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Clinical Lab Services Market (Growth Opportunities, Competitive Analysis and Competitor Profiles)



The market for clinical lab services is dynamic. It is estimated that approximately 80% of physician's diagnoses are a result of laboratory tests, and a fair number of these tests are sent to clinical lab service providers. There is constant pressure to reduce healthcare spending, and that in turn is shifting healthcare utilization in favor of the laboratory. This has not escaped the attention of major competitors who operate in the industry, and those planning to enter.

Clinical Laboratory Services (Markets, Growth Opportunities, Competitive Analysis and Competitor Profiles), provides an in-depth market overview, a total market analysis, analysis by laboratory type, and by routine and specialty testing and a review of the latest trends driving growth. Revenues and forecasts, segment breakouts and market share presented are for the U.S. market, but international clinical lab service markets are estimated and forecasted in this report. Key market data provided includes:

  • Hospital, Physician and Independent Lab Statistics
  • Major Tests Performed by Clinical Lab Companies
  • Disease Incidence and Trends Driving Lab Business
  • Market Forecast to 2018
  • Geographic Breakout of Clinical Lab Services Market (includes US, Europe Asia with specific breakouts for Germany, Japan, China, India and Brazil)
  • Market Breakdown by Lab Type (Hospital, Physician, Independent)
  • Market Breakdown by Test Type (Specialty, Routine)
  • US Market Share of Competitors
  • Competitive Analysis of Leading clinical Lab Providers
A trend towards preventive and risk factor testing has been noted in several disciplines, particularly in the areas of oncology, endocrinology, and gynecology. Physicians in these areas are taking full advantage of testing for early detection and disease prevention. Some of the other issues and trends explored in this study include:
  • U.S. Demographics
  • Types of Specialty Tests
  • Growing Competition
  • Increasing Life Expectancy
  • Growing Incidence of Disease
  • New Product Offerings
  • Regulatory Environment
  • Insurance and Reimbursement
  • Payer Types
  • Developments in Personalized Medicine


  • A competitive analysis of leading clinical laboratory providers includes:
  • Quest Diagnostics, Inc.
  • Laboratory Corporation of America (LabCorp)
  • Genomic Health
  • Genoptix, Inc.
  • Genzyme Corporation
  • DaVita
  • Clarient, Inc.
  • Spectra Laboratories
  • Bio-Reference Laboratories
The information in this report is the result of interviews with executives and market experts, as well as thorough research of secondary sources such as company literature, trade publications and medical and business journals. The emphasis Kalorama puts on primary research guarantees that new insights will be uncovered that are not available from any other source. The most important part of Kalorama's efforts is its superior analysis of company activities and their true significance in the marketplace.

 Historical data was provided for the years 2008- 2012, with forecast data provided for 2013 through 2017. A competitive analysis is provided for the year 2013. The forecasted market analysis for 2013-2017 was largely based on demographic trends, new developments, company performance trends, mergers and acquisitions, and national expansion.


  • Executive Summary
    • INDUSTRY AT A GLANCE
    • SCOPE ANDMETHODOLOGY
    • WORLD MARKET SUMMARY
      • Table World Clinical Laboratory Market Analysis, 2008-2018 (in millions of dollars at the manufacturer's level)
    • THE U.S. CLINICAL LABORATORY MARKET
      • Table U.S. Clinical Laboratory Market Analysis, 2008-2018 (in millions of dollars at the manufacturer's level)
    • KEY ISSUES AND TRENDS AFFECTING THE MARKET
    • LEADING MARKET PARTICIPANTS
  • Industry Overview
    • CLINICAL LABORATORY DESCRIPTION
    • TESTING AND SERVICES
      • Routine Testing
        • Table Laboratory Reference Parameters for CBC
        • Table High Cholesterol Risk Categories
        • Table HCG Levels in Pregnant Women by Days Past Ovulation
        • Table Substance Detection Periods by Test Method
        • Table Normal Reference Levels in a Medical Urinalysis
      • Specialty Testing
      • Industry Structure
      • Hospital-based Laboratories
        • Table U.S. Registered Hospitals by Type, 2008 through 2011
        • Table Statistics for U.S. Hospitals, 2011
        • Table Leading For-Profit U.S. Hospital Chains, 2010 and 2012
        • Table U.S. Hospital Length of Stay, Average by Age Group
        • Table Registered Hospitals and Acute Care Centers by Country
        • Table Average International Length of Stay for Acute Care Centers, by Country 2011
      • Physician-office Laboratories
        • Table Physicians in the U.S. by Specialty, 1970-2010
        • Table Medical Doctors per 1,000 Population by Country, 2011
      • Independent Clinical Laboratories
        • Table Leading U.S. Independent Laboratory Groups, mid-2013
      • CLIA Laboratory Registration, Laboratories by Type
        • Table CLIA Registered Laboratories by Type of Facility (Exempt/Non-Exempt Combined) June 2013
  • Issues and Trends in the Clinical Laboratory Industry
    • ISSUES AND TRENDS OVERVIEW
    • DEMOGRAPHICS
      • Global Demographics
        • Table The Global Population, 1980-2050
        • Table Global Population Trends Age 65+, 2000-2050
      • U.S. Demographics
        • Table The U.S. Population, 1980-2050
        • Table Percent U.S. Population Over Age 65 by Year, 2000-2050
      • Life Expectancy
        • Table Average Life Expectancy in Years by Country 1980 and 2012
    • INCIDENCE OF DISEASES
      • Table U.S. Prevalence of Selected Medical Conditions
    • SURGICAL PROCEDURE VOLUMES
      • Table Surgical Procedures in the United States, by Procedure Category, 2010
    • REGULATORY OVERVIEW
      • Certificate of Waiver
        • Table Selected CLIA Waived Laboratory Tests
      • Certificate of Provider-Performed Microscopy Procedures (PPMP)
        • Table Provider-Performed Microscopy Procedures
      • Certificate of Compliance and Certificate of Accreditation
        • Table Clinical Laboratory Certificates Issued by Type (non-exempt laboratories only), June 2013
      • States Exempt from Federal Clinical Laboratory Improvements Amendments (CLIA) of 1988
        • Table CLIA Exempt States, Number of Laboratories, June 2013
    • INSURANCE AND REIMBURSEMENT
      • Table Health Insurance Trends in the United States, Estimated 2010* (millions)
      • Laboratory Service Payer Types
        • Table U.S. Clinical Laboratory Clients and Payers by Type, 2013 (%)
      • Trends in Medicare Reimbursement
        • Table Medicare Reimbursement Trends, 2009 vs. 2013
      • Health Care Reform
      • Bundled Insurance Payments for ESRD Patients
        • Table ESRD-Related Laboratory Tests Included in New Bundle Payment Structure
        • Table Comparison Between New Bundled and Composite Medicare Reimbursement Program (1983-2010 and 2011+)
      • HIPPA
      • Commercial Insurance Providers
        • Table Leading Commercial Insurance Providers, 2012
    • NEW DEVELOPMENTS IN INFORMATION TECHNOLOGY
      • Table Leading Laboratory Information Management System Providers
      • Table Release of Laboratory Test Results Directly to Patients, by State
  • Leading Market Participants
    • SUMMARY
    • BIO-REFERENCE LABORATORIES
      • Company Overview
        • Table Corporate Details of Bio-Reference Laboratories
      • Performance Review
      • Key Acquisitions, Alliances, and Partnerships
      • Products and Services
      • Growth Strategy
      • Locations
    • CLARIENT, INC. (AGEHEALTHCARE COMPANY)
      • Company Overview
        • Table Company Details for Clarient
      • Performance Review
      • Key Acquisitions, Alliances, and Partnerships
      • Products and Services
      • Locations
    • DAVITA HEALTHCARE PARTNERS, INC.
      • Company Overview
        • Table Corporate Details of DaVita
      • Performance Review
      • Key Acquisitions, Alliances, and Partnerships
      • Products and Services
      • Growth Strategy
      • Locations
    • GENOMIC HEALTH, INC.
      • Company Overview
        • Table Corporate Details of Genomic Health
      • Performance Review
      • Key Acquisitions, Alliances, and Partnerships
      • Products and Services
      • Growth Strategy
      • Locations
    • GENOPTIX, INC.
      • Company Overview
        • Table Company Details for Genoptix
      • Performance Review
      • Products and Services
      • Growth Strategy
      • Locations
    • LABORATORY CORPORATION OF AMERICA
      • Company Overview
        • Table Corporate Details of Laboratory Corporation of America
      • Performance Review
      • Key Acquisitions, Alliances, and Partnerships
      • Products and Services
      • Growth Strategy
      • Locations
    • MYRIAD GENETICS, INC.
      • Company Overview
        • Table Corporate Details for Myriad Genetics
      • Performance Review
      • Key Acquisitions, Alliances, and Partnerships
      • Products and Services
      • Growth Strategy
      • Locations
    • QUEST DIAGNOSTICS, INC.
      • Company Overview
        • Table Corporate Details of Quest Diagnostics
      • Performance Review
      • Key Acquisitions, Alliances, and Partnerships
      • Products and Services
      • Growth Strategy
      • Business Locations
    • SPECTRA LABORATORIES
      • Company Overview
        • Table Company Details for Spectra Laboratories
      • Performance Review
      • Key Acquisitions, Alliances, and Partnerships
      • Products and Services
      • Growth Strategy
      • Locations
  • Market Trends and Summary
    • WORLD MARKET OVERVIEW
      • Table World Clinical Laboratory Market Analysis, 2008-2018 (in millions of dollars at the manufacturer's level)
    • U.S.MARKET OVERVIEW
      • Table U.S. Clinical Laboratory Market Analysis, 2008-2018 (in millions of dollars at the manufacturer's level)
      • Market Analysis by Laboratory Type
        • Table U.S. Clinical Laboratory Market Analysis by Laboratory Type, 2008-2018 (in millions of dollars at the manufacturers' level)
      • Market Analysis by Test Type
        • Table U.S. Clinical Laboratory Market Analysis by Test Type, 2008-2018 (in millions of dollars at the manufacturers' level)
      • Routine Testing
      • Specialty Testing
    • U.S. COMPETITIVE ANALYSIS
      • Table Estimated U.S. Laboratory Service Revenues and Market Share of Leading Clinical Laboratory Providers 2013
    • INTERNATIONAL MARKET OVERVIEW
      • Table Global Clinical Laboratory Market Analysis, Revenues by Region, 2013
      • International Markets and Trends
      • Asia Pacific
      • Europe and Middle East
      • Latin America
  • List of Major Companies and Organizations
  • State CLIA Offices

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