Government Medical Laboratories Contracts
NAICS 621511 · Medical Laboratories
Government medical laboratories contracts totaled $1.1B across 5,702 awards from FY2024 to FY2026. Obligations were down 37.5% in FY2026 vs FY2025, and the Department of Veterans Affairs was the largest buyer, accounting for $736M (64% of the total) during the period.
Key figures
In FY2026, contract obligations were $287,084,290 across 2,425 awards with activity that year, a change of -37.5% from $459,594,860 in FY2025. From FY2024 to FY2026, obligations totaled $1,144,457,605 across 5,702 awards.
- Obligated in FY2026
- $287M
- Awards in FY2026
- 2,425
- Change vs FY2025
- -37.5%
- Total, FY2024 to FY2026
- $1.1B
Note: FY2026 ended on Sep 30, 2026. The Department of Defense publishes contract data with a 90-day delay, so FY2026 totals may still rise as late reports arrive.
Medical Laboratories contract spending by year
Federal medical laboratories contracts per fiscal year (October to September), under NAICS 621511. The table below lists the same numbers.
| Fiscal year | Obligated | Awards | Change |
|---|---|---|---|
| FY2026 | $287,084,290 | 2,425 | -37.5% |
| FY2025 | $459,594,860 | 2,789 | +15.5% |
| FY2024 | $397,778,455 | 3,139 | n/a |
About government medical laboratories contracts
Federal spending on medical laboratories contracts fell 28% from FY2024 ($398M) to FY2026 ($287M), peaking in FY2025. FY2026 closed recently, and Defense Department contracts are reported up to 90 days late, so its total may still rise.
Spending is fairly concentrated: the top 3 contractors account for 55% of the total. No single company dominates, which leaves room for new and small contractors.
The Department of Veterans Affairs spends the most on medical laboratories contracts (64%), followed by the Department of Defense. The states with the most of this work are Maryland, Virginia and North Carolina.
NAICS 621511 (Medical Laboratories) is part of the Health Care and Social Assistance sector.
Top medical laboratories government contractors
Companies ranked by contract dollars under NAICS 621511 (Medical Laboratories).
| # | Contractor | Obligated | Share |
|---|---|---|---|
| 1 | Laboratory Corporation of America | $278,969,195 | 24.4% |
| 2 | Quest Diagnostics Incorporated | $260,189,652 | 22.7% |
| 3 | Foundation Medicine, Inc. | $88,767,412 | 7.8% |
| 4 | Sna International LLC | $53,741,761 | 4.7% |
| 5 | Center for Disease Detection, LLC | $35,986,486 | 3.1% |
| 6 | Baylor Miraca Genetics Laboratories LLC | $23,663,194 | 2.1% |
| 7 | Arup Laboratories Inc | $23,084,455 | 2.0% |
| 8 | Tempus AI, Inc | $21,336,671 | 1.9% |
| 9 | Mayo Collaborative Services, Inc. | $21,268,130 | 1.9% |
| 10 | Laboratory Corporation of America | $19,420,381 | 1.7% |
Agencies buying medical laboratories services
Federal agencies ranked by contract dollars under NAICS 621511.
| # | Agency | Obligated | Share |
|---|---|---|---|
| 1 | Department of Veterans Affairs | $736,258,903 | 64.3% |
| 2 | Department of Defense | $389,047,909 | 34.0% |
| 3 | Department of Justice | $31,880,651 | 2.8% |
| 4 | Department of State | $14,988,564 | 1.3% |
| 5 | Agency for International Development | $12,846,610 | 1.1% |
| 6 | Department of Transportation | $3,003,001 | 0.3% |
| 7 | Department of the Interior | $2,578,736 | 0.2% |
| 8 | National Aeronautics and Space Administration | $1,190,676 | 0.1% |
| 9 | Department of Agriculture | $469,419 | <0.1% |
| 10 | Department of Homeland Security | $362,676 | <0.1% |
Where medical laboratories contract work is performed
States ranked by contract dollars, using the place of performance on each award.
| # | State | Obligated | Share |
|---|---|---|---|
| 1 | Maryland | $103,649,613 | 9.1% |
| 2 | Virginia | $89,734,786 | 7.8% |
| 3 | North Carolina | $85,078,839 | 7.4% |
| 4 | Texas | $83,442,650 | 7.3% |
| 5 | New Jersey | $80,590,709 | 7.0% |
| 6 | Massachusetts | $66,121,584 | 5.8% |
| 7 | Hawaii | $65,847,703 | 5.8% |
| 8 | Illinois | $48,493,618 | 4.2% |
| 9 | Arizona | $40,955,010 | 3.6% |
| 10 | Florida | $37,006,313 | 3.2% |
Recent medical laboratories contract awards
The latest medical laboratories contracts, newest first. Each award ID links to its record on USAspending.gov.
| Start date | Recipient | Agency and description | Amount | Record |
|---|---|---|---|---|
| Sep 30, 2026 | Miscellaneous Foreign Awardees | Department of StateLR26100 PREVENTIVE AND CURATIVE MAINTENANCE FACSCANTO II | $15,700 | 191V1026P0863 |
| Sep 30, 2026 | Miscellaneous Foreign Awardees | Department of StateLR26060 GENOTYPING REAGENTS AND CONSUMABLES | $25,186 | 191V1026P0860 |
| Sep 30, 2026 | Research Triangle Institute | Department of Health and Human ServicesCHARACTERIZATION AND STABILITY ASSESSMENT OF ADDITIVES IN ENDS PRODUCTS | $1,319,219 | 75F40126F19010 |
| Sep 30, 2026 | Baylor Miraca Genetics Laboratories LLC | Department of Veterans AffairsGERMLINE PGX MOLECULAR TESTING | YEAR 3 | $11,387,675 | 36C10X26N0164 |
| Sep 29, 2026 | Miscellaneous Foreign Awardees | Department of StateLR26063 PURCHASE OF CRYOSTORAGE SYSTEM EQUIPMENT | $26,346 | 191V1026P0791 |
| Sep 29, 2026 | Miscellaneous Foreign Awardees | Department of StateLR26092 PURCHASE OF A FULL SET OF AUTOMATED CELLS ANALYZER | $121,530 | 191V1026P0787 |
| Sep 29, 2026 | Quest Diagnostics Incorporated | Department of Health and Human ServicesNHDP172 C 7569 BPA CALL(S): LABORATORY TESTING SERVICES | $143,873 | 75R60126F35006 |
| Sep 29, 2026 | Laboratory Corporation of America | Department of Veterans AffairsREFERENCE LABORATORY SERVICES TASK ORDER | $7,323,866 | 36C24426N1083 |
| Sep 29, 2026 | Quest Diagnostics Incorporated | Department of Veterans AffairsQUEST DIAGNOSTICS - HEMATOLOGY MOLECULAR TESTING SERVICES | $3,500,000 | 36C10X26F0094 |
| Sep 29, 2026 | Laboratory Corporation of America | Department of Veterans AffairsLABCORP - HEMATOLOGY MOLECULAR TESTING SERVICES | $3,500,000 | 36C10X26F0093 |
| Sep 28, 2026 | Pacific Edge Diagnostics USA LTD | Department of Veterans AffairsCXBLADDER TESTING SERVICES | $258,745 | 36C25526N0461 |
| Sep 25, 2026 | DST Innovation GMBH | Department of StateMOBILE LABS 3EA | $2,510,640 | 19GE5026P0141 |
| Sep 25, 2026 | DST Innovation GMBH | Department of StateMOBILE LABS | $1,875,960 | 19GE5026P0134 |
| Sep 25, 2026 | The Johns Hopkins University | Department of Health and Human ServicesTHE THERAPEUTIC ROLE OF SOLUBLE ADENYLYL CYCLASE INHIBITION IN AMELIORATING INFLAMMATORY VASCULAR REMODELING IN PULMONARY ARTERIAL HYPERTENSION | $34,000 | 75N98026P01476 |
| Sep 25, 2026 | Redwood Toxicology Laboratory, Inc. | Department of Veterans AffairsURINE TOXICOLOGY SCREENING SERVICES | $56,932 | 36C24126N0686 |
| Sep 25, 2026 | Foundation Medicine, Inc. | Department of Veterans AffairsTASK ORDER FOR TUMOR MOLECULAR TESTING. | $22,000,000 | 36C10G26F0017 |
| Sep 24, 2026 | Histoserv, Inc | Department of Health and Human ServicesNIMH: SERVICE: COMPLETE NEUROPATHOLOGICAL ASSESSMENT OF AGED DONORS IN THE HBCC COLLECTION: NON-SEVERABLE | $119,907 | 75N98026P01870 |
| Sep 23, 2026 | Foundation Medicine, Inc. | Department of Veterans AffairsHEMATOLOGIC MALIGNANCIES TESTING | $67,300 | 36C25026C0159 |
| Sep 23, 2026 | Sanguine Biosciences, Inc | Department of CommerceOU63-FY26-278-NEW BLOOD COLLECTION SAMPLE SERVICES. | $100,000 | 1333ND26PNB640598 |
| Sep 22, 2026 | Metabolon, Inc. | Department of Health and Human ServicesMETABOLOMIC ANALYSIS OF THE EFFECTS OF PHENYLBUTYRATE (PB) IN PATIENTS WITH MYALGIC ENCEPHALOMYELITIS/CHRONIC FATIGUE SYNDROME (ME/CFS) | $41,400 | 75N98026P01474 |
| Sep 22, 2026 | Cytopath Biopsy Lab Inc | Department of Veterans AffairsTHYROSEQ TESTING - WEST HAVEN | $45,000 | 36C24126N0956 |
| Sep 21, 2026 | 10x Genomics, Inc. | Department of Health and Human ServicesNHGRI - GEM-X UNIVERSAL 5 GENE EXPRESSION | $119,915 | 75N98026P01778 |
| Sep 21, 2026 | Siemens Healthcare Diagnostics Inc. | Department of Health and Human ServicesSIEMENS COAGULATION SERVICE AND MAINTENANCE AGREEMENT FOR RED LAKE | $3,895 | 75H70526P00042 |
| Sep 21, 2026 | Cytopath Biopsy Lab Inc | Department of Veterans AffairsMOLECULAR THYROID TESTING FIRST YEAR FUNDING RMR VA | $230,000 | 36C25926N0501 |
| Sep 21, 2026 | Fulgent Therapeutics LLC | Department of Veterans AffairsGERMLINE PGX MOLECULAR TESTING | $6,574 | 36C10X26N0165 |
Open medical laboratories government bids
The newest open notices from SAM.gov. Bidding needs a free SAM.gov registration.
Veterans Affairs, Department of · Solicitation · NAICS 621511
Posted Oct 30, 2026 · Responses due Nov 30, 2026
Veterans Affairs, Department of · Solicitation · NAICS 621511 · KS · No Set aside used
Posted Oct 30, 2026 · Responses due Dec 4, 2026
How to win government medical laboratories contracts
Federal medical laboratories contracts are posted on SAM.gov under NAICS 621511. Register your business free on SAM.gov with this code, watch for medical laboratories bids, and look for small business set-asides: many medical laboratories contracts for small business are reserved for small firms.
Explore government medical laboratories contracts by state, agency and contractor
- Department of Veterans Affairs contracts
- Department of Defense contracts
- Department of Justice contracts
- Department of State contracts
- Agency for International Development contracts
- Government contracts in Maryland
- Government contracts in Virginia
- Government contracts in North Carolina
- Government contracts in Texas
- Government contracts in New Jersey
Frequently asked questions
- What NAICS code is used for government medical laboratories contracts?
- Federal medical laboratories contracts use NAICS 621511 (Medical Laboratories). List this code in your free SAM.gov registration to be found for these contracts.
- Who are the largest medical laboratories government contractors?
- By contract dollars under NAICS 621511 from FY2024 to FY2026, the largest were Laboratory Corporation of America ($279M), Quest Diagnostics Incorporated ($260M) and Foundation Medicine, Inc. ($88.8M).
- Which agencies buy the most medical laboratories?
- From FY2024 to FY2026, the biggest buyers were the Department of Veterans Affairs ($736M), the Department of Defense ($389M) and the Department of Justice ($31.9M).
- Where are government medical laboratories contracts performed?
- By contract dollars, the most federal medical laboratories work is performed in Maryland ($104M), Virginia ($89.7M) and North Carolina ($85.1M).
- Is federal spending on medical laboratories contracts growing?
- Federal medical laboratories contract obligations fell 28% from FY2024 ($398M) to FY2026 ($287M), peaking in FY2025. FY2026 closed recently, and Defense Department contracts are reported up to 90 days late, so its total may still rise.
- Do I qualify as a small business for medical laboratories contracts?
- It depends on the SBA size standard for NAICS 621511, which is set either by average annual revenue or by number of employees. Check the current table of size standards on sba.gov before you bid on small business set-asides.
- What do I need to bid on government medical laboratories contracts?
- An active SAM.gov registration (free) with NAICS 621511 listed, the licenses and insurance your state requires for medical laboratories work, and examples of similar past work. Some solicitations also ask for specific certifications or security clearances.