S&C QCOR CLIA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
CLIA 2567s
Selection Criteria

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

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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
52D0678401 Froedtert & The Medical College Of Wisconsin 1700 W Paradise Dr West Bend WI 02/21/2020 9X9M11 Complaint
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2011 TESTING OF PROFICIENCY TESTING SAMPLES Standard
52D0680567 Aurora Health Center - West Bend, Valley Ave 205 Valley Ave West Bend WI 02/22/2018 KXPQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
52D0681601 Wi Amg Plymouth Clinic 2600 Kiley Way Plymouth WI 04/24/2023 GCGK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
52D0682080 Uw Milwaukee Student Health And Wellness Center 2025 E Newport Ave Milwaukee WI 04/12/2023 88C411 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5447 CONTROL PROCEDURES Standard
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
52D0682080 Uw Milwaukee Student Health And Wellness Center 2025 E Newport Ave Milwaukee WI 04/26/2023 H0ES11 Special
Deficiency Tag Deficiency Description Tag Type
D3000 FACILITY ADMINISTRATION Condition
52D0686802 Vibrant Health Family Clinics-Ellsworth 144 S Plum St Ellsworth WI 04/03/2019 D4Z911 Standard
Deficiency Tag Deficiency Description Tag Type
D5807 TEST REPORT Standard
52D0686802 Vibrant Health Family Clinics-Ellsworth 144 S Plum St Ellsworth WI 08/21/2019 SZEE11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
52D0687896 Fond Du Lac Regional Clinic 145 N Main St Fond Du Lac WI 02/02/2018 2KFG12 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE null
52D0690940 Reproductive Specialty Center 2350 N Lake Dr Ste 303 Milwaukee WI 04/08/2024 U4G411 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
52D0691475 Interstate Blood Bank Inc 2126 W Fond Du Lac Ave Milwaukee WI 09/28/2021 QR6M11 Standard
Deficiency Tag Deficiency Description Tag Type
D2004 ENROLLMENT Standard
D3037 RETENTION REQUIREMENTS Standard
D5407 PROCEDURE MANUAL Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard