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

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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
05D1074973 Prithipal S Sethi, Md, Inc 3133 W March Lane Ste 1040 Stockton CA 06/03/2025 GC3Z11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
05D1075041 Center For Advanced Dermatology, Inc 301 W Huntington Dr Ste 215 Arcadia CA 11/09/2020 5Q7D11 Standard
Deficiency Tag Deficiency Description Tag Type
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
05D1075041 Center For Advanced Dermatology, Inc 301 W Huntington Dr Ste 215 Arcadia CA 11/28/2022 7B8A11 Standard
Deficiency Tag Deficiency Description Tag Type
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
05D1075051 Biomat Usa, Inc 355 E 3rd St Calexico CA 11/20/2018 6CSU11 Standard
Deficiency Tag Deficiency Description Tag Type
D2088 ROUTINE CHEMISTRY Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
05D1075253 Laser And Skin Surgery Center 3835 J St Sacramento CA 08/08/2018 9RTB11 Standard
Deficiency Tag Deficiency Description Tag Type
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
05D1076583 Gardens Medical Center Inc 7218 Garfield Ave Bell Gardens CA 01/09/2019 MX8G11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2074 SYPHILIS SEROLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
05D1076583 Gardens Medical Center Inc 7218 Garfield Ave Bell Gardens CA 11/27/2019 6NNA11 Standard
Deficiency Tag Deficiency Description Tag Type
D2020 BACTERIOLOGY Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
05D1077328 Robert Klein Md Inc 18350 Roscoe Blvd, Ste 701 Northridge CA 10/26/2018 L7E811 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5781 CORRECTIVE ACTIONS Standard
05D1077328 Robert Klein Md Inc 18350 Roscoe Blvd, Ste 701 Northridge CA 08/03/2021 EMRM11 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5401 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6031 LABORATORY DIRECTOR RESPONSIBILITIES Standard
05D1077328 Robert Klein Md Inc 18350 Roscoe Blvd, Ste 701 Northridge CA 01/13/2026 YMEU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D6018 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6031 LABORATORY DIRECTOR RESPONSIBILITIES Standard