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
▼ 05D0931291 Takeshi Matsumoto Md 1245 Wilshire Blvd, Ste 680 Los Angeles CA 12/12/2019 KVHY11 Standard
Deficiency Tag Deficiency Description Tag Type
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D0931296 Vasanth Vishwanath Md Inc 7075 N Maple Ave Ste 102 Fresno CA 01/12/2021 0OV611 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5445 CONTROL PROCEDURES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D0931296 Vasanth Vishwanath Md Inc 7075 N Maple Ave Ste 102 Fresno CA 06/13/2024 PO8911 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5805 TEST REPORT Standard
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6026 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0932547 Ocean Skin And Vein Institute Inc 13420 Newport Ave Ste G Tustin CA 02/09/2018 FQRX11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
▼ 05D0932547 Ocean Skin And Vein Institute Inc 13420 Newport Ave Ste G Tustin CA 05/12/2021 WP2W11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 05D0932547 Ocean Skin And Vein Institute Inc 13420 Newport Ave Ste G Tustin CA 08/09/2022 2K7E11 Standard
Deficiency Tag Deficiency Description Tag Type
D3039 RETENTION REQUIREMENTS Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0933383 Golden State Dermatology - Merced 388 E Yosemite Ave Ste 100 Merced CA 01/10/2018 F73T11 Standard
Deficiency Tag Deficiency Description Tag Type
D5801 TEST REPORT Standard
▼ 05D0933383 Golden State Dermatology - Merced 388 E Yosemite Ave Ste 100 Merced CA 03/03/2020 D9E011 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
▼ 05D0933383 Golden State Dermatology - Merced 388 E Yosemite Ave Ste 100 Merced CA 11/20/2024 JKMO11 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D6084 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0933384 Redding Dermatology 2135 Airpark Dr, Ste B Redding CA 07/25/2024 5MDN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5473 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6022 LABORATORY DIRECTOR RESPONSIBILITIES Standard