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

Use these filters if you know the name (or partial name) of the facility you are searching for.

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
▼ 52D0721195 Lakeview Specialty Hospital & Rehab 1701 Sharp Rd Waterford WI 09/20/2022 8H6O11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5016 ROUTINE CHEMISTRY Condition
D5024 HEMATOLOGY Condition
D5205 COMPLAINT INVESTIGATIONS Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5445 CONTROL PROCEDURES Standard
D5775 COMPARISON OF TEST RESULTS Standard
D5781 CORRECTIVE ACTIONS Standard
D5787 TEST RECORDS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6043 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6044 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6048 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6067 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 52D0721195 Lakeview Specialty Hospital & Rehab 1701 Sharp Rd Waterford WI 07/23/2024 T0QY11 Standard
Deficiency Tag Deficiency Description Tag Type
D6072 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 52D0721195 Lakeview Specialty Hospital & Rehab 1701 Sharp Rd Waterford WI 09/04/2024 KWSL11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0722307 Biomat Usa, Inc 2053 22nd Ave Kenosha WI 03/23/2022 QBSG11 Standard
Deficiency Tag Deficiency Description Tag Type
D2004 ENROLLMENT Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6035 TECHNICAL CONSULTANT QUALIFICATIONS Standard
▼ 52D0723896 Uw Health-Yahara 1050 E Broadway Monona WI 09/01/2021 LW6X11 Standard
Deficiency Tag Deficiency Description Tag Type
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0855724 Red Cliff Community Health Center 36745 Aiken Rd Bayfield WI 07/26/2018 29E511 Standard
Deficiency Tag Deficiency Description Tag Type
D5441 CONTROL PROCEDURES Standard
D5449 CONTROL PROCEDURES Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0856468 Lancaster Family Medical Center Sc 9177 Old Potosi Rd Lancaster WI 02/06/2019 JEVU11 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D3037 RETENTION REQUIREMENTS Standard
D5407 PROCEDURE MANUAL Standard
D5477 CONTROL PROCEDURES Standard
▼ 52D0856468 Lancaster Family Medical Center Sc 9177 Old Potosi Rd Lancaster WI 04/13/2021 ILS811 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0856468 Lancaster Family Medical Center Sc 9177 Old Potosi Rd Lancaster WI 04/19/2023 OLK311 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5463 CONTROL PROCEDURES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0857120 La Farge Clinic - Vmh 206 N Mill Street La Farge WI 07/18/2019 EQYE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5787 TEST RECORDS Standard