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
▼ 05D2103860 Newport Children's Medical Group 31862 Coast Hwy, Ste 302 Laguna Beach CA 03/21/2024 3XGH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5779 CORRECTIVE ACTIONS Standard
D6024 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6043 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D2104014 Wonderful Center 1701 S Lexington St Delano CA 10/07/2022 DG7J11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2028 BACTERIOLOGY Standard
D2064 VIROLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6017 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2104354 Atcg Laboratory 18 Technology Dr, Ste 107 Irvine CA 09/10/2020 2Z4K11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5781 CORRECTIVE ACTIONS Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6096 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2104354 Atcg Laboratory 18 Technology Dr, Ste 107 Irvine CA 05/23/2023 MUP911 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2105680 Bio Genetisys Inc 471 W Lambert Rd Ste 104 Brea CA 07/23/2025 I7OU11 Standard
Deficiency Tag Deficiency Description Tag Type
D2123 HEMATOLOGY Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2105688 Kaweah Health Specialty Clinic 325 S Willis St Visalia CA 11/28/2018 0YIU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6040 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D2106320 Aumt Laboratory 1000 E Dominguez Street, Suite 104 Carson CA 08/14/2018 MLBS11 Standard
Deficiency Tag Deficiency Description Tag Type
D5305 TEST REQUEST Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6007 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6064 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 05D2107608 Pacific Spine & Pain Center 5127 W Noble Ave Visalia CA 11/27/2018 7ST111 Standard
Deficiency Tag Deficiency Description Tag Type
D2115 TOXICOLOGY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5403 PROCEDURE MANUAL Standard
D5447 CONTROL PROCEDURES Standard
D5449 CONTROL PROCEDURES Standard
D5775 COMPARISON OF TEST RESULTS Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6036 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6042 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6047 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D2107941 Downey Dermatology 10441 Lakewood Blvd Downey CA 08/03/2018 529011 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
▼ 05D2108326 Good Dermatology 3640 Lomita Blvd Ste 301 Torrance CA 11/09/2018 INR811 Standard
Deficiency Tag Deficiency Description Tag Type
D5219 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5401 PROCEDURE MANUAL Standard