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How to order your own lab tests without a doctor
You can order your own lab tests without a doctor's visit through a direct-to-consumer lab testing service, wherever state law allows it. You choose and pay for tests online, the service issues a lab order, and a clinical lab runs your sample.
- Choose your tests: pick single tests or a bundled panel.
- Pay: complete checkout with the service.
- Get the lab order: a licensed clinician working with the service signs it where state law requires.
- Give your sample: have blood taken in person or at home, depending on the test.
- Get your results: read them in an online portal.
Federal rules let anyone authorized under state law order a test, so each state decides whether consumers can order directly. Samples go to labs certified under the Clinical Laboratory Improvement Amendments (CLIA), whose quality standards apply to about 320,000 laboratory entities.
Common lab tests people order on their own
Most self-ordered lab tests are routine blood tests that screen general health, heart and metabolic risk, and nutrient levels, and thyroid tests are offered most often, by 12 of 21 US testing companies studied.
- Lipid panel: cholesterol and triglycerides
- Complete blood count (CBC): the number and size of your blood cells
- Hemoglobin A1c (HbA1c): average blood sugar over 2 to 3 months
- Thyroid-stimulating hormone (TSH): signs of a thyroid problem
- Vitamin D: the vitamin that helps your body absorb calcium
Draw options and state availability
Self-ordered samples are either venous blood from an arm vein or finger-stick capillary blood, and which options you can use depends on the states a service covers, so check yours before paying.
| Collection option | Where it happens | Sample type | Best suited for |
|---|---|---|---|
| Lab draw site | A lab partner location | Venous blood from an arm vein | The widest range of tests |
| Mobile phlebotomist visit | Your home or office | Venous blood from an arm vein | A venous draw without travel |
| At-home self-collection kit | At home, mailed to the lab | Finger-stick capillary blood | Tests validated for finger-stick samples |
Across 26 studies, self-collected capillary samples correlated with venous samples at r = 0.89, though not every test works from a finger stick.
What self-ordered tests cost and how to prepare
Self-ordered lab tests are paid at checkout, and laboratory fees that are part of medical care count as medical expenses. Health savings account (HSA) funds can generally pay for medical care as the tax code defines it, flexible spending account (FSA) coverage depends on your plan, and insurance reimbursement is not guaranteed.
For the draw itself, you usually fast for 8 to 12 hours when a test requires it, drinking only plain water. Biotin can skew thyroid, hormone, and vitamin D results, so mention supplements beforehand, and bring your lab order and a photo ID.
Get 100+ biomarkers tested in-lab or at home
One blood draw a year. A full picture of your health, explained in plain language.
Get 100+ biomarkers tested in-lab or at home
One blood draw a year. A full picture of your health, explained in plain language.
Reading your results
Every self-ordered result arrives with ranges set by the lab performing the test, and a value outside them deserves a clinician's review. "Normal" means where most healthy people fall, not a guarantee of good health, so compare a result only with the range on your own report.
If a result signals an imminently life-threatening condition, the lab must alert the signing clinician right away.
Limits of ordering your own lab tests
Self-ordered testing has limits, since no test is perfect and testing without a reason can bring confusing information, unexpected emotions, and more testing. Privacy varies too, with only 4 of 21 companies studied saying consumers could request data deletion. Sudden chest pain or trouble breathing needs emergency care right away.
Get to know your lab results with Superpower
When you order your own lab tests, the results still need explaining, so a comprehensive blood test with support built in goes further. A Superpower membership includes 100+ biomarkers in a single draw at 2,000+ lab partner locations, with AI and care team support to explain your results. Superpower is built as a home for your health, measuring your markers and supporting you as you improve them.
Discover what your own health data says. Start your Superpower membership.
References
- Ayala-Lopez N, Nichols JH. Benefits and risks of direct-to-consumer testing. *Arch Pathol Lab Med*. 2020;144(10):1193-1198. https://doi.org/10.5858/arpa.2020-0078-RA
- MedlinePlus. At-home medical tests. National Library of Medicine. Updated September 10, 2024. Accessed October 16, 2026. https://medlineplus.gov/lab-tests/at-home-medical-tests/
- Electronic Code of Federal Regulations. 42 CFR § 493.2 — Definitions. Accessed October 16, 2026. https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-493/subpart-A/section-493.2
- Centers for Medicare & Medicaid Services. Clinical Laboratory Improvement Amendments (CLIA). Accessed October 16, 2026. https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments
- Kalokairinou L, Choi R, Wei NY, Wexler A. Policies of US companies offering direct-to-consumer laboratory tests. *JAMA Intern Med*. 2023;183(11):1275-1278. https://doi.org/10.1001/jamainternmed.2023.4726
- MedlinePlus. Cholesterol levels. National Library of Medicine. Updated October 15, 2024. Accessed October 16, 2026. https://medlineplus.gov/lab-tests/cholesterol-levels/
- MedlinePlus. Complete blood count (CBC). National Library of Medicine. Updated October 15, 2024. Accessed October 16, 2026. https://medlineplus.gov/lab-tests/complete-blood-count-cbc/
- MedlinePlus. Hemoglobin A1C (HbA1c) test. National Library of Medicine. Updated May 20, 2025. Accessed October 16, 2026. https://medlineplus.gov/lab-tests/hemoglobin-a1c-hba1c-test/
- MedlinePlus. TSH (thyroid-stimulating hormone) test. National Library of Medicine. Updated October 30, 2024. Accessed October 16, 2026. https://medlineplus.gov/lab-tests/tsh-thyroid-stimulating-hormone-test/
- MedlinePlus. Vitamin D test. National Library of Medicine. Updated December 4, 2024. Accessed October 16, 2026. https://medlineplus.gov/lab-tests/vitamin-d-test/
- Schröder D, Hafke A, Hummers E, et al. Comparison of laboratory results and pain perception in self-sampled capillary blood versus venous blood sampling: a systematic review and meta-analysis. *Clin Biochem*. 2025;138:110965. https://doi.org/10.1016/j.clinbiochem.2025.110965
- Internal Revenue Service. Publication 502 (2025), Medical and dental expenses. Accessed October 16, 2026. https://www.irs.gov/publications/p502
- Internal Revenue Service. Publication 969 (2025), Health savings accounts and other tax-favored health plans. Accessed October 16, 2026. https://www.irs.gov/publications/p969
- MedlinePlus. Fasting for a blood test. National Library of Medicine. Updated August 28, 2025. Accessed October 16, 2026. https://medlineplus.gov/lab-tests/fasting-for-a-blood-test/
- Li J, Wagar EA, Meng QH. Comprehensive assessment of biotin interference in immunoassays. *Clin Chim Acta*. 2018;487:293-298. https://doi.org/10.1016/j.cca.2018.10.013
- Electronic Code of Federal Regulations. 42 CFR § 493.1291 — Standard: Test report. Accessed October 16, 2026. https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-493/subpart-K/subject-group-ECFR9482366886d579f/section-493.1291
- MedlinePlus. How to understand your lab results. National Library of Medicine. Updated September 4, 2025. Accessed October 16, 2026. https://medlineplus.gov/lab-tests/how-to-understand-your-lab-results/



















