S&C QCOR CLIA 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
CLIA 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

US State or Territory:

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
▼ 05D1027742 Foothill Dermatology Medical Center 2301 E Foothill Blvd Ste 100 Glendora CA 11/01/2019 AW7L11 Standard
Deficiency Tag Deficiency Description Tag Type
D5473 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5803 TEST REPORT Standard
▼ 05D1027742 Foothill Dermatology Medical Center 2301 E Foothill Blvd Ste 100 Glendora CA 10/17/2025 HODV11 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
D5400 ANALYTIC SYSTEMS Condition
D5401 PROCEDURE MANUAL Standard
D5403 PROCEDURE MANUAL Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5779 CORRECTIVE ACTIONS Standard
D5819 TEST REPORT Standard
D6076 LABORATORY DIRECTOR Condition
D6106 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1029386 Advanced Dermatology 210 S Grand Ave, Ste 208 Glendora CA 10/28/2021 L2XK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D6106 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1029386 Advanced Dermatology 210 S Grand Ave, Ste 208 Glendora CA 10/16/2025 EASB11 Standard
Deficiency Tag Deficiency Description Tag Type
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1029810 J Robert West Md, Inc Dba Hodge Dermatology 1440 N Harbor Blvd, Ste 300 Fullerton CA 10/08/2021 TK6M11 Standard
Deficiency Tag Deficiency Description Tag Type
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 05D1030501 Md Solutions Medical Corporation 15477 Ventura Blvd Ste 100 Sherman Oaks CA 04/14/2022 PBK411 Standard
Deficiency Tag Deficiency Description Tag Type
D3043 RETENTION REQUIREMENTS Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1031587 Golden State Dermatology Associates, Inc Fair Oaks 2625 Fair Oaks Blvd Ste 1 Sacramento CA 06/22/2021 C9PQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
▼ 05D1032613 Kd Medical Group Inc 400 W I St Los Banos CA 07/10/2024 3HKK11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D5403 PROCEDURE MANUAL Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5447 CONTROL PROCEDURES Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6007 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D1032697 Lakeside Medical Organization, A Medical Grp Inc 191 S Buena Vista St Ste 150 Burbank CA 11/28/2018 3JRW11 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
▼ 05D1032697 Lakeside Medical Organization, A Medical Grp Inc 191 S Buena Vista St Ste 150 Burbank CA 06/06/2023 GSPS11 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