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
▼ 52D2126465 Fmccp North Hills Health Center W129 N7055 Northfield Drive, 1st Floor, Rm 1064 Menomonee Falls WI 08/08/2025 EXF211 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6083 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D2128477 Psychological Addiction Services Llc 3113 E Washington Ave Madison WI 12/05/2018 58QP11 Standard
Deficiency Tag Deficiency Description Tag Type
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5467 CONTROL PROCEDURES Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6018 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6028 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6036 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6072 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 52D2128477 Psychological Addiction Services Llc 3113 E Washington Ave Madison WI 12/16/2020 178X11 Standard
Deficiency Tag Deficiency Description Tag Type
D2011 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 52D2128477 Psychological Addiction Services Llc 3113 E Washington Ave Madison WI 06/17/2024 2DUF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 52D2132308 Laboratory Corporation Of America 1111 Delafield St Ste 301 Waukesha WI 06/30/2022 ID5D11 Standard
Deficiency Tag Deficiency Description Tag Type
D6070 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 52D2132646 Bellin Health Titletown 1970 S Ridge Road Green Bay WI 02/08/2018 OYE611 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 52D2133898 Fmccp Tosa Health Center 1155 N Mayfair Road Wauwatosa WI 04/16/2018 XDUD11 Standard
Deficiency Tag Deficiency Description Tag Type
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5425 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6042 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6043 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D2133898 Fmccp Tosa Health Center 1155 N Mayfair Road Wauwatosa WI 11/06/2018 FL1J11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
▼ 52D2133898 Fmccp Tosa Health Center 1155 N Mayfair Road Wauwatosa WI 12/10/2019 SHZ111 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
▼ 52D2133898 Fmccp Tosa Health Center 1155 N Mayfair Road Wauwatosa WI 03/31/2022 R73E11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard