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
▼ 52D0392170 Forefront Dermatology, Sc 2600 N Mayfair Rd, Ste 810 Milwaukee WI 05/24/2023 2KE411 Standard
Deficiency Tag Deficiency Description Tag Type
D3013 FACILITIES Standard
D6076 LABORATORY DIRECTOR Condition
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0392170 Forefront Dermatology, Sc 2600 N Mayfair Rd, Ste 810 Milwaukee WI 05/28/2025 QJR211 Standard
Deficiency Tag Deficiency Description Tag Type
D5821 TEST REPORT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 52D0392708 Ssm Health Dean Medical Group - Dodgeville 833 S Iowa St Ste 102 Dodgeville WI 01/06/2023 1U9V11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 52D0392724 Edgerton Hospital & Health Services 11101 N Sherman Rd Edgerton WI 06/08/2023 UE2D11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5403 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 52D0392760 Ssm Health Dean Medical Group - Fort Atkinson 740 Reena Ave Fort Atkinson WI 10/11/2019 C40K11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0392877 Ssm Health Dean Medical Group - Janesville 3200 E Racine St Janesville WI 12/03/2024 GAGD11 Complaint
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2013 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 52D0392965 Ssm Health Dean Medical Group - N High Point Rd 752 N High Point Rd Madison WI 04/12/2019 TTNI11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5473 CONTROL PROCEDURES Standard
▼ 52D0392965 Ssm Health Dean Medical Group - N High Point Rd 752 N High Point Rd Madison WI 12/03/2024 ZHP711 Complaint
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2013 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 52D0392965 Ssm Health Dean Medical Group - N High Point Rd 752 N High Point Rd Madison WI 03/05/2025 032B11 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
▼ 52D0392967 Ghc-Scw Sauk Trails Laboratory 8202 Excelsior Dr Madison WI 08/25/2022 UUJZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard