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
▼ 05D0864412 James S Waldman Md 22 Odyssey Ste 225 Irvine CA 10/14/2019 WD4F11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5401 PROCEDURE MANUAL Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0864483 Gastroenterology Of The East Bay 2510 Webster St, 2nd Flr Berkeley CA 09/22/2021 359611 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D5400 ANALYTIC SYSTEMS Condition
D5405 PROCEDURE MANUAL Standard
D5449 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6015 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0864483 Gastroenterology Of The East Bay 2510 Webster St, 2nd Flr Berkeley CA 11/18/2025 HL0Z11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5401 PROCEDURE MANUAL Standard
D5473 CONTROL PROCEDURES Standard
D5787 TEST RECORDS Standard
▼ 05D0864536 Island View Gastroenterology Associates 168 N Brent St Ste 404 Ventura CA 11/19/2024 2WO011 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0864898 Comprehensive Cancer Center 1180 N Indian Canyon Dr, Ste E-218 Palm Springs CA 06/22/2021 GF9611 Standard
Deficiency Tag Deficiency Description Tag Type
D2130 HEMATOLOGY Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6023 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0865314 Riverside Medical Clinic, Inc 7160 Brockton Ave, 2nd Fl Riverside CA 09/07/2018 HD7C11 Standard
Deficiency Tag Deficiency Description Tag Type
D6031 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0866459 Laboratory Corporation Of America 10200 Pioneer Blvd, Ste 500 Santa Fe Springs CA 04/02/2019 Z89E11 Standard
Deficiency Tag Deficiency Description Tag Type
D2075 GENERAL IMMUNOLOGY Standard
D2087 ROUTINE CHEMISTRY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5407 PROCEDURE MANUAL Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5801 TEST REPORT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0866459 Laboratory Corporation Of America 10200 Pioneer Blvd, Ste 500 Santa Fe Springs CA 09/20/2021 4AXW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6087 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0866459 Laboratory Corporation Of America 10200 Pioneer Blvd, Ste 500 Santa Fe Springs CA 11/17/2021 YOH711 Special
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5403 PROCEDURE MANUAL Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5625 CYTOLOGY Standard
D5655 CYTOLOGY Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D9999 null Memo
▼ 05D0866459 Laboratory Corporation Of America 10200 Pioneer Blvd, Ste 500 Santa Fe Springs CA 01/11/2024 9QGO11 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2003 ENROLLMENT Standard
D2153 ABO GROUP AND D(RHO) TYPING Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6088 LABORATORY DIRECTOR RESPONSIBILITIES Standard