36D0885774 CLIA NUMBER - THOMAS W ERICKSEN MD

Laboratory Demographics

  • CLIA Code: 36D0885774
  • Facility Name: THOMAS W ERICKSEN MD
  • Facility Address: 1835 EAST HIGH STREET
    SPRINGFIELD, OH
    ZIP 45505
  • Facility Phone: 513 323-2110
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: THOMAS W. ERICKSEN MD
  • NPI Number: 1902318637
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 36D0885774
LAB Type Physician Office
Facility Name THOMAS W ERICKSEN MD
Street 1835 EAST HIGH STREET
City SPRINGFIELD
State OH
ZIP 45505
Phone 513 323-2110
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/6/2025
Certificate Expiration Date 2/5/2027
Facility Type Physician Office
Lab Director THOMAS W. ERICKSEN MD

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This page was last updated on: 9/29/2025