S&C QCOR CLIA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
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

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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
05D2073229 Contra Costa Pathology Associates 399 Taylor Blvd Ste 200 Pleasant Hill CA 11/16/2023 DVJN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
05D2075128 Ucla Health Beach Cities 514 N Prospect Ave Ste 103 Redondo Beach CA 01/04/2019 87SX11 Standard
Deficiency Tag Deficiency Description Tag Type
D5779 CORRECTIVE ACTIONS Standard
D6092 LABORATORY DIRECTOR RESPONSIBILITIES Standard
05D2075709 Southern Marin Dermatology Inc 2330 Marinship Way Ste 370 Sausalito CA 11/28/2018 4B4D11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
05D2075709 Southern Marin Dermatology Inc 2330 Marinship Way Ste 370 Sausalito CA 05/14/2025 KR2U11 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5401 PROCEDURE MANUAL Standard
D5821 TEST REPORT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6086 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6106 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6121 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6125 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6126 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
05D2076002 Suzanne L Berkman Md Inc 8920 Wilshire Blvd, Ste 545 Beverly Hills CA 06/20/2024 V9TE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6106 LABORATORY DIRECTOR RESPONSIBILITIES Standard
05D2076326 Howell Healthcare 11126 Chandler Blvd North Hollywood CA 10/09/2018 3NJG11 Standard
Deficiency Tag Deficiency Description Tag Type
D1001 CERTIFICATE OF WAIVER TESTS Standard
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D3041 RETENTION REQUIREMENTS Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5445 CONTROL PROCEDURES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
05D2076326 Howell Healthcare 11126 Chandler Blvd North Hollywood CA 07/14/2021 6T7011 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
05D2077707 Uc San Diego Health - 910 Sycamore Ave Ste 102 Vista CA 12/18/2018 CEHR11 Standard
Deficiency Tag Deficiency Description Tag Type
D2121 HEMATOLOGY Standard
05D2077707 Uc San Diego Health - 910 Sycamore Ave Ste 102 Vista CA 10/22/2025 6V9311 Standard
Deficiency Tag Deficiency Description Tag Type
D2122 HEMATOLOGY Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
05D2078131 Action Urgent Care Inc 1680 E Capitol Expy Ste 10 San Jose CA 01/12/2023 LAZU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5801 TEST REPORT Standard
D5815 TEST REPORT Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard