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

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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
▼ 52D0921590 Women's Care Of Wisconsin 5485 Grande Market Dr Appleton WI 08/14/2025 URLQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D5441 CONTROL PROCEDURES Standard
D5477 CONTROL PROCEDURES Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6005 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0923388 Uw Health-Stoughton 1001 Nygaard St Stoughton WI 12/02/2020 72NS11 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 52D0923388 Uw Health-Stoughton 1001 Nygaard St Stoughton WI 06/14/2022 NJ8311 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0929354 Oakleaf Surgical Hospital Llc 1000 Oakleaf Way Altoona WI 04/26/2018 ZMNS11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
▼ 52D0929354 Oakleaf Surgical Hospital Llc 1000 Oakleaf Way Altoona WI 11/18/2020 XW9U11 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D5407 PROCEDURE MANUAL Standard
D5805 TEST REPORT Standard
▼ 52D0929354 Oakleaf Surgical Hospital Llc 1000 Oakleaf Way Altoona WI 07/21/2022 GTLC11 Standard
Deficiency Tag Deficiency Description Tag Type
D3041 RETENTION REQUIREMENTS Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 52D0930807 Biolife Plasma Services Lp 1278 Rudy St Onalaska WI 03/26/2024 TN3T11 Standard
Deficiency Tag Deficiency Description Tag Type
D5301 TEST REQUEST Standard
▼ 52D0930919 Aspirus Rib Lake Clinic 1121 Hwy 102 Rib Lake WI 11/06/2018 1D3B11 Standard
Deficiency Tag Deficiency Description Tag Type
D5445 CONTROL PROCEDURES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0936548 Ascension Medical Group- Fox Valley Wisconsin Inc 2725 Jackson St Oshkosh WI 06/07/2019 4RZX11 Standard
Deficiency Tag Deficiency Description Tag Type
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 52D0940535 Frederic Clinic 205 W Oak St Frederic WI 09/20/2022 KGNN11 Standard
Deficiency Tag Deficiency Description Tag Type
D2005 ENROLLMENT Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard