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
▼ 05D2178989 Exer Medical Corporation 6440 Platt Ave West Hills CA 05/21/2021 NSJM11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2179672 Tpmg Fresno Mohs Laboratory 7300 N Fresno St, Oak Bldg Medical Office 3rd Fl Fresno CA 05/19/2022 LZSB11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2181230 Foot And Ankle Concepts, Inc. 2100 Solar Dr Ste 102 Oxnard CA 04/28/2022 DZ4011 Standard
Deficiency Tag Deficiency Description Tag Type
D3005 FACILITIES Standard
D5400 ANALYTIC SYSTEMS Condition
D5401 PROCEDURE MANUAL Standard
D5481 CONTROL PROCEDURES Standard
D6076 LABORATORY DIRECTOR Condition
D6083 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6087 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6097 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6175 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 05D2181230 Foot And Ankle Concepts, Inc. 2100 Solar Dr Ste 102 Oxnard CA 07/20/2022 DZ4012 Standard
Deficiency Tag Deficiency Description Tag Type
D5453 CONTROL PROCEDURES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6170 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 05D2181681 Stemexpress 1743 Creekside Dr Folsom CA 11/07/2025 GMED11 Standard
Deficiency Tag Deficiency Description Tag Type
D2121 HEMATOLOGY Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2182047 Brio Clinical Inc 1910 S Archibald Ave, Ste U Ontario CA 06/01/2022 ELC311 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2084 GENERAL IMMUNOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2182047 Brio Clinical Inc 1910 S Archibald Ave, Ste U Ontario CA 06/04/2024 38GP11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2087 ROUTINE CHEMISTRY Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5445 CONTROL PROCEDURES Standard
D5477 CONTROL PROCEDURES Standard
D6076 LABORATORY DIRECTOR Condition
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6086 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6087 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6115 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6117 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 05D2182444 Golden Coast Dermatology, Skin Cancer 26732 Crown Valley Pkwy Ste 571 Mission Viejo CA 08/20/2021 G22N11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2182444 Golden Coast Dermatology, Skin Cancer 26732 Crown Valley Pkwy Ste 571 Mission Viejo CA 04/10/2025 33U911 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5407 PROCEDURE MANUAL Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2184475 Mid Valley Comprehensive Health Center 7515 Van Nuys Blvd Van Nuys CA 04/27/2022 F7OO11 Standard
Deficiency Tag Deficiency Description Tag Type
D2089 ROUTINE CHEMISTRY Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard