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
▼ 52D0389833 West Suburban Center For Arthritis 601 N Barker Rd Ste 110 Brookfield WI 01/31/2019 J70811 Standard
Deficiency Tag Deficiency Description Tag Type
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
▼ 52D0389833 West Suburban Center For Arthritis 601 N Barker Rd Ste 110 Brookfield WI 01/31/2023 YGKR11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5403 PROCEDURE MANUAL Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5813 TEST REPORT Standard
▼ 52D0389833 West Suburban Center For Arthritis 601 N Barker Rd Ste 110 Brookfield WI 02/03/2025 F65B11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 52D0390360 A2cl Aurora Health Center - Good Hope Rd 3003 W Good Hope Rd Milwaukee WI 06/21/2021 QNIO11 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6076 LABORATORY DIRECTOR Condition
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0390360 A2cl Aurora Health Center - Good Hope Rd 3003 W Good Hope Rd Milwaukee WI 04/17/2023 FVTQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 52D0390360 A2cl Aurora Health Center - Good Hope Rd 3003 W Good Hope Rd Milwaukee WI 02/04/2025 LK6411 Standard
Deficiency Tag Deficiency Description Tag Type
D6177 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 52D0390513 Madison Medical Urology 2350 N Lake Dr Suite 306 Milwaukee WI 07/06/2022 1OT811 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5403 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5805 TEST REPORT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6030 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6070 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 52D0390513 Madison Medical Urology 2350 N Lake Dr Suite 306 Milwaukee WI 06/26/2024 TJO111 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5805 TEST REPORT Standard
D5807 TEST REPORT Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0391053 Milwaukee Health Service Systems, Llc 4800 S 10th St, Unit 1 Milwaukee WI 11/05/2019 IH2T11 Standard
Deficiency Tag Deficiency Description Tag Type
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5781 CORRECTIVE ACTIONS Standard
▼ 52D0391053 Milwaukee Health Service Systems, Llc 4800 S 10th St, Unit 1 Milwaukee WI 04/30/2020 ORZV11 Complaint
Deficiency Tag Deficiency Description Tag Type
D3009 FACILITIES Standard
D5022 TOXICOLOGY Condition
D5201 CONFIDENTIALITY OF PATIENT INFORMATION Standard
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5205 COMPLAINT INVESTIGATIONS Standard
D5403 PROCEDURE MANUAL Standard
D5407 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5805 TEST REPORT Standard
D5815 TEST REPORT Standard
D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6076 LABORATORY DIRECTOR Condition
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6083 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6086 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6141 GENERAL SUPERVISOR Condition
D6142 GENERAL SUPERVISOR QUALIFICATIONS Standard