Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COLLABORATIVE LABORATORY SERVICES LLC
NPI 1629082920
Clinical Medical Laboratory in Hartford, CT

Active since July 29, 2006CLIA 07D2047913 · Accreditation
114 WOODLAND ST FL 5, HARTFORD, CT 06105(860) 714-2802 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2026, Jul 10, 2018 (2 updates tracked since 2018).

About Collaborative Laboratory Services Llc NPPES

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

COLLABORATIVE LABORATORY SERVICES LLC (NPI 1629082920) is a healthcare organization registered as a clinical medical laboratory in Hartford, Connecticut and active in the NPI registry since July 2006. The organization holds an CLIA Accreditation certificate valid through July 2, 2027 and lists Antonio Perugino, Vp Of Finance & Cfo, as its authorized official.

NPPES Registry Identity

NPI1629082920
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameCOLLABORATIVE LABORATORY SERVICES LLC
Location Address114 WOODLAND ST FL 5Hartford, CT 06105-1208
Mailing Address114 Woodland StHartford, CT 06105-1208
Organization SubpartNo
Authorized OfficialAntonio PeruginoVp Of Finance & Cfo · (860) 714-4714
Enumeration DateJuly 29, 2006
Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
NPI 1629082920 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-0623
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.
114 WOODLAND ST FL 5, Hartford, CT 06105

Other Identifiers 3

Other070CL0623CT01CT · Anthem Blue Cross
Other2V4067CT · Healthnet
Medicaid004225597CT

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 Accreditation 07D2047913

Collaborative Laboratory Services Cancer Center Laboratory · Hartford, CT
Active · expires Jul 2, 2027
CLIA Number07D2047913
Laboratory TypeHospital
Certificate Effective DateJuly 3, 2025
Certificate Expiration DateJuly 2, 2027
Laboratory DirectorDr. Maria A. Gorgan
Laboratory Phone(860) 714-6355
Laboratory LocationCollaborative Laboratory Services Cancer Center Laboratory114 Woodland St Attn - Kathleen Luczyk, Hartford, CT 06105
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Areas of Expertise CMS Part B claims 204

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
11,293 services5,452 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
6,279 services3,940 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
5,113 services3,594 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
3,425 services2,920 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
3,277 services2,033 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
2,521 services2,055 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
114 WOODLAND ST FL 5
HARTFORD, CT 06105
Physician Assistant
114 WOODLAND ST FL 5
HARTFORD, CT 06105

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 Collaborative Laboratory Services LLC's NPI number?

The NPI number for Collaborative Laboratory Services LLC is 1629082920. It was assigned to this organization in the NPPES registry on July 29, 2006.

Where is Collaborative Laboratory Services LLC located?

Collaborative Laboratory Services LLC is located at 114 Woodland St Fl 5, Hartford, CT 06105. The listed phone number is (860) 714-2802.

What is Collaborative Laboratory Services LLC's specialty?

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

Does Collaborative Laboratory Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 07D2047913) is associated with this NPI, valid through July 2, 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 Collaborative Laboratory Services LLC was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.