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
▼ 05D2157111 I2 Laboratory, Llc 3151 Airway Ave Ste M-1 Costa Mesa CA 08/19/2019 SYKE11 Standard
Deficiency Tag Deficiency Description Tag Type
D3001 FACILITIES Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5441 CONTROL PROCEDURES Standard
D5781 CORRECTIVE ACTIONS Standard
D5805 TEST REPORT Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2157169 Spring Fertility 80 Grand Ave Ste 300 Oakland CA 03/23/2022 3UB711 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
D6087 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6103 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2157366 Beverly Hills Digestive Care 240 S La Cienega Blvd Ste 102 Beverly Hills CA 09/26/2019 GMM811 Standard
Deficiency Tag Deficiency Description Tag Type
D5601 HISTOPATHOLOGY Standard
D5603 HISTOPATHOLOGY Standard
▼ 05D2157478 Exer Medical Corporation 14550 Soledad Canyon Rd, Ste 100 Santa Clarita CA 01/16/2026 S4D311 Standard
Deficiency Tag Deficiency Description Tag Type
D2093 ROUTINE CHEMISTRY Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2158603 H&M Molecular Diagnostics Llc 3770 Tansy St, Ste 101 San Diego CA 12/20/2019 V1G411 Standard
Deficiency Tag Deficiency Description Tag Type
D5449 CONTROL PROCEDURES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2159733 Hodari Md Dermatology 1178 Live Oak Blvd Yuba City CA 07/30/2025 VEQU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5601 HISTOPATHOLOGY Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2160234 West Dermatology 200 Station Way Ste E Arroyo Grande CA 03/03/2022 48E411 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 05D2161289 San Diego Digestive Disease Consultants 8008 Frost St Ste 200 San Diego CA 02/17/2022 MXY911 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6095 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2161971 Angizeh Sadeghi, Md Inc 17 Corporate Plaza Dr Ste 110 Newport Beach CA 12/09/2019 Q6D211 Standard
Deficiency Tag Deficiency Description Tag Type
D5305 TEST REQUEST Standard
D5309 TEST REQUEST Standard
D5403 PROCEDURE MANUAL Standard
D5801 TEST REPORT Standard
D5805 TEST REPORT Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2161973 Jellyfish Medical Management Llc 2 Hughes Ste 175 Irvine CA 02/07/2020 SSWF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5781 CORRECTIVE ACTIONS Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6095 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6096 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6170 TESTING PERSONNEL QUALIFICATIONS Standard