For lab testing clinics
Websites and booking for lab testing clinics.
A lab test is only as good as the sample, and in the US it also has to be legal to sell where the patient lives. Most tests need a clinician's order, a few states restrict direct access testing, and the sample has to reach a CLIA certified lab in time. We built a complete testing system for AiwasLabs in the UK, and we build the US version around your rules.
Comprehensive panel
Order
Reviewed by the ordering clinician
State check
Available in the patient's state
Fasting
Morning slots only
Lab
Sent to a CLIA certified lab
Results
Released to the portal
Every test carries its own rules, every state its own availability.
Heard at the front desk
The same questions, all day.
Every one of these is a phone call, a DM, or a reception queue. A good website and booking system answers them before anyone has to pick up the phone.
- Do I need a doctor's order?
- Can I get tested if I live in New York?
- Do I need to fast?
- When will I get my results?
- Can I use my HSA or FSA card?
The workflow
How a patient moves through your clinic.
Seven steps, from the first search to the next visit. At each one: what happens, where it usually goes wrong, and what we build to fix it.
01 / 07 Choosing a test
Test pages that explain, not just list
Patients compare tests and prices online, often unsure which one they need.
Where it goes wrong: Test pages list biomarkers with no explanation of who the test is for.
What we build
A page for every test: what it checks, who it is for, how to prepare, and where it is available.
google / searchthyroid blood test without insuranceyourlab.com › tests › thyroid
Thyroid panel · self pay pricing · Your Lab
What it checks, who it is for, and how to prepare. Book a visit or order a home kit. HSA and FSA accepted.
labinfo.example › thyroid
Thyroid tests explained
General information on thyroid tests.
02 / 07 Ordering
A clinician's order, built in
Most tests need an order from a licensed clinician, often through a partner physician network.
Where it goes wrong: Orders handled by email, and some patients test without a valid order.
What we build
Orders requested and approved inside the checkout, with a record of who ordered what.
orders / ord-5520Order · thyroid panel
Questionnaire
Completed at checkout
Clinician review
Approved by the ordering physician
Requisition
Sent to the patient and the lab
Abnormal results
Routed back to the ordering clinician
03 / 07 State rules
Only sold where it can be
A few states, including New York, New Jersey, Rhode Island, and Maryland, restrict direct access testing.
Where it goes wrong: Patients in restricted states buy tests that cannot be fulfilled, then ask for refunds.
What we build
State availability set per test, checked against the patient's address before payment.
checkout / addressWhere will you test?
State
New YorkTest
Thyroid panelAvailability
Not available in NYAlternative
Talk to your doctorChoose another option04 / 07 Preparation
Patients who arrive ready
Fasting, medication timing, and drinking water beforehand.
Where it goes wrong: Patients arrive having eaten, and the draw has to be rescheduled.
What we build
Fasting tests limited to morning slots, with a reminder the evening before.
messages / remindersReminder for your 8:10am draw tomorrow: nothing to eat after 10pm tonight. Water is fine, and it helps.Can I have black coffee?Best to stick to water until after your draw.05 / 07 Collection
Center, mobile, or kit
A draw at a patient service center, a mobile phlebotomist at home, or a kit by mail.
Where it goes wrong: Three channels, three systems, and late samples that miss the courier.
What we build
One booking for every channel, with the last slot set by courier pickup.
booking / todayToday · patient center
8:10a9:30a1:40p3:30p3:30pm is closed: the courier picks up at 3:00pm.
06 / 07 Results
Lab reports in, patient reports out
The lab sends results, and the ordering clinician reviews anything that needs action.
Where it goes wrong: Results retyped into patient friendly reports by hand.
What we build
Lab PDFs parsed into clear reports, with abnormal values flagged for the clinician.
reports / parsed from lab pdfReport · ready
Parsed in seconds · every value editable
- Total cholesterolFlaggedHigh
- Vitamin DFlaggedLow
- TSHNormalIn range
Critical values go to the ordering clinician first.
07 / 07 Follow up
Abnormal results never wait in an inbox
Abnormal and critical results need follow up, normal ones need a clear explanation.
Where it goes wrong: An abnormal result sits in an inbox until someone opens it.
What we build
Abnormal results routed to the ordering clinician, with follow up tracked.
results / needs actionNeeds follow up
Vitamin D below range
Clinician note added
Call with the patient
Scheduled for tomorrow
Results
In the patient's portal
Numbers we design around
- states that restrict direct access testing
- NY · NJ · RI · MD
- states that restrict direct access testing
- Check every test's availability by state before you sell it.
- certified labs only
- CLIA
- certified labs only
- Testing on human samples in the US is done by labs certified under CLIA.
- cards patients ask to use
- HSA & FSA
- cards patients ask to use
- Many medical tests can be paid with HSA or FSA funds, so checkout should take them.
Laws & regulations
The rules, built in.
Lab testing combines lab regulation, state rules on who can order tests, medical devices, and health data, and the rules change by state. These are the ones we design around.
- CMS
CLIA laboratory certification
Source (opens in a new tab): 42 CFR Part 493: laboratory requirementsWhat it saysLabs that test human samples for health purposes must be certified under the Clinical Laboratory Improvement Amendments.
What we build inOrders routed only to certified labs.
- State health departments
State rules on ordering tests
What it saysMost states require a licensed clinician to order lab tests, and a few, including New York, New Jersey, Rhode Island, and Maryland, tightly restrict direct to consumer testing.
What we build inClinician ordering built into checkout, and availability checked against the patient's state before payment.
What it saysHome use tests and home collection kits are medical devices regulated by the FDA.
What we build inKit records that carry the lot number for each order.
- HHS · FTC
HIPAA, or the FTC Health Breach Notification Rule
Source (opens in a new tab): 16 CFR Part 318: Health Breach Notification RuleWhat it saysIf you are a HIPAA covered provider, HIPAA applies. Some cash only testing businesses fall outside HIPAA, and then the FTC's Health Breach Notification Rule and state health privacy laws apply instead, including to unauthorized sharing with advertisers.
What we build inResults in a secure portal, and no health data shared with third parties without consent.
- Clinical governance
Follow up on abnormal and critical results
What it saysThe ordering clinician is responsible for acting on results, so abnormal and critical values need a clear route back to them.
What we build inAbnormal and critical results routed to the ordering clinician, with follow up tracked.
A plain English summary, not legal advice. Rules change, so check the source and take advice from your regulator, indemnity provider, or clinical lead.
Every rule for lab testing clinics, and what it means for your websiteThe software you may be using
Good software, wrong fit?
Few products are built for direct to consumer lab testing, so most businesses stitch together an online store, a booking tool, and a lab portal. Each works on its own. The gaps are between them.
Online stores
- Shopify
- WooCommerce
Good at
A proven checkout, quick to launch.
May not fit if
Each order needs a clinician's approval, a state availability check, and a result linked to the patient.
A store where every order carries its clinician review, state rules, and result from checkout to portal.
General booking apps
- Calendly
- Acuity
Good at
Quick to set up for simple appointments.
May not fit if
Your booking depends on the test, the channel, and when the courier picks up.
Booking where every test carries its own rules for slots, preparation, and cutoffs.
Results the manual way
- Lab portals
- Shared inbox
Good at
It works, as long as someone has time.
May not fit if
Reports get retyped, and abnormal results wait to be noticed.
A report parser and a review queue, with abnormal results routed first.
Product names belong to their owners, and we are not affiliated with any of them. Every clinic is different, so we only recommend replacing software when it is genuinely holding you back.
Before and after
The same day, done differently.
Ordering
Today: Orders arranged by email
With a system built for you: Clinician review built into checkout
State rules
Today: Refunds when a test cannot be fulfilled
With a system built for you: Availability checked before payment
Preparation
Today: One generic email for every test
With a system built for you: Instructions for each test, sent at the right time
Reports
Today: Retyped from the lab PDF
With a system built for you: Parsed in seconds, abnormal values flagged
Results delivery
Today: Sent as email attachments
With a system built for you: Released to a secure patient portal
What we build
Built around how you work.
Hizmedia built AiwasLabs around how we actually work: the shop, the bookings, patient accounts, and a report parser our doctors use every day. Reports that used to be retyped by hand now go out in minutes, and more of our visitors book since launch. It feels like our own system, not software we rent.
AiwasLabsHome and clinic blood testing, UK- Booking conversions, after UX and journey mapping
- +35%
- Lighthouse performance score
- 90+
- Admin for products, bookings, reports, and fulfilment
- 1
Try before you talk
Free tools we built for you.
Further reading
Guides for lab testing.
- 01Custom clinic software: when is a system worth it?Guides · 7 min read
- 02Does your clinic need an app, or just a better website?Guides · 4 min read
- 03Custom clinic system vs WordPress: which should your clinic build on?Comparisons · 5 min read
- 04How patients find clinics in AI search, not just GoogleSEO & AI · 5 min read
The next step
Ready for a fuller diary?
Tell us how your clinic runs today and where it hurts. We will map your workflow and tell you plainly what we would build, what we would connect, and what we would leave alone.
Common questions.
Yes. Patients complete a short questionnaire, the order goes to your ordering clinician or physician network for approval, and the requisition is created automatically once approved.
Yes. Availability is set per test and checked against the patient's address before payment, so tests are only sold where you have confirmed they can be.
Yes. When our work involves storing or handling protected health information, we sign a business associate agreement with you, and we build on hosting and vendors that will sign one with us too.
Yes. AiwasLabs, a UK blood testing clinic, runs on a system we built: the website, booking, home kits, a lab report parser, and results in each patient's account. Booking conversions rose 35% after our UX and journey mapping work.
Practice websites start from $4,000. Booking systems, patient portals, and online stores start from $8,000. You get the exact figure before any work begins, with no surprises at the end.