S&C QCOR CLIA 2567s
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CLIA 2567s
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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
▼ 05D0901953 Levine Laboratory 2001 Santa Monica Blvd, Ste 390 W Santa Monica CA 08/06/2019 N6GW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5441 CONTROL PROCEDURES Standard
▼ 05D0903343 Regal Medical Group Inc 117 E Live Oak Ave, Ste 101 Arcadia CA 06/12/2019 U8FN11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5805 TEST REPORT Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0904002 Dermatology Specialists, Inc 25495 Medical Center Dr Ste 200 Murrieta CA 12/10/2020 322Q11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D6023 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0906539 Golden State Dermatology Associates 355 Lennon Ln Ste 255 Walnut Creek CA 12/03/2020 TTN311 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 05D0906539 Golden State Dermatology Associates 355 Lennon Ln Ste 255 Walnut Creek CA 07/19/2023 GL8V11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 05D0907431 Nextgen Laboratories 4229 Birch St Ste 130 Newport Beach CA 04/10/2019 L96P11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0908423 Reproductive Specialty Laboratories, Inc. 15500 Sand Canyon Ave Ste 100 Irvine CA 03/08/2019 67DU11 Standard
Deficiency Tag Deficiency Description Tag Type
D2010 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 05D0911622 Women's Health Center 9940 Talbert Ave Ste 303 Fountain Valley CA 10/07/2019 GM5511 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
▼ 05D0911622 Women's Health Center 9940 Talbert Ave Ste 303 Fountain Valley CA 11/02/2021 RY4811 Standard
Deficiency Tag Deficiency Description Tag Type
D2020 BACTERIOLOGY Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D0911779 Sutter Maternity & Surgery Center 2900 Chanticleer Ave Santa Cruz CA 04/23/2019 ZJTX11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D2089 ROUTINE CHEMISTRY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard