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
▼ 05D0930454 Michael F Bishara, Md, Lab 6896 Magnolia Ave Riverside CA 07/02/2024 TL0V11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0930454 Michael F Bishara, Md, Lab 6896 Magnolia Ave Riverside CA 11/12/2024 QNL911 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0930454 Michael F Bishara, Md, Lab 6896 Magnolia Ave Riverside CA 03/26/2025 7RD911 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0930454 Michael F Bishara, Md, Lab 6896 Magnolia Ave Riverside CA 03/26/2025 97GG11 null
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0930808 Crestview Clinical Laboratory, Llc 5 Holland, Ste 209 Irvine CA 01/09/2018 1FVO12 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES null
D2098 ENDOCRINOLOGY null
▼ 05D0930808 Crestview Clinical Laboratory, Llc 5 Holland, Ste 209 Irvine CA 01/07/2020 Q7ZK11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0930808 Crestview Clinical Laboratory, Llc 5 Holland, Ste 209 Irvine CA 03/04/2020 BW6Z11 Standard
Deficiency Tag Deficiency Description Tag Type
D2011 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2016 SUCCESSFUL PARTICIPATION Condition
D2025 BACTERIOLOGY Standard
D2071 SYPHILIS SEROLOGY Standard
D2081 GENERAL IMMUNOLOGY Standard
D2087 ROUTINE CHEMISTRY Standard
D2089 ROUTINE CHEMISTRY Standard
D2093 ROUTINE CHEMISTRY Standard
D2096 ROUTINE CHEMISTRY Standard
D2100 ENDOCRINOLOGY Standard
D2104 ENDOCRINOLOGY Standard
D2109 TOXICOLOGY Standard
D2127 HEMATOLOGY Standard
D2159 ABO GROUP AND D(RHO) TYPING Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5805 TEST REPORT Standard
D5809 TEST REPORT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6090 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6091 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6134 CLINICAL CONSULTANT Condition
D6135 CLINICAL CONSULTANT QUALIFICATIONS Standard
▼ 05D0930808 Crestview Clinical Laboratory, Llc 5 Holland, Ste 209 Irvine CA 06/09/2020 7YUD11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0930808 Crestview Clinical Laboratory, Llc 5 Holland, Ste 209 Irvine CA 08/06/2024 FH3811 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5300 PREANALYTIC SYSTEMS Condition
D5301 TEST REQUEST Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5781 CORRECTIVE ACTIONS Standard
D5815 TEST REPORT Standard
D6076 LABORATORY DIRECTOR Condition
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6095 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0931219 Palos Verdes Medical Group 550 Deep Valley Drive, Ste 319 Rolling Hills CA 10/27/2022 MTOJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2075 GENERAL IMMUNOLOGY Standard
D2087 ROUTINE CHEMISTRY Standard
D2096 ROUTINE CHEMISTRY Standard
D2098 ENDOCRINOLOGY Standard
D3011 FACILITIES Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard