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
▼ 05D1043824 Advanced Fertility Associates 4690 Hoen Ave Santa Rosa CA 02/18/2025 Q1CN11 Standard
Deficiency Tag Deficiency Description Tag Type
D2104 ENDOCRINOLOGY Standard
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
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
▼ 05D1043833 Dermatology Associates 1850 Redondo Ave Ste 108 Signal Hill CA 02/04/2020 VU8A11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 05D1043833 Dermatology Associates 1850 Redondo Ave Ste 108 Signal Hill CA 09/19/2023 RBB611 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1044051 East Side Pathology Associates Med Grp 1600 Potrero Grande Dr, Ste 1 Rosemead CA 03/15/2022 N8R911 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1045035 Skin Clinic Md 3737 4th Ave San Diego CA 08/08/2024 519T11 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5309 TEST REQUEST Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1045230 Thousand Oaks Dermatology 415 E Rolling Oaks Dr Ste 110 Thousand Oaks CA 09/08/2020 57YY11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6095 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1045230 Thousand Oaks Dermatology 415 E Rolling Oaks Dr Ste 110 Thousand Oaks CA 02/13/2023 9TV611 Standard
Deficiency Tag Deficiency Description Tag Type
D5801 TEST REPORT Standard
D5805 TEST REPORT Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1046446 Advanced Dermatology Care Center, Inc 19582 Beach Blvd #217 Huntington Beach CA 10/22/2024 YPXH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1048982 Affiliated Pathologists 1010 Murray Ave San Luis Obispo CA 06/25/2024 O6AP11 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5401 PROCEDURE MANUAL Standard
D5629 CYTOLOGY Standard
D6106 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1049784 Planned Parenthood Los Angeles 2690 Pacific Ave, Ste 340 Long Beach CA 04/15/2025 427M11 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5403 PROCEDURE MANUAL Standard
D6106 LABORATORY DIRECTOR RESPONSIBILITIES Standard