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
▼ 05D2216067 Tower Medical Laboratory 8631 W 3rd St Ste 815e Los Angeles CA 03/06/2023 6M3211 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5813 TEST REPORT Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6012 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6014 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6070 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 05D2216642 Urologic Institute Of The High Desert, Inc 72-650 Fred Waring Dr Ste 208 Palm Desert CA 02/11/2026 TBJG11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2216677 Hot Clinic Inc 16550 Ventura Blvd Ste 314 Encino CA 11/21/2025 TXOV11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2217410 Banj Clinical Laboratory 3624 Mlk Jr Blvd Lynwood CA 03/07/2023 C8TX11 Standard
Deficiency Tag Deficiency Description Tag Type
D2021 BACTERIOLOGY Standard
D5300 PREANALYTIC SYSTEMS Condition
D5301 TEST REQUEST Standard
D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5400 ANALYTIC SYSTEMS Condition
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6040 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D2217603 Exer Medical Corporation 7077 Willoughby Ave Ste 3 Los Angeles CA 01/06/2023 404E11 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6070 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 05D2219608 San Ysidro Health Urgent Care 333 H St, Ste 2080 Chula Vista CA 07/10/2023 3Q9O11 Standard
Deficiency Tag Deficiency Description Tag Type
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2224791 Sc Medical Inc 27550 Newhall Ranch Rd Unit 203 Valencia CA 02/27/2023 0R4011 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5781 CORRECTIVE ACTIONS Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6024 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2224791 Sc Medical Inc 27550 Newhall Ranch Rd Unit 203 Valencia CA 12/17/2025 3D5E11 Standard
Deficiency Tag Deficiency Description Tag Type
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 05D2225408 Jp Express Laboratory Inc 935 S Mount Vernon Ave Ste 109 Colton CA 04/24/2023 UOSJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5779 CORRECTIVE ACTIONS Standard
D5783 CORRECTIVE ACTIONS Standard
D5800 POSTANALYTIC SYSTEMS Condition
D5801 TEST REPORT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6076 LABORATORY DIRECTOR Condition
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6096 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6168 TESTING PERSONNEL Condition
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 05D2227171 Western Pathology, Inc 1 Technology Dr Ste C-523 Irvine CA 12/30/2025 CR4611 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6106 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6170 TESTING PERSONNEL QUALIFICATIONS Standard
D6171 TESTING PERSONNEL QUALIFICATIONS Standard