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
▼ 52D1023301 Urology Associates Of Green Bay Sc 720 S Van Buren St Ste 301 Green Bay WI 07/03/2024 SD1W11 Standard
Deficiency Tag Deficiency Description Tag Type
D5213 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5431 MAINTENANCE AND FUNCTION CHECKS Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D6019 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6063 LABORATORY TESTING PERSONNEL Condition
D6065 TESTING PERSONNEL QUALIFICATIONS Standard
D6070 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 52D1031844 Labworks Llc 1630 Miller Park Way West Milwaukee WI 01/30/2018 9T1Q11 Standard
Deficiency Tag Deficiency Description Tag Type
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 52D1032849 Amg Brown County (Bay Settlement) 4070 Equestrian Rd New Franken WI 09/27/2018 VE3U11 Standard
Deficiency Tag Deficiency Description Tag Type
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 52D1033597 Madison Medical Affiliates Inc N4 22370 W Bluemound Rd, Suite 200 Waukesha WI 08/04/2022 IDTN11 Standard
Deficiency Tag Deficiency Description Tag Type
D5203 SPECIMEN IDENTIFICATION AND INTEGRITY Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
▼ 52D1036055 Aurora Sheboygan Clinic 2414 Kohler Memorial Dr Sheboygan WI 11/20/2025 KZRT11 Standard
Deficiency Tag Deficiency Description Tag Type
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
D5821 TEST REPORT Standard
▼ 52D1040142 Oconto Hospital And Medical Center 820 Arbutus Ave Oconto WI 11/27/2018 51NE11 Standard
Deficiency Tag Deficiency Description Tag Type
D2005 ENROLLMENT Standard
▼ 52D1040142 Oconto Hospital And Medical Center 820 Arbutus Ave Oconto WI 04/07/2021 82IC11 Standard
Deficiency Tag Deficiency Description Tag Type
D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5441 CONTROL PROCEDURES Standard
▼ 52D1040142 Oconto Hospital And Medical Center 820 Arbutus Ave Oconto WI 02/15/2023 VCNW11 Standard
Deficiency Tag Deficiency Description Tag Type
D5407 PROCEDURE MANUAL Standard
D5807 TEST REPORT Standard
▼ 52D1040623 Gundersen Lutheran Mohs North Lab 3111 Gundersen Dr Onalaska WI 11/24/2020 YN8111 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 52D1040835 Biomat Usa, Inc 6530 N 76th St Milwaukee WI 03/19/2024 U8X211 Standard
Deficiency Tag Deficiency Description Tag Type
D5301 TEST REQUEST Standard