Laboratory Developed Test Market Size, Share, and Growth Forecast for 2025 - 2032

Laboratory Developed Test Market by Test Type (Clinical Biochemistry, Haematology, Immunology, Microbiology, Molecular Diagnostics, Others), Application (Oncology, Genetics, Infectious Diseases, Autoimmune Disorders, Others), End User (Hospital Laboratories, Specialty Diagnostics Centers, Clinical Research Organizations, Research Institutes, Others) and Regional Analysis

Industry: Healthcare

Published Date: March-2025

Format: PPT*, PDF, EXCEL

Delivery Timelines: Contact Sales

Number of Pages: 319

Report ID: PMRREP3430

Report Price

$ 4995*

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Laboratory Developed Test Market Outlook (2025-2032)

The global market for Laboratory Developed Test is estimated to grow from US$ 9.0 Bn in 2025 to US$ 13.9 Bn in 2032 at a CAGR of 6.4% over the forecast period.

As assessed by Persistence Market Research, clinical biochemistry tests are expected to account for a market value share of 34.2% by 2032. Revenue from laboratory developed tests accounted for around 3.4% share of the global clinical laboratory service market in 2024.

laboratory developed test market outlook, 2019-2032

Global Market Attributes

Key Insights

Laboratory Developed Test Market Size (2025E)

US$ 9.0 Bn

Market Value Forecast (2032F)

US$ 13.9 Bn

Projected Growth (CAGR 2025 to 2032)

6.4%

Historical Market Growth (CAGR 2019 to 2024)

5.0%

Historical Growth and Course Ahead

The global laboratory developed test market expanded at 5.0% CAGR from 2019 to 2024.

Factors such as increasing healthcare expenditure on chronic and genetic conditions as well as rising cases of cancer among the population are set to fuel the consumption of laboratory developed tests over the coming years.

Laboratory developed tests are beneficial for the detection and monitoring of oncology, genetics, infections, and autoimmune diseases. These tests are the best option for the population curious about their genetic makeup concerning the presence of any disease-related markers.

Laboratory developed testing offers several advantages such as improved quality of life, monitoring pre-existing conditions, and maintaining one’s lifestyle accordingly, which makes them preferable over hospitalization for daily checkups or the treatment of disease occurrence.

  • Illumina, Inc. announced the release of TruSightTM Oncology (TSO) Comprehensive on March 15, 2022, a single test that examines numerous tumor genes and biomarkers to determine a patient's cancer molecular profile.
  • As per the Centers for Disease Control and Prevention (CDC), chronic conditions such as cancer, cardiovascular disease, and diabetes are the main causes of disability and death in developed nations such as the United States. They are also the major drivers of the nation’s US$ 4.1 trillion in annual healthcare spending.

Rising adoption of laboratory developed tests among patients suffering from chronic conditions and genetic disorders will drive the market over the coming years. The global laboratory developed test market size is thus likely to see positive growth and reach a market valuation of US$ 13.9 Bn by 2032.

laboratory developed test market, 2025 - 2032

What Opportunities Lie Ahead in the Laboratory Developed Test Market?

“Increasing Product Offerings Related to Genetic Health Risks”

Manufacturers of laboratory-designed tests across the world will have plenty of lucrative prospects in the years ahead. They have begun to recognize the value of R&D spending to provide a diversified product line.

  • 23andMe and Virgin Group's VG Acquisition Corp. merged to become a publicly-traded company that will transform personalized healthcare and therapeutic advancement using human genetics.

Many companies are taking extensive measures to make their product offerings more versatile through innovations, such as providing data related to genetic health risks, ancestry, and traits.

  • In July 2024, U.S.FDA approved Guardant Health’s Shield™ blood test for colorectal cancer (CRC) screening in adults aged 45 and older at risk. The test is provided as a primary screening option for CRC that meets the requirements for Medicare coverage.

“Rise in Global Number of Cancer Cases”

According to the World Health Organization, cancer is the leading or second-leading cause of death for those over the age of 70 in 112 of 183 nations, and third or fourth in the other 23 countries. In many countries, the rise of cancer as a significant cause of death is reflected in lower death rates from stroke and coronary heart disease when compared to cancer.

  • In March 2022, Illumina, Inc. launched an in vitro diagnostic (IVD) kit, to help facilitate precision medicine decisions for cancer patients across Europe.

How is Laboratory Developed Test Industry Expansion Being Affected?

“Product Recalls Impacting Market Progress”

Recalls of healthcare diagnostic products are a common practice aimed at either reducing any potential errors or eradicating an existing failure. Laboratory developed tests (LDTs) have been developed to treat a variety of disorders, including contagious diseases such as COVID-19, genetic conditions, and different types of cancer.

However, because LDTs, until now, were not centrally registered or tracked, their presence in the market, performance, and usage cannot be compared to FDA-approved diagnostics. Insurance coverage and eHealth do not differentiate between a laboratory-developed test and FDA-approved diagnostics. No comprehensive database of all LDTs exists for use.

  • In January 2022, LuSys Laboratories recalled 3 of its tests due to a high risk of incorrect outcomes: a saliva antigen test, an IgG/IgM antibody test, and a nasal antigen test.
  • On October 16, 2021, Abbott Laboratories recalled two of its COVID kits - Alinity m Resp-4-Plex AMP and the Alinity m SARS-CoV-2 AMP test kits as Class I recall.

“Tight CLIA and FDA Control Over Laboratory Developed Tests”

The Clinical Laboratory Improvement Amendments program (CLIA) governs labs that do tests on patient samples to assure accurate and consistent results. LDT is a test that is developed and used within a single laboratory, according to the FDA.

LDTs are often known as 'home brew' tests because they are produced in-house. LDTs are considered as 'devices', comparable to IVDs, as defined by the FFDCA, and are thus subject to FDA regulation.

The FDA made changes to its laboratory developed tests. Key changes to the agency's policy, according to a statement, were: For all serology test developers, the agency provided clear performance threshold guidelines for specificity and sensitivity.

According to the agency, all test kits should be authenticated before being used, because false outcomes can have a negative impact on both, individual patients and society as a whole. Manufacturers should publish directions for use, including a summary of assay performance on their websites prior to obtaining an EUA.

Country-wise Insights

Why is the North America Laboratory Developed Test Market a Prominent Sector?

“Innovative LDT Development and Commercialization and FDA's Evolving Policies on LDTs”

In 2024, North America laboratory developed test market contributed around 36.4% revenue share within the global market. North America’s advanced healthcare infrastructure, a well-established regulatory framework, high levels of investment in biotechnology alongside robust presence of leading biopharma companies, collectively drive growth and innovation of LDTs.

Furthermore, development and commercialization of LDTs in the U.S. have also been promoted locally by regulatory agencies like the FDA which provide clear and supportive guidelines. Rising prevalence of chronic diseases demands for precision diagnostics and personalized medicine, further boosting the adoption of LDTs. Thus, making U.S. laboratory developed test market a key driver for growth in the North American diagnostics industry.

  • On May 6, 2024, the FDA issued a final rule to enhance the safety and effectiveness of laboratory-developed tests (LDTs). The rule clarifies that in vitro diagnostic products (IVDs) are considered devices under the FD&C Act, even when manufactured by laboratories. The FDA will gradually phase out its general enforcement discretion for LDTs over four years, while introducing targeted enforcement policies for certain IVD categories.

laboratory developed test market, by region

Will Europe Be a Lucrative Market for Laboratory Developed Test Providers?

“Rise in Product Approvals Complying with Stringent Regulations”

Europe laboratory developed test market is estimated to grow at a compounded growth rate of 6.2% CAGR over the forecast duration, owing to rising chances of product approvals by regulatory agencies in the region.

  • Utilization of Bionano Genomics, Inc.'s digital cytogenetics platform, Saphyr, for laboratory-produced assays has been approved by Deutsche Akkreditierungsstelle GmbH (DAkkS), Germany's national accrediting organization, following the most severe evaluation process in Europe. Translocations, inversions, and duplications are among the structural variants (SVs) that will be detected using the Platform.

Growing adoption of advanced molecular diagnostics and demand for personalized medicine drives the Germany laboratory developed test market. Enhanced testing capabilities owed to innovations in digital cytogenetics and genomics is expected to boost the Germany LDTs Market in the coming years.

Similarly, UK’s push towards precision medicine is accelerating the adoption of LDTs contributing to a substantial market expansion in the region. Additionally, increasing integration of laboratory-developed tests into routine clinical practices is expected to significantly drive the UK laboratory developed test market.

Why is East Asia Emerging as a Lucrative Market for Laboratory Developed Testing Services?

“Rising Incidence of Diabetes in East Asia Due to Unhealthy Living Choices”

East Asia is the fastest growing market for LDTs growing at a CAGR of nearly 8.9% over the forecast period, driven by improving healthcare infrastructure, rapid technological advancements, and the increasing demand for precision medicine.

  • Order 739 LDT released on Mar 18, 2021, allows the development of laboratory developed tests in China, further fostering the growth of the China laboratory developed test market.

Additionally, shorter regulatory approval times facilitates faster LDT adoption. Rising awareness of chronic diseases together with growing demand for personalized diagnostics, further accelerating market expansion. The region's large and diverse population also contributes to a significant need for cost-effective and accurate diagnostic solutions.

  • Genetic Analysis AS ("GA"), a microbiome DX firm, and Thalys Medical Technology Group Corporation ("Thalys"), signed an LDT agreement to analyze and develop unique diagnostic solutions for China's rapidly growing human microbiota market. Thalys will continue to develop and commercialize tests based on the Genetic Analysis' GA-map® technology through its Shanghai-based medical lab business further advancing the China LDT market.

Similarly, Japan’s commitment to healthcare innovation, greater emphasis on biotechnology and advanced genetic testing, and the increasing demand for precision medicine is expected to showcase robust growth in the Japan laboratory developed test market.

As showcased above, demand for laboratory-developed tests in East Asian countries like China and Japan is bound to see an upward trend over the coming years, contributing significantly to the overall growth of the East Asia laboratory developed test market.

Category-wise Insights

Which Laboratory Developed Test Type Accounts for Higher Sales?

“Ever-rising Demand for Clinical Biochemistry Tests Being Witnessed”

By test type, clinical biochemistry tests held 34.2% market share at the end of 2024.

Fluids in the body are examined using clinical biochemical testing (blood, abscesses urine, cerebral spinal fluid, and collections in body cavities and joints). They can be used to track the course of disease management in addition to establishing a primary diagnosis. This is the best option for patients to get a basic idea of their illness.

As such, clinical biochemistry test usage is higher, followed by molecular diagnostic tests, and the segment is expected to drive high demand for laboratory tests in the future, globally.

Where is the Application of Laboratory Developed Tests Higher?

“Laboratory Developed Tests Widely Used to Diagnose/Monitor Cancer”

Use of laboratory developed tests for oncology purposes accounted for the highest share of 41.5% in 2024.

Laboratory developed tests can help in the diagnosis of cancer and the monitoring of therapy response. These tests can aid in the diagnosis of cancer recurrence and the assessment of therapy response. Thus, laboratory-derived tests are more widely being used for monitoring the recurrence of cancer to provide early treatment options.

laboratory developed test market insights and key trend

Competitive Landscape

Consolidation activities such as product approval and launches, acquisitions, collaborations, and partnerships are actively looked upon in this market. Such consolidations will help market players expand their product portfolios and increase their market penetration, thereby driving their revenue share in the market.

  • In January 2025, Adaptive Biotechnologies partnered with NeoGenomics for a multi-year exclusive strategic commercial collaboration to enhance minimal residual disease (MRD) monitoring for patients with certain blood cancers. The collaboration combines Adaptive’s next-generation sequencing (NGS)-based clonoSEQ® with NeoGenomics' COMPASS and CHART assessment services.
  • In January 2023, Quanterix Corporation announced the validation of a Laboratory Developed Test (LDT) designed to quantitatively measure neurofilament light chain (NfL) in serum, assisting in the evaluation of individuals for potential neurodegenerative conditions or other causes of neuronal or central nervous system damage.

Laboratory Developed Test Industry Report Scope

Historical Data/Actuals

2019 – 2024

Forecast Period

2025 – 2032

Market Analysis Units

Value: US$ Bn

Volume: As applicable

Geographical Coverage

  • North America
  • Europe
  • East Asia
  • South Asia and Oceania
  • Middle East and Africa
  • Latin America

Segmental Coverage

  • Test Type
  • Application
  • End User
  • Region

Competitive Analysis

  • Thermo Fisher Scientific Inc.
  • Kaneka Eurogentec S.A.
  • QIAGEN
  • Vastian
  • Roche Diagnostics
  • Adaptive Biotechnologies.
  • Guardant Health, Inc.
  • Smiths Medical
  • Quest Diagnostics
  • Beckman Coulter
  • OPKO Health, Inc.
  • Siemens Medical Solutions USA, Inc.
  • Quanterix
  • Proteomics International

Report Highlights

  • Market Forecast and Trends
  • Competitive Intelligence & Share Analysis
  • Growth Factors and Challenges
  • Strategic Growth Initiatives
  • Pricing Analysis & Technology Roadmap
  • Future Opportunities and Revenue Pockets
  • Industry Market Analysis Tools   

Customization and Pricing

Available upon request

Laboratory Developed Test Market Segmentation

By Test Type:

  • Clinical Biochemistry
  • Haematology
  • Immunology
  • Microbiology
  • Molecular Diagnostics
  • Others

By Application:

  • Oncology
  • Genetics
  • Infectious Diseases
  • Autoimmune Disorders
  • Others

By End User:

  • Hospital Laboratories
  • Specialty Diagnostics Centers
  • Clinical Research Organizations
  • Research Institutes
  • Others

By Region:

  • North America
  • Europe
  • East Asia
  • South Asia and Oceania
  • Latin America
  • Middle East & Africa

To know more about delivery timeline for this report Contact Sales

About Author

Pravin Rewale

Pravin Rewale

Senior Associate Consultant

Pravin is a Senior Associate Consultant specializing in the healthcare domain, particularly medical devices, pharmaceuticals, especially veterinary healthcare, and the food and nutraceuticals industry. With expertise in desk research, market sizing, strategic interpretation, and competitive intelligence, he has a proven ability to analyze trends and deliver actionable insights through data analysis. With vast experience in global research projects, he has independently delivered market opportunity analysis, market entry solutions, and country-specific landscape assessments.

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Companies Covered in This Report

  • Thermo Fisher Scientific Inc.
  • Kaneka Eurogentec S.A.
  • QIAGEN
  • Vastian
  • Roche Diagnostics
  • Adaptive Biotechnologies.
  • Guardant Health, Inc.
  • Smiths Medical
  • Quest Diagnostics
  • Beckman Coulter
  • OPKO Health, Inc.
  • Siemens Medical Solutions USA, Inc.
  • Quanterix
  • Proteomics International

Frequently Asked Questions

The market is set to reach US$ 9.0 Bn in 2025.

By test type, clinical biochemistry tests is projected to dominate the global market in 2025.

Thermo Fisher Scientific Inc., Kaneka Eurogentec S.A., QIAGEN, and Roche Diagnosticsare a few leading players.

The industry is estimated to rise at a CAGR of 6.4% through 2032.

North America is projected to hold the largest share of the industry in 2025.

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