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
▼ 05D0950271 Paul J Mcandrews, Md 50 Alessandro Pl Ste 115 Pasadena CA 01/23/2024 HTX711 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5401 PROCEDURE MANUAL Standard
D6007 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6031 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0951370 Pathology Associates Laboratory 520 N Brookhurst St, Ste 119 Anaheim CA 12/10/2018 XCCX11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D2098 ENDOCRINOLOGY Standard
D2121 HEMATOLOGY Standard
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0954151 Dermatology And Rejuvenation Medical Center Inc 2230 Lynn Rd Ste 105 Thousand Oaks CA 10/01/2019 YQY511 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0954568 Endocrine And Metabolic Research Lab 1124 W Carson St, Room 231 Torrance CA 05/09/2025 L5C411 Standard
Deficiency Tag Deficiency Description Tag Type
D5467 CONTROL PROCEDURES Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0955926 Innovative Bioanalysis Lab 3188 Airway Ave Suite D Costa Mesa CA 05/01/2019 CIOX11 Standard
Deficiency Tag Deficiency Description Tag Type
D2020 BACTERIOLOGY Standard
D2075 GENERAL IMMUNOLOGY Standard
D2087 ROUTINE CHEMISTRY Standard
D2121 HEMATOLOGY Standard
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0956124 California Heart And Vascular Clinic 790 W Orange Ave Ste B El Centro CA 01/23/2018 UDEW11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0956124 California Heart And Vascular Clinic 790 W Orange Ave Ste B El Centro CA 05/25/2021 4VFN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5200 GENERAL LABORATORY SYSTEMS Condition
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5400 ANALYTIC SYSTEMS Condition
D5447 CONTROL PROCEDURES Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6030 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6049 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D0956168 21st Century Diagnostic Laboratory 121 N Victory Blvd Burbank CA 08/13/2018 IN3P11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2108 ENDOCRINOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0956168 21st Century Diagnostic Laboratory 121 N Victory Blvd Burbank CA 05/11/2022 6N6C11 Standard
Deficiency Tag Deficiency Description Tag Type
D2077 GENERAL IMMUNOLOGY Standard
D5401 PROCEDURE MANUAL Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0956168 21st Century Diagnostic Laboratory 121 N Victory Blvd Burbank CA 04/24/2024 VE0D11 Standard
Deficiency Tag Deficiency Description Tag Type
D2020 BACTERIOLOGY Standard
D5205 COMPLAINT INVESTIGATIONS Standard
D6095 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard