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

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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
▼ 05D2288078 Matrix Laboratories Inc 6618 San Fernando Rd Glendale CA 04/25/2024 VH8511 Standard
Deficiency Tag Deficiency Description Tag Type
D2099 ENDOCRINOLOGY Standard
D6091 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2288078 Matrix Laboratories Inc 6618 San Fernando Rd Glendale CA 05/27/2025 2YUK11 Special
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
D2084 GENERAL IMMUNOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2288368 Sollis Health Manhattan Beach 1000 N Sepulveda Blvd, Ste 150 Manhattan Beach CA 07/15/2025 EYUX11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2293675 Ucdmg-Roseville Mohs Laboratory 1620 E Roseville Pkwy Ste 200, Rm 2564 Roseville CA 11/06/2025 M4TW11 Standard
Deficiency Tag Deficiency Description Tag Type
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2294204 Csl Plasma, Inc 2360 W Lincoln Ave Unit A Anaheim CA 12/19/2024 V6RL11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
D2097 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2294204 Csl Plasma, Inc 2360 W Lincoln Ave Unit A Anaheim CA 03/21/2025 5HR111 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
D5403 PROCEDURE MANUAL Standard
D6031 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2295760 Pacific Dermatology Institute 101 E Redlands Blvd Ste 284 Redlands CA 07/29/2025 ZWL611 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
D6106 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2298277 Alpha Hormones 800 Fairmount Ave Ste 323 Pasadena CA 04/22/2025 M5FR11 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D2098 ENDOCRINOLOGY Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2300097 Dermatology Spa Med, Inc 120 N Miller St, Bldg C Santa Maria CA 05/28/2025 13FP11 Standard
Deficiency Tag Deficiency Description Tag Type
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
D5821 TEST REPORT Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D2303107 Irvine Dermatology 6865 Alton Pkwy Ste 210 Irvine CA 07/31/2025 PVGJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard