S&C QCOR CLIA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
CLIA 2567s
Selection Criteria

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

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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
52D0921062 Coppe Laboratories W229 N1870 Westwood Dr Waukesha WI 05/25/2021 BGYE11 Standard
Deficiency Tag Deficiency Description Tag Type
D3000 FACILITY ADMINISTRATION Condition
52D0921062 Coppe Laboratories W229 N1870 Westwood Dr Waukesha WI 03/23/2023 IYHO11 Standard
Deficiency Tag Deficiency Description Tag Type
D5213 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5781 CORRECTIVE ACTIONS Standard
52D0921590 Women's Care Of Wisconsin 5485 Grande Market Dr Appleton WI 09/23/2019 7PP611 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2013 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5403 PROCEDURE MANUAL Standard
D5441 CONTROL PROCEDURES Standard
D5449 CONTROL PROCEDURES Standard
D5451 CONTROL PROCEDURES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
52D0921590 Women's Care Of Wisconsin 5485 Grande Market Dr Appleton WI 10/07/2021 WJPG11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
52D0921590 Women's Care Of Wisconsin 5485 Grande Market Dr Appleton WI 08/17/2023 I01I11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5409 PROCEDURE MANUAL Standard
52D0921590 Women's Care Of Wisconsin 5485 Grande Market Dr Appleton WI 08/14/2025 URLQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5435 MAINTENANCE AND FUNCTION CHECKS Standard
D5441 CONTROL PROCEDURES Standard
D5477 CONTROL PROCEDURES Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6005 LABORATORY DIRECTOR RESPONSIBILITIES Standard
52D0923388 Uw Health-Stoughton 1001 Nygaard St Stoughton WI 12/02/2020 72NS11 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
52D0923388 Uw Health-Stoughton 1001 Nygaard St Stoughton WI 06/14/2022 NJ8311 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
52D0929354 Oakleaf Surgical Hospital Llc 1000 Oakleaf Way Altoona WI 04/26/2018 ZMNS11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2096 ROUTINE CHEMISTRY Standard
52D0929354 Oakleaf Surgical Hospital Llc 1000 Oakleaf Way Altoona WI 11/18/2020 XW9U11 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D5407 PROCEDURE MANUAL Standard
D5805 TEST REPORT Standard