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
▼ 52D0911694 Wildwood Family Clinic Sc 251 East Cottage Grove Rd Cottage Grove WI 09/16/2020 ZCOY11 Standard
Deficiency Tag Deficiency Description Tag Type
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 52D0911694 Wildwood Family Clinic Sc 251 East Cottage Grove Rd Cottage Grove WI 04/04/2022 P33M11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D6042 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0911694 Wildwood Family Clinic Sc 251 East Cottage Grove Rd Cottage Grove WI 03/13/2024 KJ4C11 Standard
Deficiency Tag Deficiency Description Tag Type
D2015 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D3031 RETENTION REQUIREMENTS Standard
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5469 CONTROL PROCEDURES Standard
▼ 52D0913549 Quadmed Clinic West Allis 555 S 108th St West Allis WI 06/30/2023 5XSH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5445 CONTROL PROCEDURES Standard
D5807 TEST REPORT Standard
▼ 52D0914318 Sheboygan Physicians Group, Sc 1621 N Taylor Dr Sheboygan WI 07/29/2019 6GMB11 Standard
Deficiency Tag Deficiency Description Tag Type
D5547 HEMATOLOGY Standard
D5785 CORRECTIVE ACTIONS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6070 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 52D0918686 Aurora Medical Group 9200 W Loomis Rd Franklin WI 02/18/2020 QF0K11 Standard
Deficiency Tag Deficiency Description Tag Type
D5545 HEMATOLOGY Standard
▼ 52D0918686 Aurora Medical Group 9200 W Loomis Rd Franklin WI 02/10/2022 DLXL11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 52D0920451 Bellin Hfmc Howard 2714 Riverview Dr Green Bay WI 05/15/2018 B47I11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6024 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6026 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0920451 Bellin Hfmc Howard 2714 Riverview Dr Green Bay WI 09/09/2020 238T11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0921062 Coppe Laboratories W229 N1870 Westwood Dr Waukesha WI 03/06/2019 2CRG11 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard