S&C QCOR CLIA 2567s
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CLIA 2567s
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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
▼ 05D1092687 Eye Associates Medical Group Inc 14709 Lakeshore Dr Clearlake CA 01/07/2020 4ONN11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D0000 Initial Comments - Not A Deficiency Citation Memo
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 05D1092687 Eye Associates Medical Group Inc 14709 Lakeshore Dr Clearlake CA 07/24/2025 GJUI11 Standard
Deficiency Tag Deficiency Description Tag Type
D5821 TEST REPORT Standard
D6098 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1092782 Newport Childrens Medical Group 1640 Newport Blvd Ste 210 Costa Mesa CA 10/25/2019 EPCQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D2121 HEMATOLOGY Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1092782 Newport Childrens Medical Group 1640 Newport Blvd Ste 210 Costa Mesa CA 11/03/2021 JCX211 Standard
Deficiency Tag Deficiency Description Tag Type
D2121 HEMATOLOGY Standard
▼ 05D1092782 Newport Childrens Medical Group 1640 Newport Blvd Ste 210 Costa Mesa CA 09/09/2025 1LR611 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2121 HEMATOLOGY Standard
D5028 HISTOPATHOLOGY Condition
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5403 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D5607 HISTOPATHOLOGY Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1093224 Altheadx Inc 3737 N 7th St, Ste 160 Phoenix AZ 07/18/2018 9VSS11 Standard
Deficiency Tag Deficiency Description Tag Type
D5465 CONTROL PROCEDURES Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1094170 Norcal Skin Disease And Surgery 1101 S Dora St Ukiah CA 01/08/2020 0CSQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6144 GENERAL SUPERVISOR RESPONSIBILITIES Standard
▼ 05D1094914 Lotus Laboratories 10842 Noel St Ste 110 Los Alamitos CA 02/24/2020 Q6Z511 Standard
Deficiency Tag Deficiency Description Tag Type
D2021 BACTERIOLOGY Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6091 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1094919 Orange Coast Dermatology Inc 22032 El Paseo Ste 150 Rancho Santa Margarita CA 12/02/2024 I2LI11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1096470 Scpmg Dermatology/Mohs 5601 De Soto Ave, Ste 1870 Woodland Hills CA 12/12/2024 CRVP11 Standard
Deficiency Tag Deficiency Description Tag Type
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D5821 TEST REPORT Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard