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
▼ 52D2274905 New Richmond Medical Center 525 Knowles Ave New Richmond WI 01/10/2024 FET011 Standard
Deficiency Tag Deficiency Description Tag Type
D2010 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 52D2282345 Biolife Plasma Services Lp 2000 Silvernail Rd Pewaukee WI 02/13/2024 2XFN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5301 TEST REQUEST Standard
▼ 52D2285485 Qc Kinetix- Madison Sw 406 Science Dr Suite 410 Madison WI 04/24/2024 UHIW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5447 CONTROL PROCEDURES Standard
D5787 TEST RECORDS Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6015 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6035 TECHNICAL CONSULTANT QUALIFICATIONS Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 52D2288029 Tareen Dermatology 2651 Hillcrest Dr, Ste 304 Hudson WI 12/02/2025 1SHG11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D2289980 Kindbody Of Wisconsin 787 North Broadway Milwaukee WI 04/17/2024 EVS311 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
▼ 52D2294162 Acadian Health - Wi Base 1728 Spooner Avenue Suite D Altoona WI 03/10/2025 38MK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5407 PROCEDURE MANUAL Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D2298559 Bellin Health Surgery & Specialty Center 933 Waube Lane Green Bay WI 08/14/2024 2DJY11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5445 CONTROL PROCEDURES Standard
▼ 52D2303894 Oakleaf Clinics Rice Lake 1024 N Main St Rice Lake WI 02/04/2026 4PCT11 Standard
Deficiency Tag Deficiency Description Tag Type
D2005 ENROLLMENT Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 53D0056312 North Big Horn Hospital District 1115 Lane 12 Lovell WY 08/03/2018 4O7G11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5809 TEST REPORT Standard
▼ 53D0056312 North Big Horn Hospital District 1115 Lane 12 Lovell WY 09/01/2020 CKZM11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
D5507 BACTERIOLOGY Standard