S&C QCOR CLIA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
CLIA 2567s
Selection Criteria

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

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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
05D1034991 Brigid Freyne Md Inc 39755 Murrieta Hot Springs Rd Ste F110 Murrieta CA 07/18/2019 KTZ811 Standard
Deficiency Tag Deficiency Description Tag Type
D2075 GENERAL IMMUNOLOGY Standard
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5781 CORRECTIVE ACTIONS Standard
D6018 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6023 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6024 LABORATORY DIRECTOR RESPONSIBILITIES Standard
05D1034991 Brigid Freyne Md Inc 39755 Murrieta Hot Springs Rd Ste F110 Murrieta CA 11/15/2021 2KK311 Standard
Deficiency Tag Deficiency Description Tag Type
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5781 CORRECTIVE ACTIONS Standard
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6095 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6096 LABORATORY DIRECTOR RESPONSIBILITIES Standard
05D1036234 Sonoma Dermatology 461 7th St W Ste 3 Sonoma CA 08/07/2018 0QVP11 Standard
Deficiency Tag Deficiency Description Tag Type
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
05D1036234 Sonoma Dermatology 461 7th St W Ste 3 Sonoma CA 10/17/2025 KB8T11 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
D5821 TEST REPORT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6084 LABORATORY DIRECTOR RESPONSIBILITIES Standard
05D1037342 Pathcare Diagnostics, Inc 1810 Fullerton Ave Ste 102 Corona CA 05/30/2019 Z78111 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5032 CYTOLOGY Condition
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5317 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5403 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5629 CYTOLOGY Standard
D5633 CYTOLOGY Standard
D5637 CYTOLOGY Standard
D5641 CYTOLOGY Standard
D5645 CYTOLOGY Standard
D5655 CYTOLOGY Standard
D5805 TEST REPORT Standard
D5807 TEST REPORT Standard
D6076 LABORATORY DIRECTOR Condition
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6130 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6133 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D9999 null Memo
05D1038446 Dermatology Institute 2001 Santa Monica Blvd Ste 1160w Santa Monica CA 11/22/2019 TH7711 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5779 CORRECTIVE ACTIONS Standard
05D1039663 Lifeline Medical Laboratory Inc 10509 Burbank Blvd N Hollywood CA 02/07/2020 DDO611 Standard
Deficiency Tag Deficiency Description Tag Type
D3009 FACILITIES Standard
D3011 FACILITIES Standard
D6084 LABORATORY DIRECTOR RESPONSIBILITIES Standard
05D1040918 South County Kidney & Endocrine Center 23141 Moulton Pkwy Ste 102 Laguna Hills CA 11/25/2019 110911 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
D6023 LABORATORY DIRECTOR RESPONSIBILITIES Standard
05D1040918 South County Kidney & Endocrine Center 23141 Moulton Pkwy Ste 102 Laguna Hills CA 01/18/2022 EW6111 Standard
Deficiency Tag Deficiency Description Tag Type
D2121 HEMATOLOGY Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
05D1040918 South County Kidney & Endocrine Center 23141 Moulton Pkwy Ste 102 Laguna Hills CA 04/27/2022 ZEBF11 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