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
▼ 52D0397477 Planned Parenthood Of Wisconsin Inc 435 S Water St Milwaukee WI 05/19/2021 F8QV11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
▼ 52D0397482 St Elizabeth Hospital, Inc 1506 S Oneida St Appleton WI 11/19/2021 6NBZ11 Complaint
Deficiency Tag Deficiency Description Tag Type
D5400 ANALYTIC SYSTEMS Condition
D5401 PROCEDURE MANUAL Standard
D5403 PROCEDURE MANUAL Standard
▼ 52D0397506 Ascension Medical Group- Fox Valley Wisconsin Inc 3329 N Richmond St Appleton WI 02/16/2023 VCV511 Standard
Deficiency Tag Deficiency Description Tag Type
D5807 TEST REPORT Standard
▼ 52D0397620 Tc Fam Med Clintonville 370 S Main Street Clintonville WI 12/06/2018 QZIW11 Standard
Deficiency Tag Deficiency Description Tag Type
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0397620 Tc Fam Med Clintonville 370 S Main Street Clintonville WI 03/16/2021 DDLE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
▼ 52D0397620 Tc Fam Med Clintonville 370 S Main Street Clintonville WI 09/19/2024 ZYND11 Standard
Deficiency Tag Deficiency Description Tag Type
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5785 CORRECTIVE ACTIONS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6067 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 52D0397671 Consultants Laboratory Of Wi, Llc 723 Park Ridge Ln North Fond Du Lac WI 03/06/2023 HAMU11 Standard
Deficiency Tag Deficiency Description Tag Type
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0397794 Ascension Medical Group- Fox Valley Wisconsin Inc 1550 Midway Pl Menasha WI 10/30/2018 JSM011 Standard
Deficiency Tag Deficiency Description Tag Type
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0397838 Thedacare Physicians Neenah 333 N Green Bay Road Neenah WI 08/21/2019 G3IE11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5403 PROCEDURE MANUAL Standard
D5409 PROCEDURE MANUAL Standard
▼ 52D0397838 Thedacare Physicians Neenah 333 N Green Bay Road Neenah WI 12/20/2021 VW2T11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5409 PROCEDURE MANUAL Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard