Clinical Laboratory Services Market Size, Share & Trends Analysis Report By Test Type (Human and Tumor Genetics, Clinical Chemistry, Medical Microbiology and Cytology, Other Esoteric Tests), By Service Provider (Hospital-Based Laboratories, Stand-Alone Laboratories, Clinic-Based Laboratories), By Application (Bioanalytical and Lab Chemistry Services, Toxicology Testing Services, Cell and Gene Therapy Related Services, Preclinical and Clinical Trial Related Services, Drug Discovery and Development Related Services, Other Clinical Laboratory Services) and By Region(North America, Europe, APAC, Middle East and Africa, LATAM) Forecasts, 2023-2031

Market Overview

The global clinical laboratory services market was valued at USD 219.60 billion in 2022. It is estimated to reach USD 332.02 billion by 2031, growing at a CAGR of 4.7% during the forecast period (2023–2031). Technological advancements in clinical testing, target disease prevalence, and demand for early disease diagnostics stimulate linical laboratory services market growth.

The test services provided by various public and private laboratories for point-of-care and other diagnostic procedures are known as clinical services. Clinical laboratories are medical facilities that provide a range of laboratory techniques to aid clinicians in diagnosing, treating, and managing patients. These labs are staffed by medical technologists (clinical laboratory scientists) who have undergone training to perform tests on biological specimen samples collected from patients. Most clinical laboratories are situated inside or close to hospital facilities so that they are accessible to both doctors and their patients. Clinical laboratories can provide high-quality tests to solve medical and public health issues.

Market Dynamics

Clinical Laboratory Services Market Drivers

Technological Advancements in the Field of Clinical Testing

Pressure on laboratory staff has increased due to growing cost-control concerns, accelerating R&D for new goods, and growing demand for better quality control parameters. Additionally, the number of chemicals being tested in clinical settings has been steadily increasing, which calls for more advancement in clinical testing. Laboratory equipment makers are simplifying their instruments to increase productivity and cut costs. Clinical laboratories frequently adopt international standards, which might open up the potential for automation and interoperability.

Automation in clinical settings has greatly enhanced the data management procedure in laboratories. Increasing laboratory automation system use is anticipated to fuel the market over the forecast period. The healthcare sector has also carefully considered integrated workflow management systems, patient test records, and database management tools. This can be primarily attributed to businesses that process between 100 and 150 billion samples annually. Therefore, the market is projected to be driven by the development and use of informatics and automated data management solutions to perform flawless operations.

Target Disease Prevalence and Demand for Early Disease Diagnostics

The market is anticipated to grow in the upcoming years due to rising disease prevalence and the growing need for early disease detection. These elements have compelled organizations to launch cutting-edge services in response to the escalating demand. The desire for early disease diagnosis has been boosted by introducing precise and technologically sophisticated technologies like companion diagnostics, biochips, and microarrays. Rising healthcare costs mostly cause this due to the rising prevalence of chronic diseases. For instance, hundreds of DNA, RNA, or protein samples can be prepared using biochips and processed simultaneously on a single chip. Products like companion diagnostics let doctors choose the best course of therapy for each patient based on their genetic composition, lowering the overall healthcare cost.

Furthermore, a significant factor driving market expansion over the projection period is the rising prevalence of target diseases like diabetes and cardiovascular diseases. The main cause of death in the world is cardiovascular disease. The need for clinical laboratory testing is anticipated to rise as more regions experience increased patient awareness and unmet medical needs related to illness management. 

Clinical Laboratory Services Market Restraint

Presence Of Stringent Regulatory Framework

The regulatory framework for approvals has significantly constrained the pharmaceutical, biotechnology, and medical technology industries' expansion rate. Through the Clinical Laboratory Improvement Amendments (CLIA), the federal government in the United States strictly regulates and assesses the usage and safety profiles of laboratory tests and services. The Food and Drug Administration (FDA), Center for Medicaid and Medicaid Services (CMS), and Centers for Disease Control and Prevention (CDC) are the three federal agencies that are participating in CLIA.

Clinical laboratory solutions are developed and approved in large part by the FDA. When the tests are employed in a clinical laboratory and during the manufacturing process, the laboratory services and tests are created to adhere to strict criteria. It is anticipated that the FDA's supervision over laboratory-based tests—in-house clinical laboratories that create diagnostic tests—to provide patients and doctors with accurate and quick findings will impede market growth. This is because performing clinical trials for novel remedies comes with added expenses, and these trials could take longer to complete than expected. 

Clinical Laboratory Services Market Opportunities

Technological Advancement

The biostatistical analysis of extra data produced by microarray tests may confuse results. The market for clinical laboratory services is expected to be negatively impacted by the quick development of new diagnostic technologies, such as point-of-care diagnostics and next-generation sequencing, as well as the rising demand for and acceptance of precision medicine and individualized treatment. Large-scale COVID-19 testing can be supported by an increase in the use of molecular diagnostic tests, which can be attributable to their demonstrated accuracy and speed.

The market is anticipated to be hampered by the longer wait times for at-home or self-testing kits for COVID-19 to receive approvals and be commercialized. At-home testing kits are anticipated to take several months to reach the market, even though more manufacturers in developed economies are investing in creating these testing kits. Many local producers are waiting for FDA clearances for their goods, which has led to the creation of testing kits that are cheap but imprecise, raising the possibility of false-positive results. Hence, technological developments in robotics, computing power, and microarray production are anticipated to open up new commercial prospects. 

Regional Analysis

North America Dominates the Global Market

Based on region, the global clinical laboratory services market share is bifurcated into North America, Europe, Asia-Pacific, Latin America, and the Middle East and Africa.

North America is the most significant global clinical laboratory services market shareholder and is estimated to exhibit a CAGR of 3.4% over the forecast period. This is explained by the existence of a well-developed healthcare system and the rise in the prevalence of chronic diseases. Another factor driving market growth is a well-established reimbursement mechanism for clinical laboratory services. The CMS enforces CLIA regulations for clinical laboratories. The market is anticipated to be driven by the rising reimbursement rate for laboratory testing.

Furthermore, according to the CDC, 65% of the older population has two or more chronic conditions, with 85% having at least one. Players in the market for clinical laboratory services now have new market prospects. Oncological illnesses are very common in the area. Market participants increasingly concentrate on innovative and software-enabled automated diagnostic systems and completely automated laboratories to manage and analyze hundreds of samples and produce the most accurate findings. Collaborations are also a crucial component of the players' primary strategies. The SARS-CoV-2 epidemic, which has greatly boosted the demand for clinical laboratory services, can also be blamed for the market expansion for these services.

Europe is anticipated to exhibit a CAGR of 5.6% over the forecast period. The market is expanding in this area due to the numerous laboratories and easy access to cutting-edge technologies. The country's reimbursement policy is likewise lax due to the manufacturers' increasing prices. The National Institute for Health Research (NIHR) offers an integrated health research system, and the NHS provides full coverage for all medical services. In the future, utilizing clinical data informatics platforms through fruitful research collaborations will drive market expansion. Consumers’ preference in the area may be shifting away from laboratory-based PCR tests and general tests toward home-based point-of-care and fast diagnostics, which could limit market expansion. However, it is anticipated that demand for clinical laboratory services will increase during the projected period due to the high burden of chronic diseases, such as cancer, diabetes, dyslipidemia, and heart-related diseases.

In Latin America, the constant construction of healthcare facilities in emerging nations and rising healthcare costs contribute to the region's growth. The advent of numerous pharmaceutical and diagnostics firms in nations like Brazil and Argentina, where the government has prioritized the construction of reliable healthcare facilities, is projected to further fuel the market in this region. Due to government activities on rules and the payment for lab tests and trials, Latin America is anticipated to grow healthy. Argentina recently suggested changing its healthcare system, arguing that the government should control the private payers. This could result in the tests being priced reasonably for the general population. This action could impede private investment in the healthcare industry, limiting the development of healthcare technologies.

In the Middle East and Africa, under the South African National Accreditation System (SANAS), the National Laboratory Association (NLA) is the representative in charge of accreditation. The NLA oversees many labs, including research and development in the natural and applied sciences and measuring, testing, calibration, and verification labs. Market expansion is anticipated to be fueled by the presence of companies sustainably offering full laboratory services.

Segmental Analysis

The global clinical laboratory services market share is bifurcated into test type, service provider, and application.

Based on the test type, the global market for clinical laboratory services is bifurcated into human and tumor genetics, clinical chemistry, medical microbiology and cytology, and other esoteric tests.

The clinical chemistry segment dominates the global market and is projected to exhibit a CAGR of 5.9% over the forecast period. Due to the prevalence of several clinical chemistry tests used in the pathological study of bodily fluids, such as analysis of urine, plasma, serum, and other body fluids, the clinical chemistry tests sector dominated the clinical laboratory services market. Laboratory testing and basic-level diagnosis both include clinical chemistry examinations. The concentration of various molecules in the collected sample is determined using spectrophotometry, immunoassay, and electrophoresis. Given that these tests continue to be the major method of diagnosis, the category is anticipated to have an increase in product demand due to an increase in life expectancy.

Additionally, the market is anticipated to be further fueled by difficulties in improving testing for chronic kidney disorders, heart failures, and osteoporosis. The segment growth is encouraged by improving these tests by adding novel markers and applying existing markers. The development of point-of-care testing techniques, new technologies, and alternative sample strategies are also anticipated to impact the market positively. The market expansion is also anticipated to be supported by competition among industry participants for developing clinical chemistry analyzers that can deliver quick findings.

Based on service providers, the global clinical laboratory services market is bifurcated into hospital-based laboratories, stand-alone laboratories, and clinic-based laboratories. 

The hospital-based laboratories segment owns the highest market share and is predicted to exhibit a CAGR of 4.4% over the forecast period. In 2020, it is predicted that hospital-based laboratories will hold the biggest market share. This predominance can be attributed to the high turnaround rate of patient tests, particularly for severe and complex illness problems that are more expensive. A growing number of hospitals are incorporating laboratories into their facilities. Therefore, it is anticipated to continue its dominance. The segment is anticipated to be driven by hospitals' expanding outreach initiatives and the rapid turnover of patients with serious and complex conditions. Hospital-based laboratories prioritize accuracy and quick reporting while leaning toward creating a patient-centric system. These diagnostic facilities can monitor how treatments are working and how patients are recovering.

Additionally, it is anticipated that the presence of regulatory organizations, like CMS, actively involved in formulating regulations for pricing schedules and payment systems will increase patients' trust in hospital-based laboratories. This is anticipated to contribute further to the segment's growth.

Based on application, the global market for clinical laboratory services is bifurcated into bioanalytical and lab chemistry services, toxicology testing services, cell and gene therapy-related services, preclinical and clinical trial-related services, drug discovery and development-related services, and other clinical laboratory services.

The bioanalytical and lab chemistry services segment owns the highest market share and is predicted to exhibit a CAGR of 3.4% over the forecast period. Bioanalytical and lab chemistry laboratories employ a variety of methodologies and technological frameworks to meet diagnostic demands. The most often used technologies in bioanalytical and lab chemistry applications include chromatography, mass spectroscopy, immunochemistry, molecular biology, and ELISA.

To determine the concentration of medicines and their metabolites, bioanalytical services are a crucial tool in drug discovery and development. To quantitatively detect analytes and metabolites in biological matrices such as serum, plasma, urine, and cerebrospinal fluid (CSF), service providers use developed and validated procedures. Drug and metabolite exposure, bioavailability, bioequivalence, pharmacokinetics, and diagnostic biomarkers are some of the frequent applications of bioanalytical and lab chemistry. This will boost the global market.

Impact of covid-19

Proliferating COVID-19 Cases & Their Impact on the Liquid Hand Wash Market

Amid the global coronavirus outbreak, hand washing has become as imperative as breathing. The COVID-19 pandemic has compelled people to use the hand wash liquids as a minimum measure for preventing the transmission of the disease. As of April 16, 2020, as many as 2,083,304 coronavirus cases were confirmed globally, of which the confirmed death toll stood at 134,615. A total of 213 countries, including China, Italy, the U.S., and India, have seen an alarming increase in the number of deaths in the past two months.

With Russia, Iran, and other developing countries reporting a spike in the number of new cases and the emerging second wave of COVID-19 in China, cost-effective ways of curbing infection spread, such as social distancing and basic hand hygiene, are gaining prevalence. The uncertainty looming over the time period regarding the release of a vaccine has instilled fear in consumers, encouraging them to use hand washes. The World Health Organization (WHO), along with the FDA and the CDC, recommends hand washing to prevent infection.

Awareness regarding hand hygiene is rising as hand hygiene is a significant measure in mitigating the occurrence of Health-Care Associated Infections (HCAI), also known as nosocomial infections. Hand hygiene forms an important part of personal care. Hospital induced infections (HAIs) affect 15.5% of patients in developing countries and provide antimicrobial resistance, resulting in 700,000 deaths every year. They also lead to other infections and long-term disability.

Acute respiratory infections, such as pneumonia, represent another leading cause of death in children under the age of five. Pneumonia alone accounts for around 13% of child deaths. Hand washing by liquid soaps or hand sanitizers mitigates the rate of respiratory infections by eliminating the respiratory pathogens from hands, thereby preventing them from entering the body.

Recent Developments

• August 2022- Saudi Arabia's leading integrated healthcare solutions provider, Arabian International Healthcare Holding Company, and BGI Almanahil Health for Medical Services, a division of BGI Health (HK) Co., Ltd, have announced a definitive joint venture agreement for the establishment and management of Saudi Advanced Medical Lab LIMITED ("SAMLL"), a limited liability company, in Saudi Arabia.
• October 2022- A cutting-edge bioanalytical lab has opened in Richmond, Virginia, as part of Thermo Fisher Scientific's expansion of its clinical research operations, the industry leader in providing services to science worldwide. Enhancing bioanalytical services with a USD 97 million investment will assist pharma and biotech clients to speed up drug development.