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
▼ 52D2098027 Biolife Plasma Services Lp 226901 Rib Mountain Dr Wausau WI 10/07/2021 ESB411 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
▼ 52D2099667 Numedical Sc 2600 N Mayfair Rd Ste 1140 Wauwatosa WI 03/28/2018 K3FD11 Standard
Deficiency Tag Deficiency Description Tag Type
D5305 TEST REQUEST Standard
▼ 52D2099667 Numedical Sc 2600 N Mayfair Rd Ste 1140 Wauwatosa WI 04/13/2022 LTVI11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 52D2101691 Octapharma Plasma, Inc 8602 W Brown Deer Rd Milwaukee WI 04/19/2022 7NFC11 Standard
Deficiency Tag Deficiency Description Tag Type
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 52D2103426 Bellin Health Generations 720 Van Buren Street Green Bay WI 07/01/2025 G87F11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 52D2106871 New Dermatology Group Ltd 2360 Duck Creek Pkwy Green Bay WI 10/30/2019 UGPF11 Standard
Deficiency Tag Deficiency Description Tag Type
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D2106871 New Dermatology Group Ltd 2360 Duck Creek Pkwy Green Bay WI 11/18/2021 GWUT11 Standard
Deficiency Tag Deficiency Description Tag Type
D6168 TESTING PERSONNEL Condition
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 52D2106871 New Dermatology Group Ltd 2360 Duck Creek Pkwy Green Bay WI 09/26/2023 58TG11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6175 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 52D2106871 New Dermatology Group Ltd 2360 Duck Creek Pkwy Green Bay WI 10/21/2025 ZWCX11 Standard
Deficiency Tag Deficiency Description Tag Type
D3013 FACILITIES Standard
▼ 52D2108034 Forefront Dermatology, Sc 1320 Pabst Farms Cir Ste 180 Oconomowoc WI 03/31/2022 SY8N11 Standard
Deficiency Tag Deficiency Description Tag Type
D6068 TESTING PERSONNEL RESPONSIBILITIES Standard