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
▼ 52D1043369 Medical College Of Wisconsin 8701 W Watertown Plank Rd Milwaukee WI 12/17/2019 IXHE11 Complaint
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2013 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D6168 TESTING PERSONNEL Condition
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 52D1045438 Aspirus Plover Clinic Laboratory Vern Holmes Dr 5409 Vern Holmes Dr Stevens Point WI 01/23/2025 5HK411 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2181 COMPATIBILITY TESTING Standard
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6076 LABORATORY DIRECTOR Condition
D6092 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D1045440 Shoreline Skin Corporation 3427 Superior Ave Sheboygan WI 08/14/2019 G3A611 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 52D1045440 Shoreline Skin Corporation 3427 Superior Ave Sheboygan WI 08/16/2021 WNGC11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 52D1056222 Ahc Waterford 818 Forrest Ln Waterford WI 12/09/2020 2VPN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 52D1056222 Ahc Waterford 818 Forrest Ln Waterford WI 04/12/2022 UN7E11 Standard
Deficiency Tag Deficiency Description Tag Type
D6072 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 52D1060886 Forefront Dermatology, Sc 3935 Lightning Dr Appleton WI 02/12/2021 XO5311 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 52D1060886 Forefront Dermatology, Sc 3935 Lightning Dr Appleton WI 10/12/2022 4KUU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5787 TEST RECORDS Standard
▼ 52D1077523 Pediatric And Young Adult Medicine 1610 Maxwell Drive, Suite 245 Hudson WI 11/05/2018 P9CW11 Standard
Deficiency Tag Deficiency Description Tag Type
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6042 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6043 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D1078013 Northlakes Community Health Center 7665 Us Hwy 2 Iron River WI 01/12/2018 UB7U12 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES null
D2009 TESTING OF PROFICIENCY TESTING SAMPLES null
D2015 TESTING OF PROFICIENCY TESTING SAMPLES null
D5403 PROCEDURE MANUAL null
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT null
D6018 LABORATORY DIRECTOR RESPONSIBILITIES null
D6019 LABORATORY DIRECTOR RESPONSIBILITIES null
D6031 LABORATORY DIRECTOR RESPONSIBILITIES null