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
▼ 52D0391437 Layton Avenue Dermatology 2923 W Layton Ave Greenfield WI 08/30/2021 4YMX11 Standard
Deficiency Tag Deficiency Description Tag Type
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 52D0391437 Layton Avenue Dermatology 2923 W Layton Ave Greenfield WI 04/24/2023 3ITT11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5473 CONTROL PROCEDURES Standard
▼ 52D0391462 Tosa Pediatrics 8651 W North Ave Wauwatosa WI 10/27/2021 6DBY11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
▼ 52D0391462 Tosa Pediatrics 8651 W North Ave Wauwatosa WI 06/29/2023 GYTB11 Standard
Deficiency Tag Deficiency Description Tag Type
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6007 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0391644 A2cl Aurora Health Center - Mayfair North 3289 N Mayfair Road Wauwatosa WI 05/20/2025 U7NN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5785 CORRECTIVE ACTIONS Standard
▼ 52D0391644 A2cl Aurora Health Center - Mayfair North 3289 N Mayfair Road Wauwatosa WI 06/19/2025 U7NN12 Standard
Deficiency Tag Deficiency Description Tag Type
D6010 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0391679 Reproductive Medicine Center W129 N7055 Northfield Dr Menomonee Falls WI 04/19/2018 DKXW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5433 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 52D0391788 Affiliated Dermatologist Sc 13800 W North Ave Ste 100 Brookfield WI 06/04/2021 6WVE11 Standard
Deficiency Tag Deficiency Description Tag Type
D3041 RETENTION REQUIREMENTS Standard
▼ 52D0391788 Affiliated Dermatologist Sc 13800 W North Ave Ste 100 Brookfield WI 02/12/2025 3ONY11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 52D0392170 Forefront Dermatology, Sc 2600 N Mayfair Rd, Ste 810 Milwaukee WI 10/26/2021 DOHA11 Standard
Deficiency Tag Deficiency Description Tag Type
D5429 MAINTENANCE AND FUNCTION CHECKS Standard