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
▼ 05D1097142 R Makala Anders Md Medical Corp 864 2nd St Ste B Santa Rosa CA 03/03/2020 HLR611 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1098267 Omnipathology Solutions 968 S Fair Oaks Ave Pasadena CA 01/04/2018 PEYU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5781 CORRECTIVE ACTIONS Standard
▼ 05D1098267 Omnipathology Solutions 968 S Fair Oaks Ave Pasadena CA 12/14/2022 QMH911 Special
Deficiency Tag Deficiency Description Tag Type
D5473 CONTROL PROCEDURES Standard
D5625 CYTOLOGY Standard
D5629 CYTOLOGY Standard
D5633 CYTOLOGY Standard
D5637 CYTOLOGY Standard
D5641 CYTOLOGY Standard
D5647 CYTOLOGY Standard
D6115 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6130 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D9999 null Memo
▼ 05D1099483 Freedom Arthritis 21060 Centre Point Pkwy, Ste A Santa Clarita CA 04/06/2018 TW6U11 Standard
Deficiency Tag Deficiency Description Tag Type
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1099483 Freedom Arthritis 21060 Centre Point Pkwy, Ste A Santa Clarita CA 11/13/2020 SN6P11 Standard
Deficiency Tag Deficiency Description Tag Type
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6014 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1099483 Freedom Arthritis 21060 Centre Point Pkwy, Ste A Santa Clarita CA 03/05/2024 9NHU11 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
D3031 RETENTION REQUIREMENTS Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5815 TEST REPORT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1100558 Leo Treyzon, Md Inc 9454 Wilshire Blvd, Ste 510a Beverly Hills CA 02/11/2026 AB4J11 Standard
Deficiency Tag Deficiency Description Tag Type
D3039 RETENTION REQUIREMENTS Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D1102955 Gastroenterology Medical Clinic 1580 Creekside Dr Ste 200 Folsom CA 03/12/2025 W2AR11 Standard
Deficiency Tag Deficiency Description Tag Type
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6100 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6144 GENERAL SUPERVISOR RESPONSIBILITIES Standard
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 05D1103181 Tpmg-Vacaville Mohs Laboratory 1 Quality Dr, Mob-A Vacaville CA 04/03/2018 8DIH11 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
▼ 05D1103389 Newport Beach Surgical And Medical Group, Inc 180 Newport Center Dr Ste 158 Newport Beach CA 06/12/2024 SAF411 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
D6106 LABORATORY DIRECTOR RESPONSIBILITIES Standard