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
▼ 52D0918686 Aurora Medical Group 9200 W Loomis Rd Franklin WI 02/18/2020 QF0K11 Standard
Deficiency Tag Deficiency Description Tag Type
D5545 HEMATOLOGY Standard
▼ 52D0918686 Aurora Medical Group 9200 W Loomis Rd Franklin WI 02/10/2022 DLXL11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 52D0920451 Bellin Hfmc Howard 2714 Riverview Dr Green Bay WI 05/15/2018 B47I11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6024 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6026 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0920451 Bellin Hfmc Howard 2714 Riverview Dr Green Bay WI 09/09/2020 238T11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0921062 Coppe Laboratories W229 N1870 Westwood Dr Waukesha WI 03/06/2019 2CRG11 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 52D0921062 Coppe Laboratories W229 N1870 Westwood Dr Waukesha WI 05/25/2021 BGYE11 Standard
Deficiency Tag Deficiency Description Tag Type
D3000 FACILITY ADMINISTRATION Condition
▼ 52D0921062 Coppe Laboratories W229 N1870 Westwood Dr Waukesha WI 03/23/2023 IYHO11 Standard
Deficiency Tag Deficiency Description Tag Type
D5213 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5781 CORRECTIVE ACTIONS Standard
▼ 52D0921590 Women's Care Of Wisconsin 5485 Grande Market Dr Appleton WI 09/23/2019 7PP611 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2013 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5403 PROCEDURE MANUAL Standard
D5441 CONTROL PROCEDURES Standard
D5449 CONTROL PROCEDURES Standard
D5451 CONTROL PROCEDURES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0921590 Women's Care Of Wisconsin 5485 Grande Market Dr Appleton WI 10/07/2021 WJPG11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0921590 Women's Care Of Wisconsin 5485 Grande Market Dr Appleton WI 08/17/2023 I01I11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5409 PROCEDURE MANUAL Standard