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

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
▼ 05D2032087 San Fernando Valley Urological 18370 Burbank Blvd #407 Tarzana CA 09/09/2022 YHO611 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2028 BACTERIOLOGY Standard
D6076 LABORATORY DIRECTOR Condition
D6089 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2032722 Homan A Zadeh Md, Mph, Inc Laboratory 1330 N Indian Canyon Dr Ste F Palm Springs CA 03/12/2026 LS2F11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5401 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 05D2032820 Santa Barbara Skin Institute 2921 De La Vina St Santa Barbara CA 04/09/2025 2UK411 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2033368 Calpath Medical Associates 2425 Samaritan Dr San Jose CA 02/02/2022 EB7Q11 Special
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2001 ENROLLMENT Standard
D5032 CYTOLOGY Condition
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5625 CYTOLOGY Standard
D5629 CYTOLOGY Standard
D5655 CYTOLOGY Standard
D5657 CYTOLOGY Standard
D5659 CYTOLOGY Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6076 LABORATORY DIRECTOR Condition
D6088 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6115 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D9999 null Memo
▼ 05D2033427 Ms Diagnostic Laboratory 128 W Olive Ave Monrovia CA 07/30/2020 F69Z11 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
▼ 05D2033427 Ms Diagnostic Laboratory 128 W Olive Ave Monrovia CA 11/10/2020 2K4V11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D2121 HEMATOLOGY Standard
D2128 HEMATOLOGY Standard
D2130 HEMATOLOGY Standard
D3003 FACILITIES Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D5507 BACTERIOLOGY Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6118 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 05D2033427 Ms Diagnostic Laboratory 128 W Olive Ave Monrovia CA 05/04/2021 T3DH11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D3000 FACILITY ADMINISTRATION Condition
D3025 REQUIREMENTS FOR TRANSFUSION SERVICES Standard
D5213 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5400 ANALYTIC SYSTEMS Condition
D5403 PROCEDURE MANUAL Standard
D5409 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5441 CONTROL PROCEDURES Standard
D5473 CONTROL PROCEDURES Standard
D5477 CONTROL PROCEDURES Standard
D5553 IMMUNOHEMATOLOGY Standard
D5555 IMMUNOHEMATOLOGY Standard
D5559 IMMUNOHEMATOLOGY Standard
D5775 COMPARISON OF TEST RESULTS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6076 LABORATORY DIRECTOR Condition
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2033427 Ms Diagnostic Laboratory 128 W Olive Ave Monrovia CA 02/28/2023 VH0H11 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
▼ 05D2033427 Ms Diagnostic Laboratory 128 W Olive Ave Monrovia CA 04/18/2023 BKDP11 Standard
Deficiency Tag Deficiency Description Tag Type
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2033427 Ms Diagnostic Laboratory 128 W Olive Ave Monrovia CA 07/17/2025 WE5911 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2107 ENDOCRINOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard