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

Use these filters if you know the name (or partial name) of the facility you are searching for.

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
▼ 52D0882616 Affiliated Dermatologists Sc 14555 W National Ave Suite 190 New Berlin WI 01/10/2018 W08I11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 52D0883006 Uw Health-Portage 2977 Cth Hwy Cx Portage WI 01/30/2023 7SLR11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 52D0884857 Aurora Health Care Metro Inc - Metro East - 3003 W Good Hope Rd, 2nd Floor Oncology Milwaukee WI 03/03/2023 E6UT11 Standard
Deficiency Tag Deficiency Description Tag Type
D5213 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 52D0884857 Aurora Health Care Metro Inc - Metro East - 3003 W Good Hope Rd, 2nd Floor Oncology Milwaukee WI 02/06/2025 TYK811 Standard
Deficiency Tag Deficiency Description Tag Type
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5775 COMPARISON OF TEST RESULTS Standard
▼ 52D0887068 Mainstreet Clinic 1001 W Main St Ashland WI 07/26/2018 IU7I11 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0887068 Mainstreet Clinic 1001 W Main St Ashland WI 09/22/2020 XG3V11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5403 PROCEDURE MANUAL Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5447 CONTROL PROCEDURES Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6035 TECHNICAL CONSULTANT QUALIFICATIONS Standard
▼ 52D0887068 Mainstreet Clinic 1001 W Main St Ashland WI 08/09/2022 QRRK11 Standard
Deficiency Tag Deficiency Description Tag Type
D2010 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0887068 Mainstreet Clinic 1001 W Main St Ashland WI 08/13/2024 SY9S11 Standard
Deficiency Tag Deficiency Description Tag Type
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0888142 Milwaukee Womens Medical Services 1428 North Farwell Avenue Milwaukee WI 04/04/2018 IYXB11 Standard
Deficiency Tag Deficiency Description Tag Type
D3037 RETENTION REQUIREMENTS Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5407 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0888142 Milwaukee Womens Medical Services 1428 North Farwell Avenue Milwaukee WI 10/05/2020 G1J111 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5401 PROCEDURE MANUAL Standard
D5409 PROCEDURE MANUAL Standard
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard