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
▼ 52D0856468 Lancaster Family Medical Center Sc 9177 Old Potosi Rd Lancaster WI 02/06/2019 JEVU11 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D3037 RETENTION REQUIREMENTS Standard
D5407 PROCEDURE MANUAL Standard
D5477 CONTROL PROCEDURES Standard
▼ 52D0856468 Lancaster Family Medical Center Sc 9177 Old Potosi Rd Lancaster WI 04/13/2021 ILS811 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0856468 Lancaster Family Medical Center Sc 9177 Old Potosi Rd Lancaster WI 04/19/2023 OLK311 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5463 CONTROL PROCEDURES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0857120 La Farge Clinic - Vmh 206 N Mill Street La Farge WI 07/18/2019 EQYE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5787 TEST RECORDS Standard
▼ 52D0857120 La Farge Clinic - Vmh 206 N Mill Street La Farge WI 09/08/2021 MO5Q11 Standard
Deficiency Tag Deficiency Description Tag Type
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0857120 La Farge Clinic - Vmh 206 N Mill Street La Farge WI 08/02/2023 XGS411 Standard
Deficiency Tag Deficiency Description Tag Type
D5807 TEST REPORT Standard
▼ 52D0860363 City Of Milwaukee Std Clinic Laboratory 3200 N 36th St Milwaukee WI 07/21/2021 LB3M11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5441 CONTROL PROCEDURES Standard
▼ 52D0860363 City Of Milwaukee Std Clinic Laboratory 3200 N 36th St Milwaukee WI 07/21/2021 P3QO11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3000 FACILITY ADMINISTRATION Condition
▼ 52D0860363 City Of Milwaukee Std Clinic Laboratory 3200 N 36th St Milwaukee WI 06/20/2023 L5SI11 Standard
Deficiency Tag Deficiency Description Tag Type
D2006 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 52D0860363 City Of Milwaukee Std Clinic Laboratory 3200 N 36th St Milwaukee WI 05/29/2025 AQXH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5445 CONTROL PROCEDURES Standard