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
52D0959803 Aurora Health Center-Caledonia 5333 Douglas Ave Racine WI 03/14/2019 HHZN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
52D0961971 Biolife Plasma Services Lp 3325 Business Park Dr Stevens Point WI 10/19/2023 3YTU11 Standard
Deficiency Tag Deficiency Description Tag Type
D2006 TESTING OF PROFICIENCY TESTING SAMPLES Standard
52D0963259 Amg Manitowoc 4100 Dewey 4100 Dewey St Manitowoc WI 05/08/2019 2S2W11 Standard
Deficiency Tag Deficiency Description Tag Type
D5409 PROCEDURE MANUAL Standard
52D0967063 Aurora Sheboygan Vlcc (Laboratory) 1222 N 23rd St Sheboygan WI 06/19/2024 S4CL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
52D0968924 Consultants Laboratory Of Wi, Llc 145 N Main St Fond Du Lac WI 11/18/2019 9WUL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5449 CONTROL PROCEDURES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
52D0968924 Consultants Laboratory Of Wi, Llc 145 N Main St Fond Du Lac WI 12/14/2021 MQR811 Standard
Deficiency Tag Deficiency Description Tag Type
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
52D0968924 Consultants Laboratory Of Wi, Llc 145 N Main St Fond Du Lac WI 10/19/2023 J98J11 Standard
Deficiency Tag Deficiency Description Tag Type
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
52D0968924 Consultants Laboratory Of Wi, Llc 145 N Main St Fond Du Lac WI 01/15/2026 ZEFQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5407 PROCEDURE MANUAL Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D6080 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6083 LABORATORY DIRECTOR RESPONSIBILITIES Standard
52D0970975 Stillwater Medical Group 700 Rivard St Somerset WI 01/09/2024 VHUV11 Standard
Deficiency Tag Deficiency Description Tag Type
D5807 TEST REPORT Standard
52D0976167 Primary Care Associates Of Appleton, Ltd 3916 N Intertech Ct Appleton WI 09/28/2022 RXJ211 Standard
Deficiency Tag Deficiency Description Tag Type
D2010 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5445 CONTROL PROCEDURES Standard
D5545 HEMATOLOGY Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6051 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard