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
▼ 05D0991871 Torrey Pines Dermatology 9850 Genesee Ave Ste 460 La Jolla CA 01/18/2018 TKNO11 Standard
Deficiency Tag Deficiency Description Tag Type
D5801 TEST REPORT Standard
▼ 05D0993237 Sierra Hematology And Oncology 3939 J St Ste 360 Sacramento CA 12/16/2021 41QE11 Standard
Deficiency Tag Deficiency Description Tag Type
D2121 HEMATOLOGY Standard
▼ 05D0995348 Vincent C Hung Md 351 Hospital Rd Ste 418 Newport Beach CA 09/25/2020 7I5J11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0995348 Vincent C Hung Md 351 Hospital Rd Ste 418 Newport Beach CA 07/13/2022 P1CQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5401 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0996882 South Valley Health Center 38350 40th St East, Ste 100 Palmdale CA 08/02/2018 9Y3F11 Standard
Deficiency Tag Deficiency Description Tag Type
D2121 HEMATOLOGY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5473 CONTROL PROCEDURES Standard
D5775 COMPARISON OF TEST RESULTS Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0998287 Yosemite Pathology 3000 Sillect Ave Bakersfield CA 06/29/2022 RMIO11 Special
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5619 CYTOLOGY Standard
D5637 CYTOLOGY Standard
D5641 CYTOLOGY Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D9999 null Memo
▼ 05D0998305 Lawrence H Matt Md 1450 10th St Ste 300 Santa Monica CA 09/11/2020 6HID11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 05D0999149 Alpha Clinical Laboratory, Inc 3021 N San Fernando Blvd Ste C Burbank CA 11/20/2018 E8Q911 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2118 TOXICOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0999149 Alpha Clinical Laboratory, Inc 3021 N San Fernando Blvd Ste C Burbank CA 05/04/2021 3XYU11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0999149 Alpha Clinical Laboratory, Inc 3021 N San Fernando Blvd Ste C Burbank CA 07/10/2023 TNO011 Standard
Deficiency Tag Deficiency Description Tag Type
D2105 ENDOCRINOLOGY Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5401 PROCEDURE MANUAL Standard
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6070 TESTING PERSONNEL RESPONSIBILITIES Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6087 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6092 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard