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
▼ 52D0929354 Oakleaf Surgical Hospital Llc 1000 Oakleaf Way Altoona WI 07/21/2022 GTLC11 Standard
Deficiency Tag Deficiency Description Tag Type
D3041 RETENTION REQUIREMENTS Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 52D0930807 Biolife Plasma Services Lp 1278 Rudy St Onalaska WI 03/26/2024 TN3T11 Standard
Deficiency Tag Deficiency Description Tag Type
D5301 TEST REQUEST Standard
▼ 52D0930919 Aspirus Rib Lake Clinic 1121 Hwy 102 Rib Lake WI 11/06/2018 1D3B11 Standard
Deficiency Tag Deficiency Description Tag Type
D5445 CONTROL PROCEDURES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0936548 Ascension Medical Group- Fox Valley Wisconsin Inc 2725 Jackson St Oshkosh WI 06/07/2019 4RZX11 Standard
Deficiency Tag Deficiency Description Tag Type
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 52D0940535 Frederic Clinic 205 W Oak St Frederic WI 09/20/2022 KGNN11 Standard
Deficiency Tag Deficiency Description Tag Type
D2005 ENROLLMENT Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 52D0946226 Forefront Dermatology, Sc 7040 N Port Washington Rd, Ste 404 Glendale WI 11/03/2025 MJYZ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 52D0946874 Thedacare Physicians Menasha 2005 Midway Rd Menasha WI 03/17/2021 0K6J11 Standard
Deficiency Tag Deficiency Description Tag Type
D5425 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 52D0950128 Generations Fertility Care 2365 Deming Way Middleton WI 07/24/2019 L9A511 Standard
Deficiency Tag Deficiency Description Tag Type
D6108 LABORATORY TECHNICAL SUPERVISOR Condition
D6111 TECHNICAL SUPERVISOR QUALIFICATIONS Standard
▼ 52D0950211 Burlington Clinic Amg 248 Mchenry St Burlington WI 12/09/2020 870611 Standard
Deficiency Tag Deficiency Description Tag Type
D5401 PROCEDURE MANUAL Standard
▼ 52D0950211 Burlington Clinic Amg 248 Mchenry St Burlington WI 05/16/2022 M7EI11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5429 MAINTENANCE AND FUNCTION CHECKS Standard
D5787 TEST RECORDS Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard