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
▼ 52D2288029 Tareen Dermatology 2651 Hillcrest Dr, Ste 304 Hudson WI 12/02/2025 1SHG11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D2289980 Kindbody Of Wisconsin 787 North Broadway Milwaukee WI 04/17/2024 EVS311 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
▼ 52D2294162 Acadian Health - Wi Base 1728 Spooner Avenue Suite D Altoona WI 03/10/2025 38MK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5407 PROCEDURE MANUAL Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D2298559 Bellin Health Surgery & Specialty Center 933 Waube Lane Green Bay WI 08/14/2024 2DJY11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5445 CONTROL PROCEDURES Standard
▼ 53D0056312 North Big Horn Hospital District 1115 Lane 12 Lovell WY 08/03/2018 4O7G11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5809 TEST REPORT Standard
▼ 53D0056312 North Big Horn Hospital District 1115 Lane 12 Lovell WY 09/01/2020 CKZM11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
D5507 BACTERIOLOGY Standard
▼ 53D0056312 North Big Horn Hospital District 1115 Lane 12 Lovell WY 08/10/2022 DFJL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 53D0056312 North Big Horn Hospital District 1115 Lane 12 Lovell WY 08/15/2024 H8UW11 Standard
Deficiency Tag Deficiency Description Tag Type
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 53D0056408 South Lincoln Hospital District 711 Onyx Street Kemmerer WY 05/07/2018 OPWH11 Standard
Deficiency Tag Deficiency Description Tag Type
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5441 CONTROL PROCEDURES Standard
D5445 CONTROL PROCEDURES Standard
D5477 CONTROL PROCEDURES Standard
D5545 HEMATOLOGY Standard
D6018 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 53D0056408 South Lincoln Hospital District 711 Onyx Street Kemmerer WY 08/12/2019 HMO311 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2118 TOXICOLOGY Standard