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Data / Environmental compliance / Ambulatory Health Care Services

Ambulatory Health Care Services: 94 facilities

Updated November 7, 2026. Source: US EPA, Enforcement and Compliance History Online (ECHO).

EPA's ECHO database lists 94 facilities in Ambulatory Health Care Services (NAICS 621) with a formal enforcement action, penalties of $5,000 or more, three or more quarters in significant noncompliance or a federal case in the five years to November 1, 2026: 114 formal actions, 95 informal actions and $422,588 in penalties.

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SpecStream is the live web data engine for teams and agents. It reads EPA's enforcement and compliance records, and this page is that reading. Ask for the facilities you check by industry, state or program and new inspections, violations and penalties arrive in your sheet, CRM, Slack or agent as EPA and the states record them.

Industry
NAICS 621, Ambulatory Health Care Services
Facilities
94
Formal enforcement actions
114
Informal actions
95
Penalties
$422,588 ($38,750 from federal cases)
Facilities with three or more quarters in significant noncompliance
19

By state

StateFacilitiesFormal actionsPenalties
New Jersey2829$147,400
Colorado33$69,751
Florida23$42,665
California42$32,500
Massachusetts24$30,910
Maryland34$17,850
South Carolina22$17,000
Indiana37$15,200
Illinois13$15,000
New York619$13,750
Rhode Island13$9,500
Minnesota11$3,350
Oklahoma11$2,712
Puerto Rico13$2,500
Tennessee11$1,500
Arkansas11$500
District of Columbia32$500
Connecticut20$0
Georgia10$0
Louisiana54$0
New Mexico2020$0
Washington22$0
Wisconsin10$0

Facilities with the largest penalties

Ranked by penalties of the last five years. Each row links to EPA's facility report.

