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
▼ 52D0394747 Rivers Bend Health Services 960 S Rapids Road Manitowoc WI 04/05/2022 10K811 Special
Deficiency Tag Deficiency Description Tag Type
D1002 REPORTING OF SARS-CoV-2 TEST RESULTS Condition
▼ 52D0394747 Rivers Bend Health Services 960 S Rapids Road Manitowoc WI 04/05/2022 NIV111 null
Deficiency Tag Deficiency Description Tag Type
D1001 CERTIFICATE OF WAIVER TESTS Standard
▼ 52D0394842 Two Rivers Clinic-Amg Inc 2219 Garfield St Two Rivers WI 01/13/2020 XU9X11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 52D0394945 N E W Community Clinic, Ltd 610 N Broadway Street Green Bay WI 02/21/2018 IKIC11 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6035 TECHNICAL CONSULTANT QUALIFICATIONS Standard
▼ 52D0394945 N E W Community Clinic, Ltd 610 N Broadway Street Green Bay WI 10/14/2020 OCJQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D2010 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 52D0394945 N E W Community Clinic, Ltd 610 N Broadway Street Green Bay WI 03/21/2022 OOXQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2121 HEMATOLOGY Standard
D2130 HEMATOLOGY Standard
D5403 PROCEDURE MANUAL Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0395040 Wi Amg Brown County (Women's Center) 2845 Greenbrier Road Ste 490 Green Bay WI 09/08/2020 F3FZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 52D0395058 Bellin Health Generations - Development Drive 2641 Development Dr Green Bay WI 10/08/2018 N8HF11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 52D0395058 Bellin Health Generations - Development Drive 2641 Development Dr Green Bay WI 10/18/2022 F86M11 Standard
Deficiency Tag Deficiency Description Tag Type
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0395058 Bellin Health Generations - Development Drive 2641 Development Dr Green Bay WI 07/08/2024 P4CE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5787 TEST RECORDS Standard