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
▼ 05D0859303 Jon A Erickson Md Inc Dermatology Clnc 3257 Professional Dr Ste B Auburn CA 02/27/2025 JS6H11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6007 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0859540 Reproductive Technology Laboratories 11818 Wilshire Blvd Ste 300 Los Angeles CA 03/20/2019 8H7L11 Standard
Deficiency Tag Deficiency Description Tag Type
D2100 ENDOCRINOLOGY Standard
D2121 HEMATOLOGY Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0859658 Douglas Hamilton Md 6325 Topanga Cyn Blvd, Ste 301 Woodland Hills CA 10/30/2024 IYQX11 Standard
Deficiency Tag Deficiency Description Tag Type
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0860502 Allan Kurtz Do / Warner Medical Center 6325 Topanga Canyon Blvd, Ste 501 Woodland Hills CA 04/05/2019 ULSC11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2107 ENDOCRINOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0860502 Allan Kurtz Do / Warner Medical Center 6325 Topanga Canyon Blvd, Ste 501 Woodland Hills CA 04/22/2019 QWB211 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D2098 ENDOCRINOLOGY Standard
D2121 HEMATOLOGY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6070 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 05D0860502 Allan Kurtz Do / Warner Medical Center 6325 Topanga Canyon Blvd, Ste 501 Woodland Hills CA 08/16/2019 EPJV11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2107 ENDOCRINOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0860502 Allan Kurtz Do / Warner Medical Center 6325 Topanga Canyon Blvd, Ste 501 Woodland Hills CA 06/26/2024 7YWN11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D2105 ENDOCRINOLOGY Standard
D6007 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6036 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D0860502 Allan Kurtz Do / Warner Medical Center 6325 Topanga Canyon Blvd, Ste 501 Woodland Hills CA 05/05/2025 YMGQ11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0862216 Genetic Disease Laboratory 850 Marina Bay Pkwy Ste G265 Richmond CA 05/21/2021 C7UX11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5407 PROCEDURE MANUAL Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5805 TEST REPORT Standard
D6076 LABORATORY DIRECTOR Condition
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6101 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6168 TESTING PERSONNEL Condition
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 05D0862216 Genetic Disease Laboratory 850 Marina Bay Pkwy Ste G265 Richmond CA 01/23/2025 C1QP11 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5775 COMPARISON OF TEST RESULTS Standard
D6168 TESTING PERSONNEL Condition
D6171 TESTING PERSONNEL QUALIFICATIONS Standard