S&C QCOR CLIA 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
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CLIA 2567s
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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
▼ 52D0393727 Wildwood Family Clinic 4901 Cottage Grove Rd Madison WI 08/21/2019 SQOR11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
▼ 52D0393727 Wildwood Family Clinic 4901 Cottage Grove Rd Madison WI 01/28/2021 TE2411 Standard
Deficiency Tag Deficiency Description Tag Type
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0393727 Wildwood Family Clinic 4901 Cottage Grove Rd Madison WI 11/07/2022 TDUA11 Standard
Deficiency Tag Deficiency Description Tag Type
D5781 CORRECTIVE ACTIONS Standard
▼ 52D0393727 Wildwood Family Clinic 4901 Cottage Grove Rd Madison WI 09/18/2024 HD4H11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6025 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6067 TESTING PERSONNEL QUALIFICATIONS Standard
D6072 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 52D0393737 Uw Health-West Towne 7102 Mineral Point Rd Madison WI 06/10/2025 M77211 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 52D0393798 Uw Health-Odana Atrium Family Medicine 5618 Odana Rd Madison WI 06/24/2025 NZF611 Standard
Deficiency Tag Deficiency Description Tag Type
D6070 TESTING PERSONNEL RESPONSIBILITIES Standard
D6072 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 52D0393832 Gundersen Boscobel Area Hospital And Clinics 205 Parker St Boscobel WI 08/09/2018 ZQBG11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5447 CONTROL PROCEDURES Standard
D5477 CONTROL PROCEDURES Standard
▼ 52D0393832 Gundersen Boscobel Area Hospital And Clinics 205 Parker St Boscobel WI 09/30/2020 WT7611 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
▼ 52D0393832 Gundersen Boscobel Area Hospital And Clinics 205 Parker St Boscobel WI 01/05/2021 FO0M11 Standard
Deficiency Tag Deficiency Description Tag Type
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5445 CONTROL PROCEDURES Standard
▼ 52D0393832 Gundersen Boscobel Area Hospital And Clinics 205 Parker St Boscobel WI 08/09/2022 ZGT811 Standard
Deficiency Tag Deficiency Description Tag Type
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5807 TEST REPORT Standard