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
▼ 52D2032824 Forefront Dermatology, Sc 1300 S Green Bay Rd, Ste 100 Racine WI 07/28/2023 WWOZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D2032824 Forefront Dermatology, Sc 1300 S Green Bay Rd, Ste 100 Racine WI 08/20/2025 NEQN11 Standard
Deficiency Tag Deficiency Description Tag Type
D3029 RETENTION REQUIREMENTS Standard
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5821 TEST REPORT Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D2033521 Madison Medical Affiliates Inc 375 W River Woods Pkwy Glendale WI 01/20/2022 BFPL11 Standard
Deficiency Tag Deficiency Description Tag Type
D6168 TESTING PERSONNEL Condition
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 52D2036916 Associates In Pathology Sc 333 Pineridge Blvd, Room 1-919 Wausau WI 01/28/2020 UVB211 Standard
Deficiency Tag Deficiency Description Tag Type
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D6168 TESTING PERSONNEL Condition
D6171 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 52D2043076 Fokus Family Services 2821 Vel R Phillips Ave Ste #123 Milwaukee WI 05/29/2018 ZZJK11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5409 PROCEDURE MANUAL Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5805 TEST REPORT Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6123 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 52D2050644 Community Physicians North Hills Pulmonary Lab W129 N7055 Northfield Dr, B-601 Menomonee Falls WI 03/07/2019 HQID11 Standard
Deficiency Tag Deficiency Description Tag Type
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D2050644 Community Physicians North Hills Pulmonary Lab W129 N7055 Northfield Dr, B-601 Menomonee Falls WI 08/30/2021 0DTK11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 52D2052831 Spectrum Health Medical Clinic Llc 2500 North Mayfair Rd Suite 630 Wauwatosa WI 08/26/2021 62JC11 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
D5409 PROCEDURE MANUAL Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D2053212 Forefront Dermatology, Sc 1610 Maxwell Drive Suite 210 Hudson WI 07/31/2019 1DZS11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 52D2053212 Forefront Dermatology, Sc 1610 Maxwell Drive Suite 210 Hudson WI 09/21/2021 RZRD11 Standard
Deficiency Tag Deficiency Description Tag Type
D5028 HISTOPATHOLOGY Condition
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5781 CORRECTIVE ACTIONS Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6096 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6106 LABORATORY DIRECTOR RESPONSIBILITIES Standard