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
▼ 52D0946226 Forefront Dermatology, Sc 7040 N Port Washington Rd, Ste 404 Glendale WI 11/03/2025 MJYZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 52D0946874 Thedacare Physicians Menasha 2005 Midway Rd Menasha WI 03/17/2021 0K6J11 Standard
Deficiency Tag Deficiency Description Tag Type
D5425 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 52D0950128 Generations Fertility Care 2365 Deming Way Middleton WI 07/24/2019 L9A511 Standard
Deficiency Tag Deficiency Description Tag Type
D6108 LABORATORY TECHNICAL SUPERVISOR Condition
D6111 TECHNICAL SUPERVISOR QUALIFICATIONS Standard
▼ 52D0950211 Burlington Clinic Amg 248 Mchenry St Burlington WI 12/09/2020 870611 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
▼ 52D0950211 Burlington Clinic Amg 248 Mchenry St Burlington WI 05/16/2022 M7EI11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5787 TEST RECORDS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0951781 Advanced Dermatology Inc 6510 Grand Teton Plaza Ste 302 Madison WI 07/24/2024 ZMFN11 Standard
Deficiency Tag Deficiency Description Tag Type
D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6177 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 52D0953488 Biolife Plasma Services Lp 3114 Union Ave Sheboygan WI 10/20/2023 Z9IK11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 52D0954982 House Of Wellness S2845 White Eagle Rd Baraboo WI 12/20/2022 LH8511 Standard
Deficiency Tag Deficiency Description Tag Type
D2010 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 52D0955865 Awl Rawson Ave 7400 W Rawson Ave Suite G12 Franklin WI 07/25/2018 1D5D11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 52D0955865 Awl Rawson Ave 7400 W Rawson Ave Suite G12 Franklin WI 03/31/2021 K2XF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard