THE JACKSON LABORATORY
NPI 1609205483
Clinical Medical Laboratory in Farmington, CT

Active since November 02, 2013CLIA 05D2280705 · Waiver
10 DISCOVERY DR, FARMINGTON, CT 06032(860) 837-2300 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Jackson Laboratory NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE JACKSON LABORATORY (NPI 1609205483) is a healthcare organization registered as a clinical medical laboratory in Farmington, Connecticut and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Richard Lussier, Program Director, Clinic Genomics, as its authorized official.

NPPES Registry Identity

NPI1609205483
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameTHE JACKSON LABORATORY
Location Address10 DISCOVERY DRFarmington, CT 06032-2374
Mailing Address610 Main StBar Harbor, ME 04609-1526 · (207) 288-6000
Organization SubpartNo
Authorized OfficialRichard LussierProgram Director, Clinic Genomics · (860) 837-2131
Enumeration DateNovember 2, 2013
Last NPPES UpdateJanuary 30, 2023
NPPES CertifiedJanuary 30, 2023
NPI 1609205483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in CT · CL-0695
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
10 DISCOVERY DR, Farmington, CT 06032

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2280705

The Jackson Laboratory Onsite · Sacramento, CA
Active · expires Apr 24, 2027
CLIA Number05D2280705
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorMichael Tenison
Laboratory Phone(207) 288-6000
Laboratory LocationThe Jackson Laboratory Onsite1650 Santa Ana Ave, Sacramento, CA 95838
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Jackson Laboratory's NPI number?

The NPI number for The Jackson Laboratory is 1609205483. It was assigned to this organization in the NPPES registry on November 2, 2013.

Where is The Jackson Laboratory located?

The Jackson Laboratory is located at 10 Discovery Dr, Farmington, CT 06032. The listed phone number is (860) 837-2300.

What is The Jackson Laboratory's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does The Jackson Laboratory hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2280705) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for The Jackson Laboratory was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.