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
▼ 05D0971726 Santa Barbara Pulmonary Associate 2403 Castillo St, Ste 206 Santa Barbara CA 08/13/2024 6W8811 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
▼ 05D0971726 Santa Barbara Pulmonary Associate 2403 Castillo St, Ste 206 Santa Barbara CA 08/06/2025 JQJ911 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5401 PROCEDURE MANUAL Standard
D5779 CORRECTIVE ACTIONS Standard
D5813 TEST REPORT Standard
D6030 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6031 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0971833 Arroyo Oaks Medical Associates Inc 2230 Lynn Rd, Ste 200 Thousand Oaks CA 05/14/2024 GXGK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
D5813 TEST REPORT Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6014 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6070 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 05D0971834 Tcr Medical Corporation 9025 Balboa Ave Ste 105 San Diego CA 03/09/2022 W09011 Standard
Deficiency Tag Deficiency Description Tag Type
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0972858 Scpmg Barranca Medical Office-Mohs 6 Willard St Irvine CA 02/08/2018 UWNU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5801 TEST REPORT Standard
▼ 05D0974237 Jessica P Wu, Md 433 N Camden Dr, Ste 620 Beverly Hills CA 06/25/2024 B8L711 Standard
Deficiency Tag Deficiency Description Tag Type
D3043 RETENTION REQUIREMENTS Standard
D6106 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0975370 Memorialcare Miller 2801 Atlantic Ave Long Beach CA 03/10/2026 62P511 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5805 TEST REPORT Standard
▼ 05D0975508 Ccsmg/City Of Hope Medical Group 209 Fair Oaks Ave South Pasadena CA 05/17/2019 VHYM11 Standard
Deficiency Tag Deficiency Description Tag Type
D5400 ANALYTIC SYSTEMS Condition
D5469 CONTROL PROCEDURES Standard
D5481 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6042 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6072 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 05D0975875 Robin M Schaffran Md 8920 Wilshire Blvd Ste 545 Beverly Hills CA 08/23/2023 MH2H11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5477 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0978114 Michael P Tabibian Md Inc 30300 Agoura Rd, Ste 200 Agoura Hills CA 04/26/2024 ZZAT11 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
D3043 RETENTION REQUIREMENTS Standard
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5403 PROCEDURE MANUAL Standard
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard