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

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
▼ 05D2115911 Henry Mayo Newhall Urgent Care 23929 Mcbean Pkwy Ste 102 Valencia CA 03/13/2019 2NIH11 Standard
Deficiency Tag Deficiency Description Tag Type
D2121 HEMATOLOGY Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2115911 Henry Mayo Newhall Urgent Care 23929 Mcbean Pkwy Ste 102 Valencia CA 02/03/2022 762B11 Standard
Deficiency Tag Deficiency Description Tag Type
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5463 CONTROL PROCEDURES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6045 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D2115911 Henry Mayo Newhall Urgent Care 23929 Mcbean Pkwy Ste 102 Valencia CA 06/06/2023 08KW11 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
▼ 05D2117052 Spring Diagnostics 3848 Del Amo Blvd, Ste 303 Torrance CA 09/24/2024 U2RG11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
▼ 05D2117433 Exer Medical Corporation 13303 Riverside Dr Sherman Oaks CA 06/20/2024 6VMK11 Standard
Deficiency Tag Deficiency Description Tag Type
D2089 ROUTINE CHEMISTRY Standard
D2122 HEMATOLOGY Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D6007 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2117532 Premier Labworks Inc 1388 Court St Ste A-1 Redding CA 06/18/2019 T9PW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5467 CONTROL PROCEDURES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2117624 Heritage Sierra Medical Group 25775 Mcbean Pkwy Ste 106 Valencia CA 08/23/2019 ULEV11 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
▼ 05D2117624 Heritage Sierra Medical Group 25775 Mcbean Pkwy Ste 106 Valencia CA 08/29/2019 DD3K11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3000 FACILITY ADMINISTRATION Condition
▼ 05D2117624 Heritage Sierra Medical Group 25775 Mcbean Pkwy Ste 106 Valencia CA 01/13/2020 1UTZ11 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
▼ 05D2117632 California Rheumatology & Wellness 7082 N Maple Ave Ste 101 Fresno CA 08/22/2019 4W4111 Standard
Deficiency Tag Deficiency Description Tag Type
D2121 HEMATOLOGY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6070 TESTING PERSONNEL RESPONSIBILITIES Standard