S&C QCOR CLIA 2567s
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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
▼ 05D2098106 J. Robert West Md Inc 5010 Chesebro Rd Ste 200 Agoura Hills CA 07/01/2025 7GS311 Standard
Deficiency Tag Deficiency Description Tag Type
D5815 TEST REPORT Standard
▼ 05D2100961 Golden Gate Urgent Care 750 Redwood Hwy Ste 1204 Mill Valley CA 06/06/2018 BH9J11 Standard
Deficiency Tag Deficiency Description Tag Type
D5783 CORRECTIVE ACTIONS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5805 TEST REPORT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6026 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2101629 Bach Medical Group 17672 Cowan Irvine CA 03/16/2018 L23B11 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 05D2101752 Ahf Public Health Laboratory 1811 N Western Ave Los Angeles CA 01/14/2021 GCTR11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D6030 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D2102333 Dynamic Clinical Laboratories Inc 516 N Larchmont Blvd Los Angeles CA 08/08/2018 QUPN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6088 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2103045 Pm Pedicatrics Of California, 18555 Ventura Blvd Ste B Tarzana CA 07/02/2018 S4OF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6042 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6070 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 05D2103276 Illuminate Diagnostics Inc 18331 Gridley Road, Ste C Cerritos CA 10/05/2018 IF9O11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6092 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6118 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 05D2103284 Us Lab Inc 3194-A Airport Loop Dr, Ste A Costa Mesa CA 12/09/2020 5NNN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5441 CONTROL PROCEDURES Standard
D5481 CONTROL PROCEDURES Standard
D6095 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6096 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2103284 Us Lab Inc 3194-A Airport Loop Dr, Ste A Costa Mesa CA 09/20/2022 EXCS11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6095 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2103634 Janet Vafaie Md Faad 10921 Wilshire Blvd, Ste 800 Los Angeles CA 06/19/2024 BSQ411 Standard
Deficiency Tag Deficiency Description Tag Type
D3043 RETENTION REQUIREMENTS Standard
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard