S&C QCOR CLIA 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
CLIA 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

US State or Territory:

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

Use these filters if you know the name (or partial name) of the facility you are searching for.

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
▼ 52D0397081 Northlakes Community Clinic 600 Shell Creek Rd Minong WI 11/14/2022 954211 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 52D0397081 Northlakes Community Clinic 600 Shell Creek Rd Minong WI 08/14/2024 VWBM11 Standard
Deficiency Tag Deficiency Description Tag Type
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0397432 Mosaic Family Health Center 229 S Morrison St Appleton WI 11/06/2024 UDU911 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
▼ 52D0397433 Encircle Health Thedacare Physician Laboratory 2500 E Capitol Dr Appleton WI 02/27/2019 6LH411 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 52D0397477 Planned Parenthood Of Wisconsin Inc 435 S Water St Milwaukee WI 05/19/2021 F8QV11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
▼ 52D0397482 St Elizabeth Hospital, Inc 1506 S Oneida St Appleton WI 11/19/2021 6NBZ11 Complaint
Deficiency Tag Deficiency Description Tag Type
D5400 ANALYTIC SYSTEMS Condition
D5401 PROCEDURE MANUAL Standard
D5403 PROCEDURE MANUAL Standard
▼ 52D0397506 Ascension Medical Group- Fox Valley Wisconsin Inc 3329 N Richmond St Appleton WI 02/16/2023 VCV511 Standard
Deficiency Tag Deficiency Description Tag Type
D5807 TEST REPORT Standard
▼ 52D0397620 Tc Fam Med Clintonville 370 S Main Street Clintonville WI 12/06/2018 QZIW11 Standard
Deficiency Tag Deficiency Description Tag Type
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0397620 Tc Fam Med Clintonville 370 S Main Street Clintonville WI 03/16/2021 DDLE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
▼ 52D0397620 Tc Fam Med Clintonville 370 S Main Street Clintonville WI 09/19/2024 ZYND11 Standard
Deficiency Tag Deficiency Description Tag Type
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5785 CORRECTIVE ACTIONS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6067 TESTING PERSONNEL QUALIFICATIONS Standard