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
▼ 05D1086025 Vitalant 10585 Armstrong Ave Mather CA 06/20/2019 9DGT11 Standard
Deficiency Tag Deficiency Description Tag Type
D5751 HISTOCOMPATIBILITY Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1086289 Center For Rheumatology 8640 W 3rd St Ste 300 Los Angeles CA 07/24/2019 5RV611 Standard
Deficiency Tag Deficiency Description Tag Type
D2098 ENDOCRINOLOGY Standard
D2099 ENDOCRINOLOGY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5805 TEST REPORT Standard
D6007 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D1089250 Agendia Inc 22 Morgan Irvine CA 10/31/2022 G7AE11 Standard
Deficiency Tag Deficiency Description Tag Type
D3000 FACILITY ADMINISTRATION Condition
D3001 FACILITIES Standard
D3003 FACILITIES Standard
D3005 FACILITIES Standard
D3011 FACILITIES Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6083 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1089622 Genex Labobatories 1301 N San Fernando Blvd Burbank CA 11/16/2021 XVV111 Standard
Deficiency Tag Deficiency Description Tag Type
D2075 GENERAL IMMUNOLOGY Standard
D2088 ROUTINE CHEMISTRY Standard
D2121 HEMATOLOGY Standard
D5401 PROCEDURE MANUAL Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1089622 Genex Labobatories 1301 N San Fernando Blvd Burbank CA 07/28/2022 1HXC11 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
▼ 05D1089622 Genex Labobatories 1301 N San Fernando Blvd Burbank CA 10/17/2023 C1VF11 Standard
Deficiency Tag Deficiency Description Tag Type
D2076 GENERAL IMMUNOLOGY Standard
D6089 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1089622 Genex Labobatories 1301 N San Fernando Blvd Burbank CA 02/26/2026 PPGG11 Standard
Deficiency Tag Deficiency Description Tag Type
D2075 GENERAL IMMUNOLOGY Standard
D2087 ROUTINE CHEMISTRY Standard
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1089660 Universal Pain Management 819 Auto Center Dr Palmdale CA 10/12/2018 QE1T11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 05D1089660 Universal Pain Management 819 Auto Center Dr Palmdale CA 03/04/2021 KLVD11 Standard
Deficiency Tag Deficiency Description Tag Type
D2109 TOXICOLOGY Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D6095 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1092634 John Qian, Md Inc 5395 Ruffin Rd Ste 204 San Diego CA 01/08/2020 QQXI11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5441 CONTROL PROCEDURES Standard
D5449 CONTROL PROCEDURES Standard
D5805 TEST REPORT Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6023 LABORATORY DIRECTOR RESPONSIBILITIES Standard