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
▼ 52D0393832 Gundersen Boscobel Area Hospital And Clinics 205 Parker St Boscobel WI 06/06/2024 7C5G11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5807 TEST REPORT Standard
D6042 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6175 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 52D0393950 Ssm Health Dean Medical Group -Portage 2825 Hunters Trail Portage WI 09/13/2018 CV1J11 Standard
Deficiency Tag Deficiency Description Tag Type
D5213 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 52D0393950 Ssm Health Dean Medical Group -Portage 2825 Hunters Trail Portage WI 03/24/2021 Q1E211 Standard
Deficiency Tag Deficiency Description Tag Type
D5213 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 52D0393950 Ssm Health Dean Medical Group -Portage 2825 Hunters Trail Portage WI 11/15/2022 8XUJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5787 TEST RECORDS Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0393990 St Clare Hospital And Health Services 707 14th St Baraboo WI 02/20/2019 F3VX11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2016 SUCCESSFUL PARTICIPATION Condition
D2181 COMPATIBILITY TESTING Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 52D0393990 St Clare Hospital And Health Services 707 14th St Baraboo WI 01/16/2020 74S411 Complaint
Deficiency Tag Deficiency Description Tag Type
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 52D0394045 Consultants Laboratory Of Wi, Llc 130 Corporate Dr Beaver Dam WI 12/02/2022 077811 Standard
Deficiency Tag Deficiency Description Tag Type
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0394045 Consultants Laboratory Of Wi, Llc 130 Corporate Dr Beaver Dam WI 09/16/2024 J5WL11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0394072 Poser Clinic Llc 635 Park Ave Columbus WI 10/24/2018 MNZY11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 52D0394199 Ssm Health Dean Medical Group - Wisconsin Dells 1310 Broadway Wisconsin Dells WI 12/13/2021 9O3711 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D6069 TESTING PERSONNEL RESPONSIBILITIES Standard