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
▼ 05D0692370 International Medical Laboratory 15 Corporate Park Irvine CA 01/16/2019 5YJ811 Standard
Deficiency Tag Deficiency Description Tag Type
D2098 ENDOCRINOLOGY Standard
D5401 PROCEDURE MANUAL Standard
D6122 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 05D0692370 International Medical Laboratory 15 Corporate Park Irvine CA 02/05/2020 5BZI11 Special
Deficiency Tag Deficiency Description Tag Type
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5621 CYTOLOGY Standard
D5629 CYTOLOGY Standard
D5805 TEST REPORT Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6115 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D9999 null Memo
▼ 05D0692370 International Medical Laboratory 15 Corporate Park Irvine CA 12/07/2022 9XU211 Special
Deficiency Tag Deficiency Description Tag Type
D5032 CYTOLOGY Condition
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5305 TEST REQUEST Standard
D5309 TEST REQUEST Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5403 PROCEDURE MANUAL Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5629 CYTOLOGY Standard
D5633 CYTOLOGY Standard
D5635 CYTOLOGY Standard
D5637 CYTOLOGY Standard
D5645 CYTOLOGY Standard
D6076 LABORATORY DIRECTOR Condition
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6130 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6133 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6167 CYTOTECHNOLOGIST RESPONSIBILITIES Standard
D9999 null Memo
▼ 05D0692370 International Medical Laboratory 15 Corporate Park Irvine CA 01/31/2025 5TLF11 Standard
Deficiency Tag Deficiency Description Tag Type
D2075 GENERAL IMMUNOLOGY Standard
D2098 ENDOCRINOLOGY Standard
D3007 FACILITIES Standard
D5407 PROCEDURE MANUAL Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5503 BACTERIOLOGY Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0692679 Sutter Bay Medical Foundation 795 El Camino Real, Ames Bldg 2nd Fl Palo Alto CA 03/30/2022 WRLD11 Special
Deficiency Tag Deficiency Description Tag Type
D5032 CYTOLOGY Condition
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5401 PROCEDURE MANUAL Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5625 CYTOLOGY Standard
D5629 CYTOLOGY Standard
D5641 CYTOLOGY Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D9999 null Memo
▼ 05D0692916 Lab-All Inc 2200 W 7th St Ste 305 Los Angeles CA 08/23/2018 Y2DT11 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
▼ 05D0692916 Lab-All Inc 2200 W 7th St Ste 305 Los Angeles CA 02/22/2019 ISNM11 Standard
Deficiency Tag Deficiency Description Tag Type
D2020 BACTERIOLOGY Standard
D2047 PARASITOLOGY Standard
D2087 ROUTINE CHEMISTRY Standard
D2098 ENDOCRINOLOGY Standard
D2121 HEMATOLOGY Standard
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0692916 Lab-All Inc 2200 W 7th St Ste 305 Los Angeles CA 10/12/2021 ZDM511 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D2094 ROUTINE CHEMISTRY Standard
D2122 HEMATOLOGY Standard
D2128 HEMATOLOGY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5783 CORRECTIVE ACTIONS Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6024 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6042 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D0693081 Ter-Zakarian Medical Clinic 5250 Santa Monica Blvd Ste 310 Los Angeles CA 09/05/2019 RPL111 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
▼ 05D0693081 Ter-Zakarian Medical Clinic 5250 Santa Monica Blvd Ste 310 Los Angeles CA 02/13/2020 88LD11 Standard
Deficiency Tag Deficiency Description Tag Type
D2089 ROUTINE CHEMISTRY Standard
D2094 ROUTINE CHEMISTRY Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard