S&C QCOR CLIA 2567s
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CLIA 2567s
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Time Interval

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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
▼ 52D2136461 Aurora Health Center Oak Creek- Ryan Road 200 E Ryan Road Oak Creek WI 06/26/2018 ZCYE11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5409 PROCEDURE MANUAL Standard
D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 52D2136461 Aurora Health Center Oak Creek- Ryan Road 200 E Ryan Road Oak Creek WI 03/14/2022 04SS11 Standard
Deficiency Tag Deficiency Description Tag Type
D6072 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 52D2136462 Prevea Health- Manitowoc Lab 4810 Expo Dr Manitowoc WI 12/10/2024 JH1R11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6033 TECHNICAL CONSULTANT-MODERATE COMPLEXITY Condition
D6035 TECHNICAL CONSULTANT QUALIFICATIONS Standard
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6108 LABORATORY TECHNICAL SUPERVISOR Condition
D6111 TECHNICAL SUPERVISOR QUALIFICATIONS Standard
▼ 52D2137525 Prevea Health Mondovi 250 State Road 37 Mondovi WI 05/04/2023 8B2011 Standard
Deficiency Tag Deficiency Description Tag Type
D3033 RETENTION REQUIREMENTS Standard
D5473 CONTROL PROCEDURES Standard
▼ 52D2138026 Aspirus Dermatology Clinic 1901 Westwood Center Boulevard Wausau WI 12/19/2019 KE5I11 Standard
Deficiency Tag Deficiency Description Tag Type
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D2138026 Aspirus Dermatology Clinic 1901 Westwood Center Boulevard Wausau WI 01/27/2022 C7E311 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5403 PROCEDURE MANUAL Standard
D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE Standard
▼ 52D2138026 Aspirus Dermatology Clinic 1901 Westwood Center Boulevard Wausau WI 01/19/2024 59O211 Standard
Deficiency Tag Deficiency Description Tag Type
D6046 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
D6076 LABORATORY DIRECTOR Condition
D6079 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D2140776 Froedtert & Mcw Drexel Town Square Laboratory 7901 South 6th Street Oak Creek WI 10/16/2018 K3HL11 Standard
Deficiency Tag Deficiency Description Tag Type
D2007 TESTING OF PROFICIENCY TESTING SAMPLES Standard
▼ 52D2140776 Froedtert & Mcw Drexel Town Square Laboratory 7901 South 6th Street Oak Creek WI 10/07/2020 KMFT11 Standard
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2118 TOXICOLOGY Standard
D5481 CONTROL PROCEDURES Standard
▼ 52D2142306 Gundersen Health System Mohs Laboratory 3111 Gundersen Dr, Suite Con 3168 Onalaska WI 03/27/2024 VONP11 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard