Top VA medical laboratories contractors
In the 12 months ending Oct 5, 2026, the Department of Veterans Affairs obligated $256.4M in net prime contract dollars under NAICS 621511, down 4.6% from $268.7M in the preceding 12 months. 174 prime contractors received positive obligations, and 9 of them accounted for 80% of that spend.
Prime contracts funded by the Department of Veterans Affairs. Latest 12 months: Oct 6, 2025 to Oct 5, 2026. Source: USAspending.gov.
Obligations by fiscal year
Net prime contract obligations by federal fiscal year (October to September).
Top VA contractors for NAICS 621511
Ranked by positive obligations in the latest 12 months. Share is of all positive obligations in this market.
| # | Contractor | Latest 12 mo | Prior 12 mo | Share | Rank change |
|---|---|---|---|---|---|
| 1 | Quest Diagnostics Incorporated | $107.1M | $97.0M | 40.8% | — |
| 2 | Laboratory Corporation of America | $44.0M | $53.0M | 16.7% | — |
| 3 | Foundation Medicine, Inc. | $19.2M | $31.6M | 7.3% | — |
| 4 | Baylor Miraca Genetics Laboratories LLC | $10.7M | $11.4M | 4.1% | — |
| 5 | College of American Pathologists | $9.7M | $9.1M | 3.7% | — |
| 6 | Arup Laboratories Inc | $6.1M | $8.3M | 2.3% | — |
| 7 | Caredx, Inc. | $5.9M | $1.5M | 2.3% | ▲ 7 |
| 8 | Tempus AI, Inc | $5.5M | $5.7M | 2.1% | — |
| 9 | Oregon Health & Science University | $5.2M | $3.2M | 2.0% | — |
| 10 | Stanford Health Care | $2.5M | $860K | 0.9% | ▲ 18 |
| 11 | Propath Services, LLC | $2.2M | $35K | 0.9% | ▲ 115 |
| 12 | Baylor College of Medicine | $2.0M | $0 | 0.8% | New |
| 13 | Cytopath Biopsy Lab Inc | $1.8M | $1.1M | 0.7% | ▲ 8 |
| 14 | Neogenomics Laboratories, Inc. | $1.8M | $1.6M | 0.7% | ▼ 2 |
| 15 | Mayo Collaborative Services, Inc. | $1.7M | $1.4M | 0.7% | ▲ 2 |
What changed in the last 12 months
Contractors with the largest change in reported obligations versus the preceding 12 months.
Largest gains
- Quest Diagnostics Incorporated$97.0M → $107.1M (+$10.1M) · now #1
- Caredx, Inc.$1.5M → $5.9M (+$4.4M) · now #7
- Natera Inc−$2.4M → $1.2M (+$3.6M) · now #21
Largest declines
- Foundation Medicine, Inc.$31.6M → $19.2M (−$12.5M) · now #3
- Fulgent Therapeutics LLC$7.4M → −$1.9M (−$9.3M) · no latest-period obligations
- Laboratory Corporation of America$53.0M → $44.0M (−$9.0M) · now #2
New to this market
17 contractors received their first obligations in this market (since FY2022) during the latest 12 months. The largest:
| Contractor | First obligation | Latest 12 mo |
|---|---|---|
| Germfree Laboratories, LLC | May 7, 2026 | $702K |
| Sdvosb Materials Technology & Supply LLC | Oct 1, 2026 | $546K |
| Interpace Diagnostics Corporation | May 28, 2026 | $288K |
| Testudo Logistics LLC | Jul 2, 2026 | $269K |
| Cedar Park Group Inc | Jun 30, 2026 | $268K |
| Adaptive Biotechnologies Corporation | Dec 30, 2025 | $263K |
| Pacific Edge Diagnostics USA Ltd | Sep 28, 2026 | $259K |
| Monument Health Rapid City Hospital, Inc. | Jan 22, 2026 | $226K |
Where the money comes from
Funding sub-agencies within the Department of Veterans Affairs, latest 12 months. The funding organization can differ from the office that runs the requirement.
| Funding sub-agency | Latest 12 mo | Prior 12 mo | Change |
|---|---|---|---|
| Department of Veterans Affairs | $256.4M | $268.7M | Down $12.3M (4.6%) |
Potential recompetes
Large awards in this market whose current period of performance ends in the next 18 months. Treat these as research leads: options, extensions, and follow-on vehicles often change the timing.
| Award | Incumbent | Obligated | Current end |
|---|---|---|---|
| 36C24726P0300 | Quest Diagnostics Incorporated REF LAB SERVICES VISN 7 | $6.6M | Oct 31, 2026 |
| 36C24125P0577 | Quest Diagnostics Incorporated PRIMARY REFERENCE LABORATORY TESTING / COURIER SERVICES / PHLEBOTOMY | $10.1M | Dec 31, 2026 |
| 36C10G25C0001 | College of American Pathologists LABORATORY PROFICIENCY TESTING | $18.4M | Jan 2, 2027 |
| 36C10G26N0028 | Tempus AI, Inc MODIFICATION P9 TO CHANGE THE CONTRACTING OFFICER AND ADD VAAR CLAUSE 852.222-71 COMPLIANCE WITH EXECUTIVE ORDER 13899 | $5.5M | Jan 27, 2027 |
| 36C10G24N0060 | Tempus AI, Inc TUMOR NORMAL MATCHED GENOMIC TESTING SERVICES | $6.0M | Jan 27, 2027 |
| 36C24426N1083 | Laboratory Corporation of America REFERENCE LABORATORY SERVICES TASK ORDER | $7.3M | Feb 28, 2027 |
| 36C25023F0374 | Laboratory Corporation of America REFERENCE LABORATORY SERVICES | $4.0M | Feb 28, 2027 |
| 36C25227N0098 | Quest Diagnostics Incorporated FY27 TASK ORDER - 10/1/2026 - 6/30/2027 | $7.2M | Jun 30, 2027 |
| 36C10G26F0017 | Foundation Medicine, Inc. TASK ORDER FOR TUMOR MOLECULAR TESTING. | $22.0M | Sep 12, 2027 |
| 36C10X26N0164 | Baylor Miraca Genetics Laboratories LLC GERMLINE PGX MOLECULAR TESTING | YEAR 3 | $11.4M | Sep 29, 2027 |
Common questions
Who are the top VA contractors for NAICS 621511?
In the latest 12 months, Quest Diagnostics Incorporated ($107.1M), Laboratory Corporation of America ($44.0M), Foundation Medicine, Inc. ($19.2M) received the most VA obligations for medical laboratories.
How concentrated is this market?
The eight largest primes held 79.2% of positive obligations, and Quest Diagnostics Incorporated alone held 40.8%. 17 contractors won their first obligations in this market during the latest 12 months.
Are any large VA NAICS 621511 contracts ending soon?
10 of the largest awards in this market reach their current end date in the next 18 months. The first is 36C24726P0300 (Quest Diagnostics Incorporated, $6.6M obligated), ending Oct 31, 2026. An end date is a research lead, not a confirmed recompete: options and extensions often move it.
Related markets
NAICS 621511 across all agencies
DoD · NAICS 621511
$125.2MDOJ · NAICS 621511
$7.4MState Department · NAICS 621511
$6.3MFigures are net obligations on prime contracts (award types A–D) from USAspending.gov, grouped by funding agency and the NAICS code on each award. Net obligations include deobligations and corrections, so they can differ from positive-obligation totals. See methodology.
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