S&C QCOR CLIA 2567s
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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).

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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
▼ 52D0991033 Madison Medical Urology 13133 N Port Washington Rd Mequon WI 06/26/2024 RYNS11 Standard
Deficiency Tag Deficiency Description Tag Type
D2009 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D3029 RETENTION REQUIREMENTS Standard
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5807 TEST REPORT Standard
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 52D0992317 Bellin Hfmc-East De Pere 555 Redbird Circle Ste 300 De Pere WI 11/08/2021 RWYQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5447 CONTROL PROCEDURES Standard
▼ 52D0992317 Bellin Hfmc-East De Pere 555 Redbird Circle Ste 300 De Pere WI 06/28/2023 JKKF11 Standard
Deficiency Tag Deficiency Description Tag Type
D2004 ENROLLMENT Standard
▼ 52D0992761 Thedacare Physicians Oshkosh 600 N Westhaven Dr Oshkosh WI 06/16/2022 C3P311 Standard
Deficiency Tag Deficiency Description Tag Type
D6072 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 52D0992761 Thedacare Physicians Oshkosh 600 N Westhaven Dr Oshkosh WI 04/30/2024 252Q11 Standard
Deficiency Tag Deficiency Description Tag Type
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 52D0993510 Advanced Dermatology Inc 412 18th Ave Monroe WI 08/03/2023 UPTG11 Standard
Deficiency Tag Deficiency Description Tag Type
D5313 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
▼ 52D0993510 Advanced Dermatology Inc 412 18th Ave Monroe WI 06/09/2025 03UH11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5313 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5401 PROCEDURE MANUAL Standard
D6083 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0997714 Ssm Health Dean Medical Group - Columbus 1513 Park Ave Columbus WI 01/09/2026 BF8I11 Standard
Deficiency Tag Deficiency Description Tag Type
D6010 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D0997907 Oakleaf Clinics Pine Grove Family Medicine 2741 N Clairemont Ave Ste D Eau Claire WI 10/15/2019 29CJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
D5807 TEST REPORT Standard
▼ 52D1003929 Aurora Health Center Marinette 4061 Old Peshtigo Rd Marinette WI 04/06/2021 H8PR11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard