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
▼ 05D0925718 Los Angeles Hematology 2080 Century Park East #1005 Los Angeles CA 11/10/2021 DZ4V11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D2094 ROUTINE CHEMISTRY Standard
D5783 CORRECTIVE ACTIONS Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6023 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6075 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 05D0927395 Patricia A. Brotman, M.D. Inc., Lab 15944 Los Serranos Country Club Dr, Ste 180 Chino Hills CA 01/23/2025 S6T611 Standard
Deficiency Tag Deficiency Description Tag Type
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 05D0928743 Cedars-Sinai Medical Care Foundation 23101 Sherman Pl Ste 410 West Hills CA 08/16/2019 QP9311 Standard
Deficiency Tag Deficiency Description Tag Type
D2121 HEMATOLOGY Standard
▼ 05D0928967 Core Analytics Laboratory, Inc 14735 Califa St Van Nuys CA 01/07/2019 PXR711 Standard
Deficiency Tag Deficiency Description Tag Type
D2020 BACTERIOLOGY Standard
D2087 ROUTINE CHEMISTRY Standard
D2098 ENDOCRINOLOGY Standard
D2109 TOXICOLOGY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5777 COMPARISON OF TEST RESULTS Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6022 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6178 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 05D0928967 Core Analytics Laboratory, Inc 14735 Califa St Van Nuys CA 08/03/2021 XLQB11 Standard
Deficiency Tag Deficiency Description Tag Type
D2088 ROUTINE CHEMISTRY Standard
D2098 ENDOCRINOLOGY Standard
D2109 TOXICOLOGY Standard
D3011 FACILITIES Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5815 TEST REPORT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0928967 Core Analytics Laboratory, Inc 14735 Califa St Van Nuys CA 07/02/2024 13QR11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2118 TOXICOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0928967 Core Analytics Laboratory, Inc 14735 Califa St Van Nuys CA 05/20/2025 QJS411 Standard
Deficiency Tag Deficiency Description Tag Type
D5205 COMPLAINT INVESTIGATIONS Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5813 TEST REPORT Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0929479 Armen A Kassabian, Md 2701 W Alameda Ave Ste 506 Burbank CA 10/17/2018 OCU911 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D0930143 Biological Laboratory, Inc 620 W Covina Blvd San Dimas CA 01/09/2019 1WBI11 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
▼ 05D0930143 Biological Laboratory, Inc 620 W Covina Blvd San Dimas CA 09/12/2019 CQT711 Standard
Deficiency Tag Deficiency Description Tag Type
D2121 HEMATOLOGY Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5441 CONTROL PROCEDURES Standard
D5781 CORRECTIVE ACTIONS Standard
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard