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
▼ 05D0969008 Planned Parenthood Of Pasadena 1045 N Lake Ave Pasadena CA 01/23/2024 9TM211 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5441 CONTROL PROCEDURES Standard
D6007 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D0969686 Long Phi Dang Md Inc 7891 Westminster Blvd Westminster CA 12/01/2020 3KHP11 Standard
Deficiency Tag Deficiency Description Tag Type
D3001 FACILITIES Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5407 PROCEDURE MANUAL Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6095 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0969790 Megamed Clinical Laboratories, Inc 7302 Canby Ave Reseda CA 03/09/2021 NPW111 Standard
Deficiency Tag Deficiency Description Tag Type
D2077 GENERAL IMMUNOLOGY Standard
D2087 ROUTINE CHEMISTRY Standard
D3005 FACILITIES Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6115 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 05D0969849 Zouves Fertility Center 1241 E Hillsdale Blvd Ste 100 Foster City CA 12/07/2021 YD0911 Standard
Deficiency Tag Deficiency Description Tag Type
D2122 HEMATOLOGY Standard
▼ 05D0970561 Metrolab, Inc 16550 Ventura Blvd Ste 402 Encino CA 10/11/2018 MXBI11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 05D0970561 Metrolab, Inc 16550 Ventura Blvd Ste 402 Encino CA 02/18/2021 UEKC11 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0971208 West Hills Dermatology Group 7230 Medical Center Dr Ste 404 West Hills CA 03/16/2021 X5MY11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
▼ 05D0971208 West Hills Dermatology Group 7230 Medical Center Dr Ste 404 West Hills CA 03/03/2025 9W7T11 Standard
Deficiency Tag Deficiency Description Tag Type
D5821 TEST REPORT Standard
▼ 05D0971726 Santa Barbara Pulmonary Associate 2403 Castillo St, Ste 206 Santa Barbara CA 06/21/2023 TID711 Standard
Deficiency Tag Deficiency Description Tag Type
D2089 ROUTINE CHEMISTRY Standard
D6015 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0971726 Santa Barbara Pulmonary Associate 2403 Castillo St, Ste 206 Santa Barbara CA 08/12/2024 RTS011 Special
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
D2131 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard