S&C QCOR CLIA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
CLIA 2567s
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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
52D0968924 Consultants Laboratory Of Wi, Llc 145 N Main St Fond Du Lac WI 12/14/2021 MQR811 Standard
Deficiency Tag Deficiency Description Tag Type
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
52D0968924 Consultants Laboratory Of Wi, Llc 145 N Main St Fond Du Lac WI 10/19/2023 J98J11 Standard
Deficiency Tag Deficiency Description Tag Type
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6102 LABORATORY DIRECTOR RESPONSIBILITIES Standard
52D0970975 Stillwater Medical Group 700 Rivard St Somerset WI 01/09/2024 VHUV11 Standard
Deficiency Tag Deficiency Description Tag Type
D5807 TEST REPORT Standard
52D0976167 Primary Care Associates Of Appleton, Ltd 3916 N Intertech Ct Appleton WI 09/28/2022 RXJ211 Standard
Deficiency Tag Deficiency Description Tag Type
D2010 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D5445 CONTROL PROCEDURES Standard
D5545 HEMATOLOGY Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6051 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
52D0976606 Aurora Health Care Metro Inc - Racine 8400 Washington Ave, Ste 203 Racine WI 02/06/2023 GSVY11 Standard
Deficiency Tag Deficiency Description Tag Type
D3029 RETENTION REQUIREMENTS Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6177 TESTING PERSONNEL RESPONSIBILITIES Standard
52D0978594 Bellin Health Brillion 235 East Ryan Street Brillion WI 10/29/2018 ZHSK11 Standard
Deficiency Tag Deficiency Description Tag Type
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6054 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
52D0978594 Bellin Health Brillion 235 East Ryan Street Brillion WI 11/08/2022 0EGO11 Standard
Deficiency Tag Deficiency Description Tag Type
D6072 TESTING PERSONNEL RESPONSIBILITIES Standard
52D0979989 Aurora Health Care Metro Inc - Kenosha South 6811 118th Ave Kenosha WI 04/25/2023 ZV1911 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
52D0979989 Aurora Health Care Metro Inc - Kenosha South 6811 118th Ave Kenosha WI 02/19/2025 4KRW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
52D0981226 Progressive Community Health Centers, Inc 3522 W Lisbon Ave Milwaukee WI 10/31/2024 GQSI11 Complaint
Deficiency Tag Deficiency Description Tag Type
D8100 INSPECTION REQUIREMENTS Condition
D8201 INSPECTION OF COW OR PPMP LABS Standard