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
▼ 05D0688237 Advanced Dermatology And Cosmetic 28212 Kelly Johnson Pkwy Ste 245 Valencia CA 02/23/2021 DSJL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0688237 Advanced Dermatology And Cosmetic 28212 Kelly Johnson Pkwy Ste 245 Valencia CA 12/16/2025 2PHT11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0688544 Hematology/Oncology Consultants 301 N San Jacinto St Hemet CA 07/14/2021 XSLC11 Standard
Deficiency Tag Deficiency Description Tag Type
D2123 HEMATOLOGY Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0688923 Minarets Medical Group Inc 1340 W Herndon Ave Ste 101 Fresno CA 04/18/2019 CE9L11 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5803 TEST REPORT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 05D0689131 Richard G Bennett, Md 1301 20th St, Ste 570 Santa Monica CA 08/14/2023 A54J11 Standard
Deficiency Tag Deficiency Description Tag Type
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0689489 Kern Valley Healthcare District 6412 Laurel Ave Lake Isabella CA 08/02/2023 K1XI11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2021 BACTERIOLOGY Standard
D2098 ENDOCRINOLOGY Standard
D2153 ABO GROUP AND D(RHO) TYPING Standard
D2173 COMPATIBILITY TESTING Standard
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 05D0689660 Tpmg Regional Genetics Laboratory 5755 Cottle Rd Bldg 26 San Jose CA 10/17/2019 F7KD11 Standard
Deficiency Tag Deficiency Description Tag Type
D5775 COMPARISON OF TEST RESULTS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 05D0691430 Sharp Rees Stealy Clinics Laboratory 525 3rd Ave Chula Vista CA 02/26/2019 SJNT11 Standard
Deficiency Tag Deficiency Description Tag Type
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 05D0691430 Sharp Rees Stealy Clinics Laboratory 525 3rd Ave Chula Vista CA 11/17/2021 ZJ1Y11 Standard
Deficiency Tag Deficiency Description Tag Type
D2099 ENDOCRINOLOGY Standard
D2110 TOXICOLOGY Standard
▼ 05D0691718 Dermatology Associates Of The Bay Area 165 Lynch Creek Way Petaluma CA 05/08/2025 DRUF11 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5819 TEST REPORT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6084 LABORATORY DIRECTOR RESPONSIBILITIES Standard