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
▼ 05D1002957 Mitchell Becker, Md Physician's Office Lab 2336 Santa Monica Blvd Ste 201 Santa Monica CA 01/23/2020 LTQR11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY 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 06/09/2021 BF9811 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D2121 HEMATOLOGY Standard
D2130 HEMATOLOGY Standard
D6022 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1002957 Mitchell Becker, Md Physician's Office Lab 2336 Santa Monica Blvd Ste 201 Santa Monica CA 05/02/2023 8V7U11 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
▼ 05D1003236 Rain Cross Medical Center Of 4336 Market St Riverside CA 06/19/2019 69XH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 05D1003290 Lawrence Osman Md 18546 Roscoe Blvd Ste 306 Northridge CA 03/07/2025 CKR111 Standard
Deficiency Tag Deficiency Description Tag Type
D5821 TEST REPORT Standard
▼ 05D1003519 Bayside Urgent Care & Family Medical 39 Birch St Ste A Redwood City CA 09/22/2021 O1FG11 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
D5400 ANALYTIC SYSTEMS Condition
D5401 PROCEDURE MANUAL Standard
D5445 CONTROL PROCEDURES Standard
D6076 LABORATORY DIRECTOR Condition
▼ 05D1004121 Michael I Keller Laboratory 3633 Camino Del Rio S Ste 106 San Diego CA 08/20/2018 RYI111 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2085 GENERAL IMMUNOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1005661 Redwood Family Dermatology 2725 Mendocino Ave Santa Rosa CA 02/23/2021 66ZK11 Standard
Deficiency Tag Deficiency Description Tag Type
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 05D1005661 Redwood Family Dermatology 2725 Mendocino Ave Santa Rosa CA 02/19/2025 9SDQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5893 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1006209 Antelope Valley Lung & Sleep Institute, Inc 525 Commerce Avenue Suite A Palmdale CA 02/12/2025 RSNF11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D3031 RETENTION REQUIREMENTS Standard