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
▼ 52D0396585 Prevea Family Medicine-Eau Claire 617 W Clairemont Ave Eau Claire WI 01/16/2020 5ZKJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 52D0396585 Prevea Family Medicine-Eau Claire 617 W Clairemont Ave Eau Claire WI 02/03/2022 ZZPZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 52D0396654 Western Wisconsin Urology 3217 Stein Blvd Eau Claire WI 03/07/2018 KHD511 Standard
Deficiency Tag Deficiency Description Tag Type
D5807 TEST REPORT Standard
▼ 52D0396654 Western Wisconsin Urology 3217 Stein Blvd Eau Claire WI 01/29/2024 AK8Q11 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 52D0396765 Prevea Health - Chippewa Falls 2509 County Rd I, Ste 500 Chippewa Falls WI 02/23/2018 EWR612 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE null
D5407 PROCEDURE MANUAL null
D5449 CONTROL PROCEDURES null
D6007 LABORATORY DIRECTOR RESPONSIBILITIES null
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES null
▼ 52D0396765 Prevea Health - Chippewa Falls 2509 County Rd I, Ste 500 Chippewa Falls WI 01/15/2020 STY711 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5449 CONTROL PROCEDURES Standard
▼ 52D0396765 Prevea Health - Chippewa Falls 2509 County Rd I, Ste 500 Chippewa Falls WI 11/08/2023 0T2911 Standard
Deficiency Tag Deficiency Description Tag Type
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 52D0396797 Adventhealth Durand 1220 3rd Ave West Durand WI 10/28/2020 7WI511 Standard
Deficiency Tag Deficiency Description Tag Type
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5805 TEST REPORT Standard
▼ 52D0396797 Adventhealth Durand 1220 3rd Ave West Durand WI 05/25/2022 GHP211 Standard
Deficiency Tag Deficiency Description Tag Type
D5441 CONTROL PROCEDURES Standard
▼ 52D0396797 Adventhealth Durand 1220 3rd Ave West Durand WI 04/25/2024 FNNU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5545 HEMATOLOGY Standard