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

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
▼ 05D0724185 Synergy Hematology Oncology 8737 Beverly Blvd Ste 203 Los Angeles CA 10/21/2020 54PJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2077 GENERAL IMMUNOLOGY Standard
D2089 ROUTINE CHEMISTRY Standard
D2100 ENDOCRINOLOGY Standard
D2111 TOXICOLOGY Standard
D2130 HEMATOLOGY Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0724185 Synergy Hematology Oncology 8737 Beverly Blvd Ste 203 Los Angeles CA 03/30/2023 XWSB11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D5313 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5401 PROCEDURE MANUAL Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6014 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6023 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6070 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 05D0724185 Synergy Hematology Oncology 8737 Beverly Blvd Ste 203 Los Angeles CA 06/25/2025 5BLU11 Standard
Deficiency Tag Deficiency Description Tag Type
D2066 SYPHILIS SEROLOGY Standard
D2075 GENERAL IMMUNOLOGY Standard
D2087 ROUTINE CHEMISTRY Standard
D2098 ENDOCRINOLOGY Standard
D6036 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D0724185 Synergy Hematology Oncology 8737 Beverly Blvd Ste 203 Los Angeles CA 11/20/2025 Q1S511 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2084 GENERAL IMMUNOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0725440 Rees Stephens Inc 17742 Beach Blvd, Ste 360 Huntington Beach CA 03/13/2018 9MOD11 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D5477 CONTROL PROCEDURES Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6015 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0856065 Northern California Fertility Medical Center 4320 Auburn Blvd Sacramento CA 10/21/2019 R87611 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 05D0856340 Corazon C Medina, Md Inc 1751 W Romneya Dr, Ste H Anaheim CA 10/17/2018 A9KK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0856340 Corazon C Medina, Md Inc 1751 W Romneya Dr, Ste H Anaheim CA 06/12/2025 J9QS11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D2099 ENDOCRINOLOGY Standard
D2122 HEMATOLOGY Standard
D6036 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D0856392 Facey Medical Foundation Valencia 26357 Mcbean Parkway Ste 120 Santa Clarita CA 03/11/2021 33UU11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D5401 PROCEDURE MANUAL Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D6030 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D0856392 Facey Medical Foundation Valencia 26357 Mcbean Parkway Ste 120 Santa Clarita CA 03/05/2024 Y3UT11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6007 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard