Pacific Dermatology Institute

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 05D2166472
Address 18523 Corwin Rd Ste G, Apple Valley, CA, 92307
City Apple Valley
State CA
Zip Code92307
Phone(760) 242-3376

Citation History (1 survey)

Survey - June 6, 2023

Survey Type: Standard

Survey Event ID: J04T11

Deficiency Tags: D0000

Summary:

Summary Statement of Deficiencies D0000 AN ONSITE SURVEY CONDUCTED ON June 6,2023, THIS LABORATORY, Pacific Dermatology Institute, IS IN COMPLIANCE WITH THE REQUIREMENTS OF 42 CFR PART 493. REQUIREMENTS FOR CLINICAL LABORATORIES. Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 1 --

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