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
▼ 05D1010183 Uptimum Medical Group And Ipa Inc 2220 W Manchester Blvd Inglewood CA 03/24/2020 TYFV11 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
▼ 05D1010183 Uptimum Medical Group And Ipa Inc 2220 W Manchester Blvd Inglewood CA 06/13/2025 FVYW11 Standard
Deficiency Tag Deficiency Description Tag Type
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5401 PROCEDURE MANUAL Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6031 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1010428 Synergy Hematology Oncology 5363 Balboa Blvd, Ste 345 Encino CA 01/29/2020 OA8P11 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
▼ 05D1010428 Synergy Hematology Oncology 5363 Balboa Blvd, Ste 345 Encino CA 10/22/2020 MPVH11 Standard
Deficiency Tag Deficiency Description Tag Type
D2123 HEMATOLOGY Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 05D1010428 Synergy Hematology Oncology 5363 Balboa Blvd, Ste 345 Encino CA 03/27/2023 GLU211 Standard
Deficiency Tag Deficiency Description Tag Type
D2127 HEMATOLOGY Standard
D5403 PROCEDURE MANUAL Standard
D6007 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1010935 San Diego Dermatology And 320 Santa Fe Dr, Ste 303 Encinitas CA 08/09/2024 36SF11 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
D3043 RETENTION REQUIREMENTS Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6084 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1013059 Dermatologist Medical Group Of North County Inc 1200 Garden View Rd, Ste 108 Encinitas CA 07/23/2024 E90211 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1014810 Huntington Reproductive Center 1220 La Venta Dr Ste 103 Westlake Village CA 09/12/2018 O96111 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5469 CONTROL PROCEDURES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1015025 Stockton Hematology Oncology Medical Group 2316 Orchard Parkway, Ste 110 Tracy CA 03/17/2020 7MDM11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2123 HEMATOLOGY Standard
D2130 HEMATOLOGY Standard
D5469 CONTROL PROCEDURES Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6014 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D1015025 Stockton Hematology Oncology Medical Group 2316 Orchard Parkway, Ste 110 Tracy CA 10/23/2024 SX7011 Standard
Deficiency Tag Deficiency Description Tag Type
D2121 HEMATOLOGY Standard
D2122 HEMATOLOGY Standard
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D6018 LABORATORY DIRECTOR RESPONSIBILITIES Standard