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
▼ 52D2053212 Forefront Dermatology, Sc 1610 Maxwell Drive Suite 210 Hudson WI 08/31/2023 UN2811 Standard
Deficiency Tag Deficiency Description Tag Type
D5028 HISTOPATHOLOGY Condition
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5601 HISTOPATHOLOGY Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D2060893 Biolife Plasma Services Lp 900 Isbell St Green Bay WI 09/15/2023 UM7S11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2162 ABO GROUP AND D(RHO) TYPING Standard
D2163 ABO GROUP AND D(RHO) TYPING Standard
D6076 LABORATORY DIRECTOR Condition
D6089 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D2066480 Froedtert & Mcw Moorland Reserve Laboratory 4805 S Moorland Rd, New Berlin WI 09/04/2019 ZIBZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5503 BACTERIOLOGY Standard
▼ 52D2066480 Froedtert & Mcw Moorland Reserve Laboratory 4805 S Moorland Rd, New Berlin WI 11/16/2021 CL8H11 Standard
Deficiency Tag Deficiency Description Tag Type
D2005 ENROLLMENT Standard
▼ 52D2066480 Froedtert & Mcw Moorland Reserve Laboratory 4805 S Moorland Rd, New Berlin WI 08/31/2023 LH0C11 Standard
Deficiency Tag Deficiency Description Tag Type
D5775 COMPARISON OF TEST RESULTS Standard
▼ 52D2071163 Sullivan Medical Clinic 6040 W Lisbon Ave, Ste 200 Milwaukee WI 10/16/2018 DE7M11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5441 CONTROL PROCEDURES Standard
D6036 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D2077860 Aurora Health Center - West Bend, Gateway Ct 1100 Gateway Ct West Bend WI 02/14/2018 ZDH211 Standard
Deficiency Tag Deficiency Description Tag Type
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D2077860 Aurora Health Center - West Bend, Gateway Ct 1100 Gateway Ct West Bend WI 02/12/2020 RX8Y11 Standard
Deficiency Tag Deficiency Description Tag Type
D5445 CONTROL PROCEDURES Standard
▼ 52D2078791 Urgent Care Physicians, Ltd 3329 E Express Ct Appleton WI 10/08/2021 L9UN11 Complaint
Deficiency Tag Deficiency Description Tag Type
D1001 CERTIFICATE OF WAIVER TESTS Standard
▼ 52D2084863 Jessie Crawford Recovery Center Inc 1925 Washington Ave Racine WI 01/25/2021 W4Y511 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5022 TOXICOLOGY Condition
D5317 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5401 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5783 CORRECTIVE ACTIONS Standard
D5803 TEST REPORT Standard
D5805 TEST REPORT Standard
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6026 LABORATORY DIRECTOR RESPONSIBILITIES Standard