FacilityCityStateFormal actionsPenaltiesQuarters in significant noncomplianceLatest penaltySource
Labcorp LakewoodLakewoodCO2$55,3322May 6, 2026echo.epa.gov
Shands Medical Laboratory at Rocky PointGainesvilleFL2$34,7353November 18, 2025echo.epa.gov
Sharp Rees Stealy CopleySan DiegoCA2$32,5000January 2, 2025echo.epa.gov
Summit Medical GroupMurray HillNJ2$27,5000February 9, 2023echo.epa.gov
Massachusetts General HospitalBostonMA2$27,2501March 13, 2024echo.epa.gov
Labcorp ExpansionRaritanNJ2$26,5000August 11, 2025echo.epa.gov
Greenwood Genetic CenterGreenwoodSC1$17,0000January 20, 2022echo.epa.gov
Indiana University Health Pathology Laboratory BuildingIndianapolisIN3$15,2002March 19, 2025echo.epa.gov
Quest Diagnostics IncSchaumburgIL3$15,0000April 17, 2025echo.epa.gov
Summit PathologyLovelandCO1$14,4190November 15, 2023echo.epa.gov
TheranostixBeltsvilleMD2$12,5000January 10, 2023echo.epa.gov
Rhode Island Blood CenterProvidenceRI3$9,5000July 21, 2025echo.epa.gov
Florida Womancare LaboratoryTampaFL1$7,9302September 9, 2026echo.epa.gov
Childrens Hospital of Phila, Voorhees theVoorheesNJ1$7,5000August 9, 2023echo.epa.gov
Centers Lab NJ LLCCedar KnollsNJ1$7,1250May 30, 2023echo.epa.gov
Cooper Cdhi Fellowship RoadMount LaurelNJ1$7,0000February 24, 2023echo.epa.gov
Cooper University Health Care Voorhees CampusVoorheesNJ1$7,0000August 28, 2026echo.epa.gov
Neogenomics Laboratories Inc.RamseyNJ1$6,3000April 29, 2024echo.epa.gov
Accurate Diagnostic Labs IncSouth PlainfieldNJ2$4,50012November 15, 2022echo.epa.gov
QDX Pathology ServicesEdisonNJ2$4,0000March 9, 2022echo.epa.gov
Digestive Health Care CenterHillsboroughNJ1$4,0000February 11, 2026echo.epa.gov
Virtua BerlinBerlinNJ1$4,0000January 7, 2026echo.epa.gov
A2Z Diagnostics LLCEatontownNJ1$3,7502April 16, 2025echo.epa.gov
Repligen Corp., Process AnalyticsBridgewaterNJ1$3,7500October 16, 2023echo.epa.gov
Greater Boston GastroenteroloFraminghamMA2$3,66010September 17, 2025echo.epa.gov
Hitachi Chemical Advanced Therapeutics SolutiAllendaleNJ1$3,6000June 23, 2022echo.epa.gov
U of MD Medical Center Midtown CampusBaltimoreMD1$3,5500November 20, 2024echo.epa.gov
Atlanticare CMCHCape May Court HouseNJ1$3,5000September 14, 2026echo.epa.gov
Cdhi @ WillingboroWillingboroNJ1$3,5000August 28, 2026echo.epa.gov
Cooper Physician Office West DeptfordWest DeptfordNJ1$3,5000July 31, 2026echo.epa.gov
Cooper Urgent Care Cherry HillCherry HillNJ1$3,5000July 27, 2026echo.epa.gov
Bioreference LaboratoriesElmwood ParkNJ1$3,3750January 21, 2026echo.epa.gov
Newerk Beth Israel Medical CenterNewarkNJ1$3,3750July 26, 2023echo.epa.gov
Quest DiagnosticsTeterboroNJ1$3,3750May 4, 2022echo.epa.gov
Regional Pathologists PC, Englewood CliffsEnglewood CliffsNJ1$3,3750August 13, 2025echo.epa.gov
Virtua VoorheesVoorheesNJ1$3,3750April 12, 2022echo.epa.gov
Mayo Clinic RochesterRochesterMN1$3,3500October 14, 2024echo.epa.gov
Saint Francis HospitalTulsaOK1$2,7120June 29, 2023echo.epa.gov
Sherman Abrams Laboratory IncBrooklynNY4$2,5006July 20, 2022echo.epa.gov
Micropath LLCAstoriaNY3$2,5000July 26, 2022echo.epa.gov
Ryder Memorial Hospital IncHumacaoPR3$2,5000August 27, 2026echo.epa.gov
Schweiger Dermatology GroupNew YorkNY3$2,5000March 7, 2022echo.epa.gov
Stony Brook PathologistsStony BrookNY3$2,5000March 29, 2022echo.epa.gov
Triborough Gi Pathology LabBrooklynNY3$2,5000June 26, 2024echo.epa.gov
Baltimore Vamc 512BaltimoreMD1$1,8000June 1, 2026echo.epa.gov
Tennova, Turkey Creek Medical CenterKnoxvilleTN1$1,5000August 19, 2022echo.epa.gov
Nyc Office of Chief Medical Examiner OcmeNew YorkNY3$1,2500April 15, 2025echo.epa.gov
Columbia Fertility AssociatesWashingtonDC1$5000March 4, 2025echo.epa.gov
