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
▼ 05D2044073 Sc Medical Inc 19042 Soledad Canyon Rd Santa Clarita CA 11/03/2021 EQQ511 Standard
Deficiency Tag Deficiency Description Tag Type
D2121 HEMATOLOGY Standard
D2128 HEMATOLOGY Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6023 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6070 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 05D2044073 Sc Medical Inc 19042 Soledad Canyon Rd Santa Clarita CA 03/06/2024 Q2HY11 Standard
Deficiency Tag Deficiency Description Tag Type
D5313 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D6007 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2044825 Healthbanks Biotech Usa, Inc 185 Technology Dr Ste 150 Irvine CA 02/09/2024 4USC11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6091 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6170 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 05D2044827 Sutter Pacific Medical Foundation 3883 Airway Dr Ste 203 Santa Rosa CA 05/13/2025 ZB6K11 Standard
Deficiency Tag Deficiency Description Tag Type
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2047227 Aida K. Rechdouni Md Inc 2750 Pineridge Pl La Crescenta CA 08/07/2019 PVVL11 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
▼ 05D2047227 Aida K. Rechdouni Md Inc 2750 Pineridge Pl La Crescenta CA 08/13/2021 54X211 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
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
▼ 05D2048075 Avellino Lab Usa, Inc 1505 Adams Dr, Ste B2 Menlo Park CA 12/15/2021 SL3O11 Standard
Deficiency Tag Deficiency Description Tag Type
D5445 CONTROL PROCEDURES Standard
D5485 CONTROL PROCEDURES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2048767 Hope Health Center 24100 Calabasas Rd Calabasas CA 12/08/2021 K2J511 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D3033 RETENTION REQUIREMENTS Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2048767 Hope Health Center 24100 Calabasas Rd Calabasas CA 01/09/2024 RQ6Y11 Standard
Deficiency Tag Deficiency Description Tag Type
D2121 HEMATOLOGY Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5401 PROCEDURE MANUAL Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5441 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6007 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6044 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D2048849 Sunrise Clinical Laboratories Inc 2654 Honolulu Ave Montrose CA 06/27/2019 2YHA11 Standard
Deficiency Tag Deficiency Description Tag Type
D5435 MAINTENANCE AND FUNCTION CHECKS Standard