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).

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
▼ 52D2152949 Marquette University Schroeder Health Complex Room 267a Milwaukee WI 06/05/2019 JMKM11 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D5305 TEST REQUEST Standard
▼ 52D2152949 Marquette University Schroeder Health Complex Room 267a Milwaukee WI 05/11/2021 128W11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 52D2158186 Dermatology And Cosmetic Physicians, Sc 2102 Continental Dr West Bend WI 09/19/2019 P25D11 Standard
Deficiency Tag Deficiency Description Tag Type
D3031 RETENTION REQUIREMENTS Standard
D5313 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5401 PROCEDURE MANUAL Standard
D6094 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D2158186 Dermatology And Cosmetic Physicians, Sc 2102 Continental Dr West Bend WI 06/30/2021 N6YL11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5313 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
▼ 52D2158186 Dermatology And Cosmetic Physicians, Sc 2102 Continental Dr West Bend WI 04/20/2023 B79411 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 52D2158186 Dermatology And Cosmetic Physicians, Sc 2102 Continental Dr West Bend WI 04/03/2025 6ROQ11 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
▼ 52D2159270 Oakleaf Clinics Ladysmith 1101 Lake Ave W Ladysmith WI 11/05/2024 CEQI11 Standard
Deficiency Tag Deficiency Description Tag Type
D3027 RETENTION REQUIREMENTS Standard
D3031 RETENTION REQUIREMENTS Standard
D3037 RETENTION REQUIREMENTS Standard
D3039 RETENTION REQUIREMENTS Standard
D3041 RETENTION REQUIREMENTS Standard
D6004 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D2163824 Ascension Medical Group-Fox Valley Wisconsin, Inc 5045 W Grande Market Drive Appleton WI 05/02/2024 H3GU11 Standard
Deficiency Tag Deficiency Description Tag Type
D5403 PROCEDURE MANUAL Standard
D5439 CALIBRATION AND CALIBRATION VERIFICATION Standard
D5807 TEST REPORT Standard
▼ 52D2163824 Ascension Medical Group-Fox Valley Wisconsin, Inc 5045 W Grande Market Drive Appleton WI 11/18/2025 4RBP11 Standard
Deficiency Tag Deficiency Description Tag Type
D2006 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D6005 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6010 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 52D2171289 Oakleaf Clinics- Chippewa 855 Lakeland Drive Chippewa Falls WI 03/16/2022 WY3S11 Standard
Deficiency Tag Deficiency Description Tag Type
D5805 TEST REPORT Standard
D6072 TESTING PERSONNEL RESPONSIBILITIES Standard