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
▼ 52D0682080 Uw Milwaukee Student Health And Wellness Center 2025 E Newport Ave Milwaukee WI 04/26/2023 H0ES11 Special
Deficiency Tag Deficiency Description Tag Type
D3000 FACILITY ADMINISTRATION Condition
▼ 52D0686802 Vibrant Health Family Clinics-Ellsworth 144 S Plum St Ellsworth WI 04/03/2019 D4Z911 Standard
Deficiency Tag Deficiency Description Tag Type
D5807 TEST REPORT Standard
▼ 52D0686802 Vibrant Health Family Clinics-Ellsworth 144 S Plum St Ellsworth WI 08/21/2019 SZEE11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
▼ 52D0687896 Fond Du Lac Regional Clinic 145 N Main St Fond Du Lac WI 02/02/2018 2KFG12 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE null
▼ 52D0690940 Reproductive Specialty Center 2350 N Lake Dr Ste 303 Milwaukee WI 04/08/2024 U4G411 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 52D0691475 Interstate Blood Bank Inc 2126 W Fond Du Lac Ave Milwaukee WI 09/28/2021 QR6M11 Standard
Deficiency Tag Deficiency Description Tag Type
D2004 ENROLLMENT Standard
D3037 RETENTION REQUIREMENTS Standard
D5407 PROCEDURE MANUAL Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 52D0691476 Interstate Blood Bank Inc 1530 W National Ave Milwaukee WI 09/28/2021 IUNY11 Standard
Deficiency Tag Deficiency Description Tag Type
D2004 ENROLLMENT Standard
D5407 PROCEDURE MANUAL Standard
▼ 52D0693080 Uw Stevens Point Student Health 910 Fremont St Stevens Point WI 04/16/2025 1HWL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 52D0693572 Lakeshore Medical Clinic, Llc D/B/A Aurora Health 2000 E Layton Ave Ste 120 Saint Francis WI 02/03/2021 I3W311 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 52D0693572 Lakeshore Medical Clinic, Llc D/B/A Aurora Health 2000 E Layton Ave Ste 120 Saint Francis WI 08/09/2022 BZGL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard