S&C QCOR CLIA 2567s
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CLIA 2567s
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Time Interval

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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

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
▼ 52D0661910 Ascension Wisconsin Laboratory, Inc 2323 N Lake Dr Milwaukee WI 06/10/2024 X1TP11 Complaint
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D0000 Initial Comments - Not A Deficiency Citation Memo
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5300 PREANALYTIC SYSTEMS Condition
D5305 TEST REQUEST Standard
D5800 POSTANALYTIC SYSTEMS Condition
D5813 TEST REPORT Standard
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
D6076 LABORATORY DIRECTOR Condition
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
D6175 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 52D0661910 Ascension Wisconsin Laboratory, Inc 2323 N Lake Dr Milwaukee WI 09/19/2024 84BN11 Complaint
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D3011 FACILITIES Standard
D5200 GENERAL LABORATORY SYSTEMS Condition
D5205 COMPLAINT INVESTIGATIONS Standard
D5511 MYCOBACTERIOLOGY Standard
▼ 52D0661914 City Of Milwaukee Hlth Dept 841 N Broadway Milwaukee WI 06/08/2018 I01E11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
D5441 CONTROL PROCEDURES Standard
D5789 TEST RECORDS Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0661914 City Of Milwaukee Hlth Dept 841 N Broadway Milwaukee WI 01/13/2021 PVEE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 52D0661914 City Of Milwaukee Hlth Dept 841 N Broadway Milwaukee WI 05/11/2022 536G11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
D3033 RETENTION REQUIREMENTS Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5403 PROCEDURE MANUAL Standard
D5505 BACTERIOLOGY Standard
D5781 CORRECTIVE ACTIONS Standard
D5787 TEST RECORDS Standard
D5805 TEST REPORT Standard
D6072 TESTING PERSONNEL RESPONSIBILITIES Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0661914 City Of Milwaukee Hlth Dept 841 N Broadway Milwaukee WI 04/26/2024 JK6L11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5409 PROCEDURE MANUAL Standard
D5451 CONTROL PROCEDURES Standard
D5505 BACTERIOLOGY Standard
D6072 TESTING PERSONNEL RESPONSIBILITIES Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0661948 Medical College Of Wisconsin Cri Room C-3383 Tbrc-Cri 3rd Floor Milwaukee WI 07/10/2018 329V11 Standard
Deficiency Tag Deficiency Description Tag Type
D6134 CLINICAL CONSULTANT Condition
D6135 CLINICAL CONSULTANT QUALIFICATIONS Standard
▼ 52D0661948 Medical College Of Wisconsin Cri Room C-3383 Tbrc-Cri 3rd Floor Milwaukee WI 11/20/2020 O6XL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5403 PROCEDURE MANUAL Standard
D5447 CONTROL PROCEDURES Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0661948 Medical College Of Wisconsin Cri Room C-3383 Tbrc-Cri 3rd Floor Milwaukee WI 08/01/2022 FP6E11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5781 CORRECTIVE ACTIONS Standard
▼ 52D0661948 Medical College Of Wisconsin Cri Room C-3383 Tbrc-Cri 3rd Floor Milwaukee WI 06/26/2024 DLUB11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5313 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5403 PROCEDURE MANUAL Standard
D5469 CONTROL PROCEDURES Standard
D5783 CORRECTIVE ACTIONS Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6177 TESTING PERSONNEL RESPONSIBILITIES Standard