S&C QCOR CLIA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
CLIA 2567s
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Other Survey Characteristics

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CMS Certification Number Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
52D0867947 Uw Health Central Laboratory 20 S Park St Suite 465 Madison WI 06/12/2019 X8VW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
D5409 PROCEDURE MANUAL Standard
D6055 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6086 LABORATORY DIRECTOR RESPONSIBILITIES Standard
52D0867947 Uw Health Central Laboratory 20 S Park St Suite 465 Madison WI 09/22/2021 YK6N11 Standard
Deficiency Tag Deficiency Description Tag Type
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
52D0867947 Uw Health Central Laboratory 20 S Park St Suite 465 Madison WI 08/01/2023 9W5Z11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
52D0867947 Uw Health Central Laboratory 20 S Park St Suite 465 Madison WI 03/27/2025 ZFFO11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
52D0868250 Northlakes Community Clinic 15397 St Hwy 32 Lakewood WI 10/29/2019 44VX11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D6015 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6036 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
52D0869645 Allergy Immunology Diagnostic Lab Center 8701 Watertown Plank Rd Milwaukee WI 04/25/2022 GQL611 Standard
Deficiency Tag Deficiency Description Tag Type
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5781 CORRECTIVE ACTIONS Standard
52D0869645 Allergy Immunology Diagnostic Lab Center 8701 Watertown Plank Rd Milwaukee WI 02/13/2024 ND6411 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
52D0876165 Consultants Laboratory Of Wi Llc West 912 S Hickory St Fond Du Lac WI 05/28/2019 5HIM11 Standard
Deficiency Tag Deficiency Description Tag Type
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
52D0876165 Consultants Laboratory Of Wi Llc West 912 S Hickory St Fond Du Lac WI 05/22/2023 BF3D11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
52D0880249 A2cl Aurora Health Center - New Berlin 14555 W National Ave Ste 115 New Berlin WI 02/02/2022 BTU311 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard