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
▼ 52D0951781 Advanced Dermatology Inc 6510 Grand Teton Plaza Ste 302 Madison WI 07/24/2024 ZMFN11 Standard
Deficiency Tag Deficiency Description Tag Type
D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6177 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 52D0953488 Biolife Plasma Services Lp 3114 Union Ave Sheboygan WI 10/20/2023 Z9IK11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 52D0954982 House Of Wellness S2845 White Eagle Rd Baraboo WI 12/20/2022 LH8511 Standard
Deficiency Tag Deficiency Description Tag Type
D2010 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 52D0955865 Awl Rawson Ave 7400 W Rawson Ave Suite G12 Franklin WI 07/25/2018 1D5D11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 52D0955865 Awl Rawson Ave 7400 W Rawson Ave Suite G12 Franklin WI 03/31/2021 K2XF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 52D0959803 Aurora Health Center-Caledonia 5333 Douglas Ave Racine WI 03/14/2019 HHZN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0961971 Biolife Plasma Services Lp 3325 Business Park Dr Stevens Point WI 10/19/2023 3YTU11 Standard
Deficiency Tag Deficiency Description Tag Type
D2006 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 52D0963259 Amg Manitowoc 4100 Dewey 4100 Dewey St Manitowoc WI 05/08/2019 2S2W11 Standard
Deficiency Tag Deficiency Description Tag Type
D5409 PROCEDURE MANUAL Standard
▼ 52D0967063 Aurora Sheboygan Vlcc (Laboratory) 1222 N 23rd St Sheboygan WI 06/19/2024 S4CL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 52D0968924 Consultants Laboratory Of Wi, Llc 145 N Main St Fond Du Lac WI 11/18/2019 9WUL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5449 CONTROL PROCEDURES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard