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.

CMS Certification Number Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 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
▼ 05D0687205 Margaret Shannon Md, Inc 400 Newport Center Dr Ste 501 Newport Beach CA 03/21/2025 VFCS11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0688088 Long Beach Department Of Health 2525 Grand Ave Ste 260 Long Beach CA 02/08/2018 Q3XT11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 05D0688088 Long Beach Department Of Health 2525 Grand Ave Ste 260 Long Beach CA 02/06/2020 W56611 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D6030 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard