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

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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
05D2108993 California Dermatology Specialists 11645 Wilshire Blvd Ste 1080 Los Angeles CA 12/19/2018 PU4611 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
05D2109888 Capstone Clinical Laboratories Llc 15375 Barranca Parkway, Ste F103 Irvine CA 06/09/2022 LKR911 Standard
Deficiency Tag Deficiency Description Tag Type
D2057 VIROLOGY Standard
D6015 LABORATORY DIRECTOR RESPONSIBILITIES Standard
05D2111385 Four Tech Laboratory Llc 5132 N Peck Rd El Monte CA 11/21/2018 PIIT11 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
05D2111385 Four Tech Laboratory Llc 5132 N Peck Rd El Monte CA 12/14/2018 IIF311 Standard
Deficiency Tag Deficiency Description Tag Type
D5313 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5789 TEST RECORDS Standard
05D2111385 Four Tech Laboratory Llc 5132 N Peck Rd El Monte CA 05/04/2021 SXUV11 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
05D2111385 Four Tech Laboratory Llc 5132 N Peck Rd El Monte CA 08/31/2021 2M2H11 Standard
Deficiency Tag Deficiency Description Tag Type
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5477 CONTROL PROCEDURES Standard
D6178 TESTING PERSONNEL RESPONSIBILITIES Standard
05D2111385 Four Tech Laboratory Llc 5132 N Peck Rd El Monte CA 04/27/2022 ETC811 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
05D2111385 Four Tech Laboratory Llc 5132 N Peck Rd El Monte CA 03/22/2023 FCFE11 Standard
Deficiency Tag Deficiency Description Tag Type
D2122 HEMATOLOGY Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5787 TEST RECORDS Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
05D2111678 Rodeo Drive Women's Health Center 421 N Rodeo Dr, Penthouse 1 Beverly Hills CA 02/27/2019 OZU611 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5445 CONTROL PROCEDURES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
05D2112676 Ca Dept Of Public Health, Drinking Water & 850 Marina Bay Pkwy, Rm G-164 Richmond CA 10/11/2018 BXXB11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard