S&C QCOR CLIA 2567s
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CLIA 2567s
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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
▼ 52D2094124 Forefront Dermatology-Pp East Kenosha 8501 75th St Ste J Kenosha WI 02/08/2023 DDPK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D2094125 Csl Plasma, Inc 2983 S Chicago Ave South Milwaukee WI 07/28/2023 6Z0W11 Standard
Deficiency Tag Deficiency Description Tag Type
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 52D2095211 Oakleaf Clinics Menomonie 2919 Stout Road Menomonie WI 07/31/2019 OUGR11 Standard
Deficiency Tag Deficiency Description Tag Type
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 52D2095211 Oakleaf Clinics Menomonie 2919 Stout Road Menomonie WI 05/14/2025 4FL511 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2004 ENROLLMENT Standard
D3027 RETENTION REQUIREMENTS Standard
D3029 RETENTION REQUIREMENTS Standard
D3031 RETENTION REQUIREMENTS Standard
D3037 RETENTION REQUIREMENTS Standard
D3041 RETENTION REQUIREMENTS Standard
D5219 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5781 CORRECTIVE ACTIONS Standard
▼ 52D2095211 Oakleaf Clinics Menomonie 2919 Stout Road Menomonie WI 06/23/2025 4FL512 Standard
Deficiency Tag Deficiency Description Tag Type
D6010 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D2097023 Urology Associates Of Green Bay, Sc 2720 Cahill Rd Marinette WI 01/17/2019 TR5K11 Standard
Deficiency Tag Deficiency Description Tag Type
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D2097023 Urology Associates Of Green Bay, Sc 2720 Cahill Rd Marinette WI 04/08/2021 484L11 Standard
Deficiency Tag Deficiency Description Tag Type
D6072 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 52D2097023 Urology Associates Of Green Bay, Sc 2720 Cahill Rd Marinette WI 02/14/2023 MCQL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 52D2097023 Urology Associates Of Green Bay, Sc 2720 Cahill Rd Marinette WI 12/19/2024 UUYP11 Standard
Deficiency Tag Deficiency Description Tag Type
D5785 CORRECTIVE ACTIONS Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D2097023 Urology Associates Of Green Bay, Sc 2720 Cahill Rd Marinette WI 01/22/2025 UUYP13 Standard
Deficiency Tag Deficiency Description Tag Type
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard