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
▼ 52D1078013 Northlakes Community Health Center 7665 Us Hwy 2 Iron River WI 01/14/2020 7CII11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6026 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D1079047 Aspirus Rhinelander Clinic Laboratory 1630 N Chippewa Dr Rhinelander WI 04/15/2025 NX6O11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5441 CONTROL PROCEDURES Standard
▼ 52D1080594 Acl Kenosha 15th Place 2707 15th Pl Kenosha WI 10/01/2019 9CLT11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D6036 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D1084171 Forefront Dermatology, Sc 188 Rockwood Ln Ste A Neenah WI 02/12/2021 IL5D11 Standard
Deficiency Tag Deficiency Description Tag Type
D5601 HISTOPATHOLOGY Standard
▼ 52D1085214 Cancer Team At Bellin Health,The 1580 Commanche Ave Green Bay WI 05/29/2019 J18X11 Standard
Deficiency Tag Deficiency Description Tag Type
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 52D1085214 Cancer Team At Bellin Health,The 1580 Commanche Ave Green Bay WI 05/17/2023 MVYX11 Standard
Deficiency Tag Deficiency Description Tag Type
D5807 TEST REPORT Standard
▼ 52D1085214 Cancer Team At Bellin Health,The 1580 Commanche Ave Green Bay WI 04/01/2025 UO1S11 Standard
Deficiency Tag Deficiency Description Tag Type
D5785 CORRECTIVE ACTIONS Standard
▼ 52D1085214 Cancer Team At Bellin Health,The 1580 Commanche Ave Green Bay WI 06/19/2025 UO1S13 Standard
Deficiency Tag Deficiency Description Tag Type
D6010 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D1088982 Forefront Dermatology, Sc 3515 Murray St Marinette WI 04/06/2021 3FT911 Standard
Deficiency Tag Deficiency Description Tag Type
D5473 CONTROL PROCEDURES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D1093324 Bellin Health Fmc Bellevue 3263 Eaton Rd Green Bay WI 12/05/2018 QZ3P11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D5461 CONTROL PROCEDURES Standard