S&C QCOR CLIA 2567s
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CLIA 2567s
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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
▼ 52D0890453 Watertown Regional Medical Center 111 Anna St Waterloo WI 12/04/2019 IB2H11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2131 HEMATOLOGY Standard
▼ 52D0899620 Bridge Community Health Clinic 1810 N 2nd St Wausau WI 08/02/2018 HJ0611 Standard
Deficiency Tag Deficiency Description Tag Type
D2010 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5401 PROCEDURE MANUAL Standard
D5403 PROCEDURE MANUAL Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5807 TEST REPORT Standard
▼ 52D0899620 Bridge Community Health Clinic 1810 N 2nd St Wausau WI 02/17/2021 P1NT11 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 52D0901655 Aurora Health Center-Waukesha W231 N1440 Corporate Court Waukesha WI 12/17/2018 V85311 Standard
Deficiency Tag Deficiency Description Tag Type
D5461 CONTROL PROCEDURES Standard
▼ 52D0901655 Aurora Health Center-Waukesha W231 N1440 Corporate Court Waukesha WI 05/27/2021 W8CC11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 52D0907183 Bellin Hfmc Ashwaubenon 1630 Commanche Ave Green Bay WI 07/18/2023 1FO211 Standard
Deficiency Tag Deficiency Description Tag Type
D2004 ENROLLMENT Standard
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
▼ 52D0907183 Bellin Hfmc Ashwaubenon 1630 Commanche Ave Green Bay WI 07/02/2025 1PNQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D3029 RETENTION REQUIREMENTS Standard
▼ 52D0908714 Aurora Fond Du Lac Clinic 210 Wisconsin American Dr Fond Du Lac WI 10/12/2021 66J411 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5781 CORRECTIVE ACTIONS Standard
▼ 52D0908714 Aurora Fond Du Lac Clinic 210 Wisconsin American Dr Fond Du Lac WI 08/31/2023 TKNV11 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5447 CONTROL PROCEDURES Standard
D6072 TESTING PERSONNEL RESPONSIBILITIES Standard
D6127 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 52D0911694 Wildwood Family Clinic Sc 251 East Cottage Grove Rd Cottage Grove WI 04/24/2018 5RWV11 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5447 CONTROL PROCEDURES Standard
D6047 TECHNICAL CONSULTANT RESPONSIBILITIES Standard