S&C QCOR CLIA 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
CLIA 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

US State or Territory:

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
▼ 52D0661966 Memorial Hospital Of Lafayette County 800 Clay St Darlington WI 11/13/2024 FXN411 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 52D0662031 Odd Fellow Home 1229 S Jackson St Green Bay WI 11/10/2023 OBD011 Complaint
Deficiency Tag Deficiency Description Tag Type
D1001 CERTIFICATE OF WAIVER TESTS Standard
▼ 52D0662099 Vernon Memorial Hospital Inc 507 S Main St Viroqua WI 11/14/2019 QUFI11 Standard
Deficiency Tag Deficiency Description Tag Type
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5477 CONTROL PROCEDURES Standard
▼ 52D0662099 Vernon Memorial Hospital Inc 507 S Main St Viroqua WI 12/16/2021 ZGGZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5409 PROCEDURE MANUAL Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5441 CONTROL PROCEDURES Standard
D5445 CONTROL PROCEDURES Standard
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5807 TEST REPORT Standard
D5821 TEST REPORT Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0662099 Vernon Memorial Hospital Inc 507 S Main St Viroqua WI 11/09/2023 8CM211 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5407 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5775 COMPARISON OF TEST RESULTS Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0662099 Vernon Memorial Hospital Inc 507 S Main St Viroqua WI 11/13/2025 5ETM11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5403 PROCEDURE MANUAL Standard
D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5473 CONTROL PROCEDURES Standard
D6093 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0665264 A2cl Aurora Health Center - Edgerton 6901 W Edgerton Ave Milwaukee WI 11/18/2021 906M11 Standard
Deficiency Tag Deficiency Description Tag Type
D5787 TEST RECORDS Standard
▼ 52D0665264 A2cl Aurora Health Center - Edgerton 6901 W Edgerton Ave Milwaukee WI 11/04/2025 M94E11 Standard
Deficiency Tag Deficiency Description Tag Type
D6005 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6010 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0665546 Prohealth Medical Group, Inc - 210 Nw Barstow St Suite 201 Waukesha WI 09/10/2019 V07Q11 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
▼ 52D0665546 Prohealth Medical Group, Inc - 210 Nw Barstow St Suite 201 Waukesha WI 09/20/2023 M78H11 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard