S&C QCOR CLIA 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
CLIA 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

US State or Territory:

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
▼ 05D0941947 Central Coast Multispecialty 9833 Blue Larkspur Ln Monterey CA 10/06/2021 TH4U11 Standard
Deficiency Tag Deficiency Description Tag Type
D2098 ENDOCRINOLOGY Standard
▼ 05D0941947 Central Coast Multispecialty 9833 Blue Larkspur Ln Monterey CA 11/21/2024 AOX311 Standard
Deficiency Tag Deficiency Description Tag Type
D2098 ENDOCRINOLOGY Standard
▼ 05D0942841 L A Good Samaritan Pathology Medical Group Inc 15021 Ventura Blvd, Ste 771 Sherman Oaks CA 04/13/2018 GCTV11 Standard
Deficiency Tag Deficiency Description Tag Type
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 05D0943625 Outpatient Biopsy Center 10632 Daines Dr Temple City CA 09/15/2025 MVF511 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3031 RETENTION REQUIREMENTS Standard
D3043 RETENTION REQUIREMENTS Standard
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0945248 Ocean Skin And Vein Institute 1101 N Sepulveda Blvd, Ste 100 Manhattan Beach CA 07/30/2024 LDD211 Standard
Deficiency Tag Deficiency Description Tag Type
D5787 TEST RECORDS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0946046 Valley Center For Reproductive Health, Inc 4835 Van Nuys Blvd, Ste 200 B Sherman Oaks CA 10/19/2018 7ZN611 Standard
Deficiency Tag Deficiency Description Tag Type
D2098 ENDOCRINOLOGY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 05D0946352 Csi Medical Group 2420 Samaritan Dr San Jose CA 10/08/2025 QEE011 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5485 CONTROL PROCEDURES Standard
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 05D0946552 Alyssa Youngjee Kim, Md 18102 Irvine Blvd, Ste 206 Tustin CA 07/18/2018 AC9811 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
▼ 05D0947847 Skin And Beauty Center - Clendale South 1577 E Chevy Chase Dr Ste 320 Glendale CA 06/04/2018 MRUK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6024 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0949242 Community Hospital Of Huntington Park 2623 E Slauson Ave Huntington Park CA 09/08/2025 257V11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2006 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard