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
▼ 52D0394199 Ssm Health Dean Medical Group - Wisconsin Dells 1310 Broadway Wisconsin Dells WI 11/30/2023 5SM711 Standard
Deficiency Tag Deficiency Description Tag Type
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0394232 Clear Lake Clinic 357 3rd Ave Clear Lake WI 09/21/2022 FGH311 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5407 PROCEDURE MANUAL Standard
▼ 52D0394290 Hudson Physicians Inc, Sc 2651 Hillcrest Drive Hudson WI 04/28/2021 X3EW11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 52D0394290 Hudson Physicians Inc, Sc 2651 Hillcrest Drive Hudson WI 11/01/2022 6FVX11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
▼ 52D0394302 Westfields Hospital Laboratory 535 Hospital Rd New Richmond WI 10/26/2018 HXFU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5445 CONTROL PROCEDURES Standard
D5805 TEST REPORT Standard
▼ 52D0394413 Oneida Community Health Center 525 Airport Dr Oneida WI 11/30/2021 QR5V11 Standard
Deficiency Tag Deficiency Description Tag Type
D5445 CONTROL PROCEDURES Standard
▼ 52D0394413 Oneida Community Health Center 525 Airport Dr Oneida WI 09/14/2023 U03K11 Standard
Deficiency Tag Deficiency Description Tag Type
D5775 COMPARISON OF TEST RESULTS Standard
▼ 52D0394413 Oneida Community Health Center 525 Airport Dr Oneida WI 11/19/2025 J9T211 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 52D0394447 Kaukauna Clinic Sc 305 E 12th St Kaukauna WI 03/19/2019 0X9411 Standard
Deficiency Tag Deficiency Description Tag Type
D5425 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5441 CONTROL PROCEDURES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6072 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 52D0394447 Kaukauna Clinic Sc 305 E 12th St Kaukauna WI 03/26/2021 HB1V11 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
D5403 PROCEDURE MANUAL Standard