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
▼ 05D0999149 Alpha Clinical Laboratory, Inc 3021 N San Fernando Blvd Ste C Burbank CA 07/21/2025 WOSF11 Special
Deficiency Tag Deficiency Description Tag Type
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
▼ 05D0999149 Alpha Clinical Laboratory, Inc 3021 N San Fernando Blvd Ste C Burbank CA 02/03/2026 BXKG11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D2098 ENDOCRINOLOGY Standard
D6089 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1000595 Pathology Arts Inc 549 Queensland Circle, Ste 101 Corona CA 05/01/2018 8ELE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5785 CORRECTIVE ACTIONS Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1000595 Pathology Arts Inc 549 Queensland Circle, Ste 101 Corona CA 02/05/2025 1TI611 Standard
Deficiency Tag Deficiency Description Tag Type
D3013 FACILITIES Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1000733 Central Valley Pain Management And Wellness Clinic 1300 Mable Ave Ste 2 Modesto CA 12/03/2019 SHEU11 Standard
Deficiency Tag Deficiency Description Tag Type
D2116 TOXICOLOGY Standard
▼ 05D1000733 Central Valley Pain Management And Wellness Clinic 1300 Mable Ave Ste 2 Modesto CA 05/18/2022 V1KV11 Standard
Deficiency Tag Deficiency Description Tag Type
D2110 TOXICOLOGY Standard
▼ 05D1001250 Linda Mak Md Inc 1073 Ross Ave, Ste A El Centro CA 07/25/2024 2TDR11 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5403 PROCEDURE MANUAL Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6106 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1002957 Mitchell Becker, Md Physician's Office Lab 2336 Santa Monica Blvd Ste 201 Santa Monica CA 06/07/2018 KKIS11 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
▼ 05D1002957 Mitchell Becker, Md Physician's Office Lab 2336 Santa Monica Blvd Ste 201 Santa Monica CA 08/24/2018 PRSX11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D5403 PROCEDURE MANUAL Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D1002957 Mitchell Becker, Md Physician's Office Lab 2336 Santa Monica Blvd Ste 201 Santa Monica CA 11/26/2018 UK8S11 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