S&C QCOR CLIA 2567s
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CLIA 2567s
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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
▼ 05D2050266 Newport Harbor Pathology 1 Hoag Dr Newport Beach CA 06/13/2025 WKUI11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5401 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2051772 Healthcare Clinical Laboratory, Inc 5744 San Fernando Rd, Unit 200 Glendale CA 01/26/2022 XZDB11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D2121 HEMATOLOGY Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2051772 Healthcare Clinical Laboratory, Inc 5744 San Fernando Rd, Unit 200 Glendale CA 08/12/2024 5NHX11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2172 UNEXPECTED ANTIBODY DETECTION Standard
D6076 LABORATORY DIRECTOR Condition
D6092 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2051927 Pan Laboratories 15375 Barranca Pkwy Ste E101 Irvine CA 10/14/2021 7GWQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D6015 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2053446 Us Specialty Labs 11578 Sorrento Valley Rd Ste 27 San Diego CA 01/30/2018 45UO11 Standard
Deficiency Tag Deficiency Description Tag Type
D2098 ENDOCRINOLOGY Standard
D5441 CONTROL PROCEDURES Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2054758 Mohs Micrographic Surgery Laboratory 3140 Kearney St, Bldg 2, 2nd Fl Fremont CA 10/18/2019 60MU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 05D2054758 Mohs Micrographic Surgery Laboratory 3140 Kearney St, Bldg 2, 2nd Fl Fremont CA 03/25/2022 PSTL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2054758 Mohs Micrographic Surgery Laboratory 3140 Kearney St, Bldg 2, 2nd Fl Fremont CA 11/17/2025 X3SE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5787 TEST RECORDS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 05D2054760 Precision Toxicology, Llc 4215 Sorrento Valley Blvd Ste 100 San Diego CA 01/31/2018 BQ4811 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2055250 Apollogen Inc 15375 Barranca Parkway Ste A-105-106 Irvine CA 09/11/2018 2HMB11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5453 CONTROL PROCEDURES Standard
D6076 LABORATORY DIRECTOR Condition
D6086 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard