CLIA lab
CLIA 36D0885774: Thomas W Ericksen MD
Springfield, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D0885774 belongs to Thomas W Ericksen MD in Springfield, OH.
Certificate for Provider-Performed Microscopy Procedures, effective February 6, 2025, expires February 5, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- February 6, 2025
- Certificate expiration
- February 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 2, 1994
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 36D0885774
- Lab name
- Thomas W Ericksen MD
- Address
- 1835 East High Street, Springfield, OH 45505
- Phone
- (513) 323-2110
Annual test volume the lab reported
- Waived tests
- 175
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Anew Behavioral Health, LLCCertificate of Waiver, Other36D2290397
- Anew Behavioral Health, LLCCertificate of Waiver, Other36D2344313
- Autumn Behavioral Health CenterCertificate of Waiver, Community clinic36D2337746
- Brightview, LLC - SpringfieldCertificate of Waiver, Physician office36D2166385
- Brookdale Buck CreekCertificate of Waiver, Assisted living facility36D2054350
- Challa Ajit MD LLCCertificate of Waiver, Physician office36D1062943
- Champion City Home Health Care LLCCertificate of Waiver, Home health agency36D2255404
Related
Questions
What is the CLIA number for Thomas W Ericksen MD in Springfield?
36D0885774, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Thomas W Ericksen MD hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 36D0885774 expire?
The CMS file lists February 5, 2027 as the certificate expiration date; the certificate took effect February 6, 2025.