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
▼ 05D2079944 Epyc Diagnostics Llc 21117 Osborne St Canoga Park CA 05/02/2019 YMH211 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
▼ 05D2079944 Epyc Diagnostics Llc 21117 Osborne St Canoga Park CA 02/11/2021 G2E511 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D2122 HEMATOLOGY Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5507 BACTERIOLOGY Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2079944 Epyc Diagnostics Llc 21117 Osborne St Canoga Park CA 08/03/2022 HP4R11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2079944 Epyc Diagnostics Llc 21117 Osborne St Canoga Park CA 09/12/2024 CMDI11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2080391 Up Front Labs Llc 16812 Red Hill Ave Ste B Irvine CA 03/14/2019 2CUZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5781 CORRECTIVE ACTIONS Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2080392 Advanced Dermatology 31150 S Temecula Pkwy Ste 104 Temecula CA 03/09/2021 1RSK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2080395 Ub Laboratories Inc 12633 Hoover St Garden Grove CA 06/19/2019 WAAW11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D2088 ROUTINE CHEMISTRY Standard
D2098 ENDOCRINOLOGY Standard
D2109 TOXICOLOGY Standard
D2121 HEMATOLOGY Standard
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2080395 Ub Laboratories Inc 12633 Hoover St Garden Grove CA 02/11/2020 J1RV11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D2107 ENDOCRINOLOGY Standard
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2081203 Meditest Laboratories 17971 Skypark Circle, Unit 33e Irvine CA 06/03/2019 Y3TP11 Standard
Deficiency Tag Deficiency Description Tag Type
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5801 TEST REPORT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2084019 Csi Medical Group 136 N San Mateo Dr, 2nd Fl San Mateo CA 12/04/2025 NOSM11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard