National totals
| Active NPI records | 19,120 |
| Registered sole proprietors | 644 (3.4%) |
| NUCC taxonomy code | 291U00000X |
| Grouping | Laboratories |
What this specialty covers
(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 he
Reading the sole-proprietor share
Among these clinical laboratory records, the reported 3.4% sole-proprietor share indicates the portion flagged that way in NPPES, not the exact portion operating in private practice. Clinical laboratories may use different organizational structures, and the sole-proprietor field is self-reported, so it is an imperfect proxy for ownership or practice setting and may be missing, outdated, or based on an organization's reporting choice.
By state
| State | Active NPIs | Sole proprietors | Share |
|---|---|---|---|
| Texas | 2,736 | 69 | 2.5% |
| California | 1,947 | 62 | 3.2% |
| Florida | 1,393 | 45 | 3.2% |
| Illinois | 1,116 | 31 | 2.8% |
| Georgia | 585 | 40 | 6.8% |
| North Carolina | 571 | 23 | 4.0% |
| Ohio | 523 | <11 | not reported |
| Colorado | 494 | 12 | 2.4% |
| Michigan | 440 | 11 | 2.5% |
| Pennsylvania | 439 | <11 | not reported |
| New York | 432 | 15 | 3.5% |
| Arizona | 427 | 12 | 2.8% |
| Maryland | 423 | 15 | 3.5% |
| Washington | 417 | <11 | not reported |
| Virginia | 391 | 13 | 3.3% |
| Kentucky | 379 | <11 | not reported |
| New Jersey | 358 | 16 | 4.5% |
| Louisiana | 322 | 14 | 4.3% |
| Missouri | 311 | <11 | not reported |
| Tennessee | 283 | 15 | 5.3% |
| Indiana | 279 | <11 | not reported |
| Alabama | 266 | 11 | 4.1% |
| West Virginia | 259 | <11 | not reported |
| Massachusetts | 250 | <11 | not reported |
| Oklahoma | 218 | <11 | not reported |
| Wisconsin | 201 | <11 | not reported |
| South Carolina | 189 | 16 | 8.5% |
| Oregon | 182 | <11 | not reported |
| Mississippi | 177 | 11 | 6.2% |
| Kansas | 176 | <11 | not reported |
| Minnesota | 150 | <11 | not reported |
| Connecticut | 140 | <11 | not reported |
| Nevada | 138 | <11 | not reported |
| Utah | 127 | <11 | not reported |
| Arkansas | 119 | <11 | not reported |
| Iowa | 104 | <11 | not reported |
| Idaho | 89 | <11 | not reported |
| Nebraska | 85 | <11 | not reported |
| New Mexico | 69 | <11 | not reported |
| Hawaii | 66 | <11 | not reported |
| Wyoming | 55 | <11 | not reported |
| Montana | 47 | <11 | not reported |
| North Dakota | 44 | <11 | not reported |
| South Dakota | 43 | <11 | not reported |
| New Hampshire | 42 | <11 | not reported |
| Maine | 29 | <11 | not reported |
| Delaware | 28 | <11 | not reported |
| District of Columbia | 26 | <11 | not reported |
| Rhode Island | 24 | <11 | not reported |
| Alaska | 24 | <11 | not reported |
| Vermont | 18 | <11 | not reported |
New NPI registrations by year
| Year first enumerated | NPIs |
|---|---|
| 2017 | 548 |
| 2018 | 537 |
| 2019 | 498 |
| 2020 | 779 |
| 2021 | 1,049 |
| 2022 | 1,615 |
| 2023 | 765 |
| 2024 | 604 |
| 2025 | 919 |
| 2026 (partial year) | 21 |
Counts reflect the year each NPI was first issued, among records still active today. The final year is partial: this data covers through 2026-01-11.
Data notes
- The sole-proprietor field is self-reported by the provider in NPPES and is an imperfect proxy for private practice.
- A sole-proprietor count shown as <11 is suppressed: the true value is below 11, which could include zero.
- NPI records are not a census of distinct laboratory locations, companies, or service capacity.
- Taxonomy selection, NPI status, and sole-proprietor reporting can be missing, outdated, or changed in NPPES.
- State counts use NPI registration information and may not represent every location where a laboratory provides services.
- Providers are counted once, by their primary taxonomy code only.
Common questions
How many clinical medical laboratories are there in the United States?
There are 19,120 active NPI records nationally with Clinical Medical Laboratory as the primary taxonomy. This is a count of NPI records, not necessarily a count of distinct laboratory sites or operating companies.
How many clinical medical laboratories are in private practice?
NPPES flags 644 records, or 3.4%, as sole proprietors. This is an imperfect proxy for private practice because the field is self-reported and does not capture every aspect of ownership or operating structure.
Which states have the most clinical medical laboratories?
The largest state counts are Texas with 2,736, California with 1,947, Florida with 1,393, Illinois with 1,116, and Georgia with 585.
How many Clinical Medical Laboratory NPIs were first enumerated in recent years?
The counts were 604 in 2024, 919 in 2025, and 21 in 2026. First enumeration indicates when an NPI record was created, not necessarily when a laboratory opened or began operating.
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