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

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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
▼ 52D0396797 Adventhealth Durand 1220 3rd Ave West Durand WI 10/28/2020 7WI511 Standard
Deficiency Tag Deficiency Description Tag Type
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5805 TEST REPORT Standard
▼ 52D0396797 Adventhealth Durand 1220 3rd Ave West Durand WI 05/25/2022 GHP211 Standard
Deficiency Tag Deficiency Description Tag Type
D5441 CONTROL PROCEDURES Standard
▼ 52D0396797 Adventhealth Durand 1220 3rd Ave West Durand WI 04/25/2024 FNNU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5545 HEMATOLOGY Standard
▼ 52D0396895 Aspirus Stanley Hospital Laboratory 1120 Pine St Stanley WI 10/18/2018 IAA111 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5477 CONTROL PROCEDURES Standard
▼ 52D0396895 Aspirus Stanley Hospital Laboratory 1120 Pine St Stanley WI 09/08/2020 BSW711 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
▼ 52D0396895 Aspirus Stanley Hospital Laboratory 1120 Pine St Stanley WI 02/16/2021 T28Z11 Standard
Deficiency Tag Deficiency Description Tag Type
D2173 COMPATIBILITY TESTING Standard
D5403 PROCEDURE MANUAL Standard
▼ 52D0396895 Aspirus Stanley Hospital Laboratory 1120 Pine St Stanley WI 10/17/2022 CX6Z11 Standard
Deficiency Tag Deficiency Description Tag Type
D3021 REQUIREMENTS FOR TRANSFUSION SERVICES Standard
D3025 REQUIREMENTS FOR TRANSFUSION SERVICES Standard
D5026 IMMUNOHEMATOLOGY Condition
D5401 PROCEDURE MANUAL Standard
D5403 PROCEDURE MANUAL Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5447 CONTROL PROCEDURES Standard
D5537 ROUTINE CHEMISTRY Standard
D5559 IMMUNOHEMATOLOGY Standard
D5777 COMPARISON OF TEST RESULTS Standard
D5783 CORRECTIVE ACTIONS Standard
D6069 TESTING PERSONNEL RESPONSIBILITIES Standard
D6072 TESTING PERSONNEL RESPONSIBILITIES Standard
D6076 LABORATORY DIRECTOR Condition
D6091 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6106 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0396895 Aspirus Stanley Hospital Laboratory 1120 Pine St Stanley WI 09/05/2024 51YP11 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5407 PROCEDURE MANUAL Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5807 TEST REPORT Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0396909 Tri-County Memorial Hospital 18601 Lincoln St Whitehall WI 07/19/2018 3Q7K11 Standard
Deficiency Tag Deficiency Description Tag Type
D5445 CONTROL PROCEDURES Standard
▼ 52D0396909 Tri-County Memorial Hospital 18601 Lincoln St Whitehall WI 12/22/2020 IRCK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard