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
▼ 52D2108034 Forefront Dermatology, Sc 1320 Pabst Farms Cir Ste 180 Oconomowoc WI 02/06/2024 SRHX11 Standard
Deficiency Tag Deficiency Description Tag Type
D3013 FACILITIES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 52D2115357 Froedtert Community Hospital - New Berlin 4805 S Moorland Rd - Garden Level New Berlin WI 02/28/2019 VYWV11 Standard
Deficiency Tag Deficiency Description Tag Type
D3015 REQUIREMENTS FOR TRANSFUSION SERVICES Standard
D3017 REQUIREMENTS FOR TRANSFUSION SERVICES Standard
D5805 TEST REPORT Standard
▼ 52D2115357 Froedtert Community Hospital - New Berlin 4805 S Moorland Rd - Garden Level New Berlin WI 06/10/2021 RVS611 Standard
Deficiency Tag Deficiency Description Tag Type
D3029 RETENTION REQUIREMENTS Standard
D3031 RETENTION REQUIREMENTS Standard
D3037 RETENTION REQUIREMENTS Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D2115357 Froedtert Community Hospital - New Berlin 4805 S Moorland Rd - Garden Level New Berlin WI 04/20/2023 85HD11 Standard
Deficiency Tag Deficiency Description Tag Type
D5545 HEMATOLOGY Standard
D5787 TEST RECORDS Standard
▼ 52D2116576 Children's Wisconsin Clinics Mequon 1655 W Mequon Rd Mequon WI 06/30/2022 P4QN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5449 CONTROL PROCEDURES Standard
▼ 52D2117256 Access Recovery Mental Health Services (Armhs) 2727 W Cleveland Ave #204 Milwaukee WI 07/09/2018 3NU911 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5409 PROCEDURE MANUAL Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5481 CONTROL PROCEDURES Standard
D6181 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 52D2117256 Access Recovery Mental Health Services (Armhs) 2727 W Cleveland Ave #204 Milwaukee WI 03/09/2020 U50D11 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5801 TEST REPORT Standard
D5805 TEST REPORT Standard
▼ 52D2120564 Aspirus Wausau Clinic Westwood Center Blvd 1901 Westwood Ctr Blvd Wausau WI 03/12/2019 GFCE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 52D2122420 Stemina Biomarker Discovery 504 S Rosa Rd Ste 150 Madison WI 10/02/2018 8FYW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5465 CONTROL PROCEDURES Standard
▼ 52D2126222 Rprd Diagnostics, Llc 1225 Discovery Parkway, Suite 260 Wauwatosa WI 02/13/2019 JQZS11 Standard
Deficiency Tag Deficiency Description Tag Type
D5213 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard