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
▼ 52D0982094 Children's Hospital Of Wi-Fox Valley 130 2nd St Neenah WI 02/04/2025 XTSF11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6035 TECHNICAL CONSULTANT QUALIFICATIONS Standard
▼ 52D0983990 Orthopaedic Hospital Of Wisconsin, Llc 475 W River Woods Pkwy Glendale WI 01/05/2021 1JDH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0983990 Orthopaedic Hospital Of Wisconsin, Llc 475 W River Woods Pkwy Glendale WI 07/22/2024 OD0B11 Standard
Deficiency Tag Deficiency Description Tag Type
D5445 CONTROL PROCEDURES Standard
D5775 COMPARISON OF TEST RESULTS Standard
▼ 52D0989506 Oakleaf Clinics Sc 3802 W Oakwood Mall Dr Eau Claire WI 05/30/2018 1PJC11 Standard
Deficiency Tag Deficiency Description Tag Type
D5447 CONTROL PROCEDURES Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0989506 Oakleaf Clinics Sc 3802 W Oakwood Mall Dr Eau Claire WI 11/17/2020 2XQ211 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
▼ 52D0989506 Oakleaf Clinics Sc 3802 W Oakwood Mall Dr Eau Claire WI 07/22/2022 0WPH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D6055 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0989506 Oakleaf Clinics Sc 3802 W Oakwood Mall Dr Eau Claire WI 07/19/2024 ZULQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
▼ 52D0990491 Hshs St Vincent Hospital Regional Cancer Centers 1726 Shawano Ave Green Bay WI 10/08/2025 93JX11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2014 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D3031 RETENTION REQUIREMENTS Standard
D3041 RETENTION REQUIREMENTS Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5789 TEST RECORDS Standard
D6091 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6177 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 52D0990994 A2cl-Aurora Baycare Medical Center - Kaukauna 1500 Arbor Way Kaukauna WI 07/14/2021 GNC111 Standard
Deficiency Tag Deficiency Description Tag Type
D5437 CALIBRATION AND CALIBRATION VERIFICATION Standard
▼ 52D0991033 Madison Medical Urology 13133 N Port Washington Rd Mequon WI 07/21/2022 XZCN11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D6021 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6029 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6070 TESTING PERSONNEL RESPONSIBILITIES Standard
D6072 TESTING PERSONNEL RESPONSIBILITIES Standard