S&C QCOR CLIA 2567s
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CLIA 2567s
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Time Interval

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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
▼ 52D0396915 Spooner Health System 1280 Chandler Dr Spooner WI 09/30/2020 SR0F11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2181 COMPATIBILITY TESTING Standard
▼ 52D0396915 Spooner Health System 1280 Chandler Dr Spooner WI 01/26/2022 VUDU11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2181 COMPATIBILITY TESTING Standard
D5403 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 52D0396915 Spooner Health System 1280 Chandler Dr Spooner WI 01/18/2024 3DDU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5545 HEMATOLOGY Standard
▼ 52D0396920 Essentia Health Spooner Clinic 1180 Chandler Dr Spooner WI 02/04/2020 SSGJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 52D0396996 Cumberland Memorial Hospital 1705 16th Ave Cumberland WI 02/26/2025 13FW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5219 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5401 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
D5805 TEST REPORT Standard
▼ 52D0397019 Burnett Medical Center 257 W St George Ave Grantsburg WI 08/29/2018 REB411 Standard
Deficiency Tag Deficiency Description Tag Type
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5781 CORRECTIVE ACTIONS Standard
▼ 52D0397019 Burnett Medical Center 257 W St George Ave Grantsburg WI 12/02/2020 NMML11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5449 CONTROL PROCEDURES Standard
D5785 CORRECTIVE ACTIONS Standard
D6085 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0397019 Burnett Medical Center 257 W St George Ave Grantsburg WI 09/08/2022 TK2Y11 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5545 HEMATOLOGY Standard
▼ 52D0397019 Burnett Medical Center 257 W St George Ave Grantsburg WI 07/18/2024 DVXS11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5403 PROCEDURE MANUAL Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5477 CONTROL PROCEDURES Standard
▼ 52D0397019 Burnett Medical Center 257 W St George Ave Grantsburg WI 11/24/2025 YAUE11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2097 ROUTINE CHEMISTRY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard