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
▼ 05D2011390 Healthy Care Clinical Laboratory Inc 4650 Arrow Hwy, Ste B3 Montclair CA 10/03/2018 ZQJE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5781 CORRECTIVE ACTIONS Standard
D5805 TEST REPORT Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2011390 Healthy Care Clinical Laboratory Inc 4650 Arrow Hwy, Ste B3 Montclair CA 07/14/2021 VW0N11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5809 TEST REPORT Standard
D6076 LABORATORY DIRECTOR Condition
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6086 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6089 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6098 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6115 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 05D2011390 Healthy Care Clinical Laboratory Inc 4650 Arrow Hwy, Ste B3 Montclair CA 04/05/2024 I5B911 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2087 ROUTINE CHEMISTRY Standard
D2094 ROUTINE CHEMISTRY Standard
D3031 RETENTION REQUIREMENTS Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6092 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2011390 Healthy Care Clinical Laboratory Inc 4650 Arrow Hwy, Ste B3 Montclair CA 07/17/2025 GW8S11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2014212 Cytodiagnostics Lab 911 Sunset Dr Hollister CA 07/16/2019 ZKMA11 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
▼ 05D2015439 Exer Medical Corporation 3160 E Del Mar Blvd, Ste 110 Pasadena CA 07/02/2024 CDV111 Standard
Deficiency Tag Deficiency Description Tag Type
D3003 FACILITIES Standard
D3011 FACILITIES Standard
D6011 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2016898 Pathlab Services Inc 7707 Garden Grove Blvd Garden Grove CA 07/19/2019 AV1N11 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 05D2017622 Duke Khuu Md Faad Dba Khuu Dermatology 889 Castro St Mountain View CA 05/21/2019 H03X11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2017622 Duke Khuu Md Faad Dba Khuu Dermatology 889 Castro St Mountain View CA 10/26/2021 AZPD11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
▼ 05D2017670 Westpac Labs, Inc 361 Hospital Rd Ste 222 Newport Beach CA 11/17/2021 GIN811 Standard
Deficiency Tag Deficiency Description Tag Type
D2075 GENERAL IMMUNOLOGY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard