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
▼ 52D0665546 Prohealth Medical Group, Inc - 210 Nw Barstow St Suite 201 Waukesha WI 09/15/2025 FI9M11 Standard
Deficiency Tag Deficiency Description Tag Type
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0665972 Spring Green Medical Center 150 Jefferson St Spring Green WI 01/05/2018 D26Z11 Standard
Deficiency Tag Deficiency Description Tag Type
D6007 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0670794 Uw Eau Claire Student Health Service Crest Wellness Center Eau Claire WI 09/26/2018 QZS011 Standard
Deficiency Tag Deficiency Description Tag Type
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0670794 Uw Eau Claire Student Health Service Crest Wellness Center Eau Claire WI 04/26/2021 ZY0E11 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 52D0670794 Uw Eau Claire Student Health Service Crest Wellness Center Eau Claire WI 09/19/2022 RYWP11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
▼ 52D0670794 Uw Eau Claire Student Health Service Crest Wellness Center Eau Claire WI 11/04/2024 WQCI11 Standard
Deficiency Tag Deficiency Description Tag Type
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0671419 Aurora Health Center-Elkhorn 201 E Morrissey Dr Elkhorn WI 01/29/2019 EIN111 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6072 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 52D0671419 Aurora Health Center-Elkhorn 201 E Morrissey Dr Elkhorn WI 03/30/2021 JUW211 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 52D0671604 University Of Wisconsin-Stout 103 1st Ave West Menomonie WI 10/16/2019 PEID11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2107 ENDOCRINOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0672160 Csl Plasma, Inc 4901 Washington Ave, Suite 28 Racine WI 05/15/2024 LHMU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5301 TEST REQUEST Standard