Bock Md 1617 St Marks Plz, Ste C Stockton CA 10/09/2024 E4LQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5821 TEST REPORT Standard
▼ 05D0684771 Nanda Biswas Md 12677 Hesperia Rd Ste 170 Victorville CA 10/05/2018 IVD911 Standard
Deficiency Tag Deficiency Description Tag Type
D2121 HEMATOLOGY Standard
D2122 HEMATOLOGY Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0685228 Urology Associates Of The Central Coast 35 Casa St Ste 370 San Luis Obispo CA 04/30/2019 KNTL11 Standard
Deficiency Tag Deficiency Description Tag Type
D6063 LABORATORY TESTING PERSONNEL Condition
D6064 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 05D0685650 Anza Dermatology Laboratory 901 S State St, Ste #100 Hemet CA 09/11/2025 ES4J11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D5481 CONTROL PROCEDURES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0686425 Greenbrae Dermatology Amc 501 Sir Francis Drake Blvd, Ste 200 Greenbrae CA 02/25/2019 N64111 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5477 CONTROL PROCEDURES Standard
▼ 05D0686425 Greenbrae Dermatology Amc 501 Sir Francis Drake Blvd, Ste 200 Greenbrae CA 02/20/2025 HJZT11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D5473 CONTROL PROCEDURES Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0686478 Vandana K Madkan, Md 1821 Wilshire Blvd Ste 550 Santa Monica CA 06/13/2019 I7OF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5779 CORRECTIVE ACTIONS Standard
D5805 TEST REPORT Standard
▼ 05D0686626 El Monte Comprehensive Health Center 10953 Ramona Blvd El Monte CA 05/23/2019 EELR11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5805 TEST REPORT Standard