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
▼ 52D0976606 Aurora Health Care Metro Inc - Racine 8400 Washington Ave, Ste 203 Racine WI 02/06/2023 GSVY11 Standard
Deficiency Tag Deficiency Description Tag Type
D3029 RETENTION REQUIREMENTS Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6177 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 52D0978594 Bellin Health Brillion 235 East Ryan Street Brillion WI 10/29/2018 ZHSK11 Standard
Deficiency Tag Deficiency Description Tag Type
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0978594 Bellin Health Brillion 235 East Ryan Street Brillion WI 11/08/2022 0EGO11 Standard
Deficiency Tag Deficiency Description Tag Type
D6072 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 52D0979989 Aurora Health Care Metro Inc - Kenosha South 6811 118th Ave Kenosha WI 04/25/2023 ZV1911 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 52D0979989 Aurora Health Care Metro Inc - Kenosha South 6811 118th Ave Kenosha WI 02/19/2025 4KRW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 52D0981226 Progressive Community Health Centers, Inc 3522 W Lisbon Ave Milwaukee WI 10/31/2024 GQSI11 Complaint
Deficiency Tag Deficiency Description Tag Type
D8100 INSPECTION REQUIREMENTS Condition
D8201 INSPECTION OF COW OR PPMP LABS Standard
▼ 52D0982094 Children's Hospital Of Wi-Fox Valley 130 2nd St Neenah WI 02/04/2025 XTSF11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6035 TECHNICAL CONSULTANT QUALIFICATIONS Standard
▼ 52D0983990 Orthopaedic Hospital Of Wisconsin, Llc 475 W River Woods Pkwy Glendale WI 01/05/2021 1JDH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0983990 Orthopaedic Hospital Of Wisconsin, Llc 475 W River Woods Pkwy Glendale WI 07/22/2024 OD0B11 Standard
Deficiency Tag Deficiency Description Tag Type
D5445 CONTROL PROCEDURES Standard
D5775 COMPARISON OF TEST RESULTS Standard
▼ 52D0989506 Oakleaf Clinics Sc 3802 W Oakwood Mall Dr Eau Claire WI 05/30/2018 1PJC11 Standard
Deficiency Tag Deficiency Description Tag Type
D5447 CONTROL PROCEDURES Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard