S&C QCOR CLIA 2567s
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CLIA 2567s
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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
▼ 05D1061636 J Robert West Md Inc 4244 Riverwalk Pkwy, Ste 170 Riverside CA 09/24/2025 D8BF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D6014 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1061856 Icm Medical Group Inc 211 N Prairie Ave Inglewood CA 04/02/2019 DLXC11 Standard
Deficiency Tag Deficiency Description Tag Type
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D1061856 Icm Medical Group Inc 211 N Prairie Ave Inglewood CA 10/29/2021 Q9SQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D2094 ROUTINE CHEMISTRY Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6023 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1062719 Hematology Oncology Consultants Amedical Corp 28078 Baxter Rd Ste 140 Murrieta CA 09/24/2019 D95011 Standard
Deficiency Tag Deficiency Description Tag Type
D5425 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5441 CONTROL PROCEDURES Standard
▼ 05D1062719 Hematology Oncology Consultants Amedical Corp 28078 Baxter Rd Ste 140 Murrieta CA 08/27/2025 5M3011 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D6030 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D1062915 Medderm Associates, Inc 3965 5th Ave, Ste 200 San Diego CA 08/08/2024 6CZZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1062915 Medderm Associates, Inc 3965 5th Ave, Ste 200 San Diego CA 02/18/2026 LSLC11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2128 HEMATOLOGY Standard
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1063413 Hrc Fertility - Encino 15503 Ventura Blvd, Ste 200 Encino CA 02/15/2019 OH1811 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D6031 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1063918 Orange County Urology Associates Pathology Lab 23961 Calle De Magdalena, Suite 500 Laguna Hills CA 01/13/2022 CC1S11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5781 CORRECTIVE ACTIONS Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6096 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1063918 Orange County Urology Associates Pathology Lab 23961 Calle De Magdalena, Suite 500 Laguna Hills CA 04/23/2025 HNXF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5779 CORRECTIVE ACTIONS Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6170 TESTING PERSONNEL QUALIFICATIONS Standard