Recovery Centers of Arkansas, Inc., Oasis Renewal CenterLittle RockAR1$5000June 11, 2024echo.epa.gov
South Bend Medical FoundationSouth BendIN3$02echo.epa.gov
Pafford Emergency Medical Services IncRustonLA1$010echo.epa.gov
Axia Midwest LaboratoryCarmelIN1$07echo.epa.gov
Everett Medical CenterEverettWA1$02echo.epa.gov
Cooper Urgent Care AudubonAudubonNJ1$01echo.epa.gov
Cooper Urgent Care CinnaminsonCinnaminsonNJ1$01echo.epa.gov
Ap Laboratories LLCN CharlestonSC1$00echo.epa.gov
Ben Archer Health CenterHatchNM1$00echo.epa.gov
Boudreauxs Specialty Compounding PharmacyShreveportLA1$00echo.epa.gov
Collins Dental, Las VegasLas VegasNM1$00echo.epa.gov
DR. David Hawkins, DDSLos LunasNM1$00echo.epa.gov
DR. Dwight E. Moss, DMDLos AlamosNM1$00echo.epa.gov
DR. Edward Ebell DDSLas VegasNM1$00echo.epa.gov
DR. Rachel Meyer, DDSLos AlamosNM1$00echo.epa.gov
East Mountain DentistryCedar CrestNM1$00echo.epa.gov
Gallup Indian Medical CenterGallupNM1$00echo.epa.gov
High Mesa Dental ArtsLos AlamosNM1$00echo.epa.gov
Indygeneuus AlWashingtonDC1$00echo.epa.gov
Kidskare P.C. Family Dentistry, CarlsbadCarlsbadNM1$00echo.epa.gov
Kidskare P.C. Family Dentistry, ClovisClovisNM1$00echo.epa.gov
La Minerals #7-Alt Tank Battery, W BrycBrycelandLA1$00echo.epa.gov
Morningstar Family DentalLos LunasNM1$00echo.epa.gov
Mount Taylor DentalGrantsNM1$00echo.epa.gov
Mountain View Dental and OrthodonticsAlamogordoNM1$00echo.epa.gov
Placitas DentalPlacitasNM1$00echo.epa.gov
Presbyterian Dental ServicesCarrizozoNM1$00echo.epa.gov
Rapides Regional Medical CenterAlexandriaLA1$00echo.epa.gov
Sanchez DentalLas VegasNM1$00echo.epa.gov
Southwest Dental Inc.GrantsNM1$00echo.epa.gov
Summit Family Dental, KirtlandKirtlandNM1$00echo.epa.gov
Swedish Medical CenterSeattleWA1$00echo.epa.gov
Vest OrthodonticsLos AlamosNM1$00echo.epa.gov
Advanced Pathology LaboratoryNorthfieldNJ0$012echo.epa.gov
Cheng Chow&chu Aka Hayward ChiropracticHaywardCA0$012echo.epa.gov
Medical Center of Central GAMaconGA0$012echo.epa.gov
Ochsner Clinic FoundationNew OrleansLA0$012echo.epa.gov
Womens Health CT Laboratory Physicians for Womens HealthRocky HillCT0$012echo.epa.gov
Neogenomics Laboratories, Inc.Aliso ViejoCA0$08echo.epa.gov
Uc Irvine Medical CenterOrangeCA0$08echo.epa.gov
Kaiser Permanente, ParkerParkerCO0$07echo.epa.gov
United Medical CenterWashingtonDC0$07echo.epa.gov
Precision DiagnosticsHazletNJ0$05echo.epa.gov
Gundersen Lutheran Administrative Services IncLacrosseWI0$04echo.epa.gov
Genesis Laboratory Management, LLCEatontownNJ0$03echo.epa.gov
Southbury Training SchoolSouthburyCT0$03echo.epa.gov

By program

ProgramFacilitiesFormal actionsInformal actionsPenaltiesFacilities with quarters in significant noncompliance
Clean Air Act161015$44,7123
Clean Water Act28230$5002
Hazardous waste (RCRA)706960$338,62622
Drinking water (SDWA)1020$00

Public domain (U.S. government work). Counts and penalties cover the five years to November 1, 2026 as ECHO publishes them in its exporter and case downloads, drawn from EPA's air, water, hazardous waste and drinking water systems and from the states that report to them. Records can be incomplete, late or corrected after this page was read. A federal case penalty that names several facilities is shown on each of them and counted once in industry, state and national totals. Each row links to EPA's own report. A quarter in significant noncompliance is EPA's term for a serious violation status in a program, not a finding of fault beyond that status. This page uses US EPA data and is not endorsed or certified by the US EPA. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.