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
▼ 52D0392967 Ghc-Scw Sauk Trails Laboratory 8202 Excelsior Dr Madison WI 06/05/2024 MGDJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 52D0393093 Uw Health-Oregon 137 S Main St Oregon WI 06/15/2023 01UT11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
▼ 52D0393107 Prairie Clinic 112 Helen St Sauk City WI 05/08/2019 U44X11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5805 TEST REPORT Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0393107 Prairie Clinic 112 Helen St Sauk City WI 10/01/2020 XV4P11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
▼ 52D0393107 Prairie Clinic 112 Helen St Sauk City WI 06/10/2021 CTV911 Standard
Deficiency Tag Deficiency Description Tag Type
D6018 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0393107 Prairie Clinic 112 Helen St Sauk City WI 04/17/2023 R8OF11 Standard
Deficiency Tag Deficiency Description Tag Type
D5781 CORRECTIVE ACTIONS Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0393107 Prairie Clinic 112 Helen St Sauk City WI 04/30/2025 O3XG11 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
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6030 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6032 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6043 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0393122 Muscoda Health Center 1075 N Wisconsin Ave Muscoda WI 06/04/2024 F2FX11 Standard
Deficiency Tag Deficiency Description Tag Type
D6047 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0393163 Ssm Health Dean Medical Group - Stoughton 225 Church St Stoughton WI 08/12/2021 FRGL11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 52D0393208 Uw Health-Sun Prairie 2651 Windsor St Sun Prairie WI 06/19/2023 C3AB11 Standard
Deficiency Tag Deficiency Description Tag Type
D5775 COMPARISON OF TEST RESULTS Standard