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
52D0706271 Marquette University Medical Clinic 540 N 16th Street Milwaukee WI 11/03/2021 43TN11 Standard
Deficiency Tag Deficiency Description Tag Type
D2010 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D3031 RETENTION REQUIREMENTS Standard
D5473 CONTROL PROCEDURES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
52D0706271 Marquette University Medical Clinic 540 N 16th Street Milwaukee WI 10/25/2023 UTBC11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
52D0706271 Marquette University Medical Clinic 540 N 16th Street Milwaukee WI 11/04/2025 18TN11 Standard
Deficiency Tag Deficiency Description Tag Type
D6051 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
52D0716590 Uw La Crosse Student Health Center 1300 Badger St La Crosse WI 04/12/2021 L3B411 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
52D0716590 Uw La Crosse Student Health Center 1300 Badger St La Crosse WI 10/20/2022 VN9G11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
52D0716590 Uw La Crosse Student Health Center 1300 Badger St La Crosse WI 10/22/2024 CXQ911 Standard
Deficiency Tag Deficiency Description Tag Type
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
52D0717181 Dermatology Clinic 5249 East Terrace Dr Madison WI 01/03/2020 L1EG11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
52D0719792 Univ Of Wi Oshkosh Student Health Center 777 Algoma Blvd Oshkosh WI 02/25/2019 FRQ311 Standard
Deficiency Tag Deficiency Description Tag Type
D5787 TEST RECORDS Standard
52D0719792 Univ Of Wi Oshkosh Student Health Center 777 Algoma Blvd Oshkosh WI 01/13/2023 0RU211 Complaint
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2013 TESTING OF PROFICIENCY TESTING SAMPLES Standard
52D0720169 Medical College Of Wisconsin Pathology 9200 W Wisconsin Ave Milwaukee WI 03/11/2020 QZIM11 Complaint
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2013 TESTING OF PROFICIENCY TESTING SAMPLES Standard