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
▼ 05D2033588 Norcal Dermatology & Cosmetic 196 Wikiup Dr Santa Rosa CA 06/28/2018 ORDL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
▼ 05D2033588 Norcal Dermatology & Cosmetic 196 Wikiup Dr Santa Rosa CA 02/18/2025 ZQ9K11 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6084 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2033858 Mdx Health Inc 15279 Alton Pkwy Ste 100 Irvine CA 07/24/2018 UNLQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5481 CONTROL PROCEDURES Standard
▼ 05D2035409 Arthritis Care And 15525 Pomerado Rd Ste E6 Poway CA 07/23/2025 J9BX11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5407 PROCEDURE MANUAL Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5801 TEST REPORT Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6100 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2035409 Arthritis Care And 15525 Pomerado Rd Ste E6 Poway CA 09/02/2025 J9BX12 Standard
Deficiency Tag Deficiency Description Tag Type
D5014 GENERAL IMMUNOLOGY Condition
▼ 05D2037652 Epic Care 1480 64th St Ste 100 Emeryville CA 09/23/2021 ZGJD11 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6040 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D2038078 Pacific Reproductive Center 381 Corporate Terrace Corona CA 05/10/2021 8XWG11 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2038784 Global Diagnostic Lab, Inc 26 N Oak Ave Pasadena CA 10/18/2018 KXZ311 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5445 CONTROL PROCEDURES Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2039314 E. Carwile Leroy, Jr., Md, Inc. 6594 N First St, Ste 103 Fresno CA 08/14/2019 WIZN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6040 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D2040291 Kimberly U Hurvitz, Md Inc 2431 Castillo St Santa Barbara CA 08/07/2025 BHBC11 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
D3043 RETENTION REQUIREMENTS Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5401 PROCEDURE MANUAL Standard
D5779 CORRECTIVE ACTIONS Standard
D5787 TEST RECORDS Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard