Federal Capture Intelligence

Top VA medical laboratories contractors (NAICS 621511)

Contract actions: October 1, 2021 – October 23, 2026 Updated October 24, 2026 Department of Veterans Affairs agency guide NAICS 621511 · Medical Laboratories
Latest 12 months
$178.9M
Net obligations · Down $91.0M vs. $269.9M preceding
Prime contractors
156
With positive obligations in the latest 12 months

Research the VA federal contracting market for medical laboratories under NAICS 621511. Compare top federal contractors and market share, reported contract obligations and spending trends, funding-office attribution, recent award activity, contract types, competition, and procurement methods, and observed contract vehicle usage.

Contract obligation trends for Medical Laboratories at the Department of Veterans Affairs

Federal records show $1.1B in net obligations across 3,088 awards in Medical Laboratories at the Department of Veterans Affairs from Oct 1, 2021 through Oct 23, 2026. This market accounts for 0.33% of $349.8B in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations decreased 33.7% from $269.9M to $178.9M. 12 prime contractors accounted for at least 80% of positive obligations in that latest period.

Fiscal-year activity

FY27 is year-to-date through Oct 23, 2026; earlier years show complete fiscal-year totals.

FY27 year-to-date: $16.3M versus $81.4M through the same date in FY26 (−79.9%).
Net obligations · complete fiscal yearNet obligations · FY27 YTDContract actions
View fiscal-year data table
Fiscal yearNet obligationsContract actionsCoverage
FY2022$186.8M1,496Complete
FY2023$213.3M1,505Complete
FY2024$199.9M1,608Complete
FY2025$279.2M1,454Complete
FY2026$243.9M1,342Complete

Market at a glance

All reported prime contract awards
All-period net obligations
$1.1B
3,088 awards · 388 prime contractors
Latest 12-month movement
−33.7%
$178.9M vs. $269.9M
Leading eight prime share
75.9%
Share held by the eight leading prime contractors in the latest 12 months
View agency share, denominators, and set-aside reporting
Agency context
0.33% of $349.8B in agency-wide net obligations.
Set-aside share when reported
8.2% of 947 awards with reported set-aside status.
Set-aside reporting
78 set aside · 869 no set-aside · 2,141 not reported

What changed in the last 12 months?

Oct 24, 2025–Oct 23, 2026, compared with Oct 24, 2024–Oct 23, 2025.

Competitive shifts

LABORATORY CORPORATION OF AMERICA had the largest decline in reported obligations
$53.3M→$23.3M−$29.9M
The contractor now ranks #2 by positive obligations and accounts for 12.5% of positive obligations, based on 117 reported actions.
PROPATH SERVICES, LLC climbed the most in the contractor rankings
#128→#11Up 117 places
The contractor accounts for 1.2% of positive obligations across 6 reported actions.
COMMONSPIRIT OREGON fell the most in the contractor rankings
#13→#101Down 88 places
The contractor accounts for 0.030% of positive obligations across 2 reported actions.
QUEST DIAGNOSTICS INCORPORATED gained the most market share
35.1%→37.7%+2.6 percentage points
The contractor now ranks #1 by positive obligations, based on 231 reported actions.

Award activity

FOUNDATION MEDICINE, INC. received an unusually large obligation action
$22.0MSep 25, 2026 action
Reported under PIID 36C10G26F0017 by STRATEGIC ACQUISITION CENTER FREDERICKSBURG (36C10G). Award net obligations after the action: $22.0M.
View supporting award

Buyer demand

Reported obligations through SAC FREDERICK (36C10X) decreased
$19.1M→$5.3M−$13.8M
Latest-period activity spans 8 awards across 5 prime contractors.
View 5 additional material changes

Buyer demand

Reported obligations through 578-HINES(00578)(36C578) increased
$2.0M→$5.9M+$3.9M
Latest-period activity spans 5 awards across 4 prime contractors.

Competitive shifts

CAREDX, INC. had the largest increase in reported obligations
$1.5M→$5.1M+$3.6M
The contractor now ranks #7 by positive obligations and accounts for 2.8% of positive obligations, based on 10 reported actions.
7 contractors were first observed in this market during the latest 12 months
$1.6MLatest 12-month obligations
Contractor-level obligations and first-observed dates appear below. “First observed” applies only to this market and the period shown.
View 7 contractors
ContractorLatest 12 months
FULGENT THERAPEUTICS LLC recorded the largest net deobligation
$7.4M→−$1.7M−$9.1M
The contractor now is unranked by positive obligations, based on 9 reported actions.
UPMC PRESBYTERIAN SHADYSIDE had no reported activity in the latest 12 months
$1.4M→$0No latest-period activity
It previously ranked #16 by positive obligations, based on 2 reported actions.
How these findings are calculated

Findings are selected from matched-period changes in obligations, share, rank, funding offices, concentration, reported set-asides, material award actions, and agency-peer outliers. Related signals are combined, and only material evidence-backed changes are shown. Review the full methodology.

Federal contract obligations by funding office

See how positive obligations were attributed across funding offices in the 12 months ending Oct 23, 2026.

18.6% of positive obligations were attributed to STRATEGIC ACQUISITION CENTER FREDERICKSBURG (36C10G). That represents $34.4M, down $9.7M from the preceding 12 months.

Latest 12-month share of positive obligations; the gray segment represents all other reported offices.

  1. STRATEGIC ACQUISITION CENTER FREDERICKSBURG (36C10G)18.6% · $34.4M · down $9.7M
  2. 261-NETWORK CONTRACT OFFICE 21 (36C261)4.8% · $8.9M · down $8.5M
  3. 248-NETWORK CONTRACT OFFICE 8 (36C248)4.7% · $8.6M · up $858K
  4. DEPART OF VETERANS AFFAIRS (3600)4.3% · $7.9M · up $8.4M
  5. 648-PORTLAND (00648)3.7% · $6.8M · up $1.6M
  6. All other reported offices64.0% of positive obligations
View reported office rankings, comparisons, and evidence

USAspending assigns each award to a funding office. That office may differ from the requiring activity, program office, contracting office, individual buyer, or actual customer.

  1. Reported funding office

    STRATEGIC ACQUISITION CENTER FREDERICKSBURG (36C10G)

    #1Rank unchanged

    Latest 12 months

    $34.4M

    18.6% of positive obligations

    Versus preceding 12 months

    −$9.7M

    5 active prime contractors · 7 awards

    View office comparison and evidence

    Reported obligations decreased 22.0% from $44.1M to $34.4M. The office’s share of positive obligations moved from 16.2% to 18.6%, a change of +2.4 percentage points.

    The latest period contains 10 actions across 7 awards. The preceding period contained 5 active prime contractors and 10 awards.

  2. Reported funding office

    261-NETWORK CONTRACT OFFICE 21 (36C261)

    #2Up 1 from #3

    Latest 12 months

    $8.9M

    4.8% of positive obligations

    Versus preceding 12 months

    −$8.5M

    23 active prime contractors · 54 awards

    View office comparison and evidence

    Reported obligations decreased 48.8% from $17.4M to $8.9M. The office’s share of positive obligations moved from 6.4% to 4.8%, a change of −1.6 percentage points.

    The latest period contains 67 actions across 54 awards and 1 newly active prime contractor. The preceding period contained 29 active prime contractors and 85 awards.

  3. Reported funding office

    248-NETWORK CONTRACT OFFICE 8 (36C248)

    #3Up 4 from #7

    Latest 12 months

    $8.6M

    4.7% of positive obligations

    Versus preceding 12 months

    +$858K

    4 active prime contractors · 14 awards

    View office comparison and evidence

    Reported obligations increased 11.1% from $7.7M to $8.6M. The office’s share of positive obligations moved from 2.8% to 4.7%, a change of +1.8 percentage points.

    The latest period contains 18 actions across 14 awards and 3 newly active prime contractors. The preceding period contained 2 active prime contractors and 15 awards.

  4. Reported funding office

    DEPART OF VETERANS AFFAIRS (3600)

    #4New to the positive-obligation ranking

    Latest 12 months

    $7.9M

    4.3% of positive obligations

    Versus preceding 12 months

    +$8.4M

    3 active prime contractors · 10 awards

    View office comparison and evidence

    Reported obligations moved from $500K in net deobligations to $7.9M in net obligations. The office’s share of positive obligations moved from 0% to 4.3%, a change of +4.3 percentage points.

    The latest period contains 10 actions across 10 awards and 1 newly active prime contractor. The preceding period contained 2 active prime contractors and 2 awards.

    Leading award-level changes

  5. Reported funding office

    648-PORTLAND (00648)

    #5Up 7 from #12

    Latest 12 months

    $6.8M

    3.7% of positive obligations

    Versus preceding 12 months

    +$1.6M

    13 active prime contractors · 27 awards

    View office comparison and evidence

    Reported obligations increased 32.2% from $5.1M to $6.8M. The office’s share of positive obligations moved from 1.9% to 3.7%, a change of +1.8 percentage points.

    The latest period contains 48 actions across 27 awards and 2 newly active prime contractors. The preceding period contained 12 active prime contractors and 26 awards.

  6. Reported funding office

    VETERANS HEALTH ADMINISTRATION

    #6Up 8 from #14

    Latest 12 months

    $6.1M

    3.3% of positive obligations

    Versus preceding 12 months

    +$2.0M

    10 active prime contractors · 15 awards

    View office comparison and evidence

    Reported obligations increased 49.1% from $4.1M to $6.1M. The office’s share of positive obligations moved from 1.5% to 3.3%, a change of +1.8 percentage points.

    The latest period contains 19 actions across 15 awards and 5 newly active prime contractors. The preceding period contained 6 active prime contractors and 14 awards.

  7. Reported funding office

    578-HINES(00578)(36C578)

    #7Up 29 from #36

    Latest 12 months

    $5.9M

    3.2% of positive obligations

    Versus preceding 12 months

    +$3.9M

    4 active prime contractors · 5 awards

    View office comparison and evidence

    Reported obligations increased 199.1% from $2.0M to $5.9M. The office’s share of positive obligations moved from 0.73% to 3.2%, a change of +2.5 percentage points.

    The latest period contains 5 actions across 5 awards and 1 newly active prime contractor. The preceding period contained 5 active prime contractors and 11 awards.

  8. Reported funding office

    556-FHCC(N CHICAGO)(00556)(36C556)

    #8Rank unchanged

    Latest 12 months

    $5.8M

    3.1% of positive obligations

    Versus preceding 12 months

    −$1.4M

    3 active prime contractors · 5 awards

    View office comparison and evidence

    Reported obligations decreased 19.2% from $7.1M to $5.8M. The office’s share of positive obligations moved from 2.6% to 3.1%, a change of +0.5 percentage points.

    The latest period contains 5 actions across 5 awards. The preceding period contained 3 active prime contractors and 8 awards.

  9. Reported funding office

    619-CENTERAL ALABAM (00619)(36C619)

    #9Down 5 from #4

    Latest 12 months

    $5.5M

    3.0% of positive obligations

    Versus preceding 12 months

    −$10.5M

    1 active prime contractor · 3 awards

    View office comparison and evidence

    Reported obligations decreased 65.7% from $16.0M to $5.5M. The office’s share of positive obligations moved from 5.9% to 3.0%, a change of −2.9 percentage points.

    The latest period contains 5 actions across 3 awards. The preceding period contained 2 active prime contractors and 12 awards.

  10. Reported funding office

    SAC FREDERICK (36C10X)

    #10Down 8 from #2

    Latest 12 months

    $5.3M

    2.9% of positive obligations

    Versus preceding 12 months

    −$13.8M

    5 active prime contractors · 8 awards

    View office comparison and evidence

    Reported obligations decreased 72.2% from $19.1M to $5.3M. The office’s share of positive obligations moved from 7.0% to 2.9%, a change of −4.1 percentage points.

    The latest period contains 9 actions across 8 awards and 2 newly active prime contractors. The preceding period contained 3 active prime contractors and 6 awards.

    Leading award-level changes

  11. Reported funding office

    499-NETWOK CONTRACT OFFICE 23

    #13New to the positive-obligation ranking

    Latest 12 months

    $3.2M

    1.7% of positive obligations

    Versus preceding 12 months

    +$3.2M

    1 active prime contractor · 10 awards

    View office comparison and evidence

    Reported obligations rose from $0 to $3.2M. The office’s share of positive obligations moved from 0% to 1.7%, a change of +1.7 percentage points.

    The latest period contains 10 actions across 10 awards and 1 newly active prime contractor. The preceding period contained 0 active prime contractors and 0 awards.

  12. Reported funding office

    250-NETWORK CONTRACT OFFICE 10 (36C250)

    #14Up 112 from #126

    Latest 12 months

    $3.0M

    1.6% of positive obligations

    Versus preceding 12 months

    +$3.0M

    6 active prime contractors · 7 awards

    View office comparison and evidence

    Reported obligations increased 6298524.8% from $48 to $3.0M. The office’s share of positive obligations moved from 0% to 1.6%, a change of +1.6 percentage points.

    The latest period contains 17 actions across 7 awards and 5 newly active prime contractors. The preceding period contained 2 active prime contractors and 2 awards.

  13. Reported funding office

    DEPT OF VETERANS AFFAIRS

    #21Up 72 from #93

    Latest 12 months

    $2.6M

    1.4% of positive obligations

    Versus preceding 12 months

    +$2.5M

    7 active prime contractors · 12 awards

    View office comparison and evidence

    Reported obligations increased 1847.4% from $136K to $2.6M. The office’s share of positive obligations moved from 0.050% to 1.4%, a change of +1.4 percentage points.

    The latest period contains 14 actions across 12 awards and 4 newly active prime contractors. The preceding period contained 3 active prime contractors and 6 awards.

  14. Reported funding office

    554-DENVER (00554)

    #56Down 51 from #5

    Latest 12 months

    $632K

    0.34% of positive obligations

    Versus preceding 12 months

    −$12.2M

    13 active prime contractors · 23 awards

    View office comparison and evidence

    Reported obligations decreased 95.1% from $12.8M to $632K. The office’s share of positive obligations moved from 4.7% to 0.34%, a change of −4.4 percentage points.

    The latest period contains 34 actions across 23 awards and 1 newly active prime contractor. The preceding period contained 12 active prime contractors and 27 awards.

Contract types, competition, and procurement methods

From Oct 24, 2025 through Oct 23, 2026, 531 awards had positive obligations totaling $215.3M. Sp1 was the leading reported procedure, accounting for 22.4% of positive obligations. Awards with a reported parent IDV accounted for 85.6%. Reported awards used contract vehicles such as 621II and Schedule 621 II.

Leading award type
61.6%
Delivery Order
Leading reported procedure
22.4%
Sp1
Reported parent IDV
85.6%
of positive obligations had a reported parent IDV
Median reported offers
1
235 of 531 awards reported offers

Observed contract vehicles

Only exact reported parent-PIID matches are shown; missing parent IDs are not inferred.

  • 621II

    $10.7M

    5.0% of positive obligations · 22 matched awards

  • Schedule 621 II

    $10.5M

    4.9% of positive obligations · 14 matched awards

Buying method changes

Compared with Oct 24, 2024–Oct 23, 2025. Based on 531 current awards and 653 preceding awards with positive net obligations.

Reported full-and-open obligation share
29.6%
Down from 52.0% in the preceding period
Multiple-award parent obligation share
12.6%
Down from 24.2% in the preceding period
How to read these changes

Directional color and the Up or Down labels show historical movement only. Green does not mean favorable and red does not mean unfavorable; neither predicts a future procurement method.

Same-NAICS comparison

Compared with the NAICS 621511 peer median, parent-IDV obligation share is 11.6 percentage points higher, reported full-and-open obligation share is 17.5 percentage points lower, delivery-order obligation share is 22.3 percentage points higher, and median positive award obligations are 65.6% higher.

MeasureThis marketPeer medianDifference
Parent-IDV obligation share85.6%74.0%+11.6 pts
Reported full-and-open obligation share29.6%47.2%-17.5 pts
Delivery-order obligation share61.6%39.3%+22.3 pts
Median positive award obligations$78K$47K+65.6%
Peer cohort and comparison limits

The peer median gives each of the 4 eligible agency markets equal weight. The included agency markets are:

Agency mission, scale, and acquisition context can differ. Peer position does not establish market attractiveness or predict a future procurement method.

View buying-method details and data coverage

Award types

Reported valueAwardsPositive obligationsShare
Delivery Order(C)269$132.7M61.6%
BPA Call(A)149$51.7M24.0%
Purchase Order(B)92$19.5M9.1%
Definitive Contract(D)21$11.4M5.3%

Reported parent-award types

Reported valueAwardsPositive obligationsShare
IDC(B)226$110.4M51.3%
BPA(E)149$51.7M24.0%
FSS(C)43$22.3M10.3%
Not reported113$30.9M14.4%

Single- or multiple-award parent structure

Reported valueAwardsPositive obligationsShare
Single Award(S)357$157.3M73.1%
Multiple Award(M)61$27.1M12.6%
Not reported113$30.9M14.4%

Solicitation procedures

Reported valueAwardsPositive obligationsShare
Sp1(SIMPLIFIED ACQUISITION)74$48.3M22.4%
Subject to Multiple Award Fair Opportunity(MAFO)92$42.8M19.9%
Only One Source(SSS)91$29.8M13.8%
Simplified Acquisition(SP1)142$25.5M11.8%
Mafo(SUBJECT TO MULTIPLE AWARD FAIR OPPORTUNITY)41$24.9M11.6%
Negotiated Proposal/Quote(NP)32$21.1M9.8%
Other reported values59$22.9M10.6%

Extent competed

Reported valueAwardsPositive obligationsShare
Full and Open Competition(A)123$63.8M29.6%
F(COMPETED UNDER SAP)47$37.4M17.4%
A(FULL AND OPEN COMPETITION)50$32.9M15.3%
Not Competed(C)85$28.8M13.4%
Competed Under SAP(F)100$19.3M9.0%
C(NOT COMPETED)32$11.6M5.4%
Other reported values94$21.5M10.0%

Fair-opportunity and limited-source reporting

Reported valueAwardsPositive obligationsShare
Fair Opportunity Given(FAIR)85$51.5M23.9%
Only One Source - Other(ONE)40$9.6M4.4%
Urgency(URG)4$5.3M2.5%
Follow-on Action Following Competitive Initial Action(FOO)1$880K0.41%
Other Statutory Authority(OSA)1$297K0.14%
Competitive Set Aside(CSA)2$227K0.11%
Not reported398$147.5M68.5%

Other-than-full-and-open reasons

Reported valueAwardsPositive obligationsShare
Only One Source-Other (FAR 6.302-1 Other)(ONE)102$38.6M17.9%
SAP Non-Competition (FAR 13)(SP2)55$15.6M7.2%
Authorized by Statute (FAR 6.302-5(A)(2)(I))(OTH)22$2.5M1.2%
Follow-on Contract (FAR 6.302-1(A)(2)(Ii/Iii))(FOC)8$935K0.43%
Urgency (FAR 6.302-2)(URG)6$837K0.39%
Unique Source (FAR 6.302-1(B)(1))(UNQ)1$9K0%
Not reported337$156.8M72.8%

Contract pricing types

Reported valueAwardsPositive obligationsShare
Firm Fixed Price(J)364$121.7M56.5%
J(FIRM FIXED PRICE)158$90.4M42.0%
K(FIXED PRICE WITH ECONOMIC PRICE ADJUSTMENT)1$2.5M1.2%
Fixed Price with Economic Price Adjustment(K)4$492K0.23%
Cost No Fee(S)4$163K0.080%

Product or Service Codes

Reported valueAwardsPositive obligationsShare
Reference Laboratory Testing(Q301)447$195.3M90.7%
Medical- Pathology(Q515)30$7.6M3.5%
Laboratory Equipment and Supplies(6640)8$4.9M2.3%
Cardiology(Q502)3$2.9M1.3%
General Science and Technology R&d Services; General Science and Technology; Applied Research(AJ12)3$845K0.39%
Quality Control- Instruments and Laboratory Equipment(H166)1$668K0.31%
Other reported values39$3.2M1.5%

Awarding subagencies

Reported valueAwardsPositive obligationsShare
Department of Veterans Affairs(3600)531$215.3M100.0%

Awarding offices

Reported valueAwardsPositive obligationsShare
Strategic Acquisition Center Fredericksburg (36c10g)(36C10G)5$37.6M17.5%
257-Network Contract Office 17 (36c257)(36C257)50$24.3M11.3%
252-Network Contract Office 12 (36c252)(36C252)26$16.8M7.8%
246-Network Contracting Office 6 (36c246)(36C246)35$16.3M7.6%
260-Network Contract Office 20 (36c260)(36C260)35$15.4M7.2%
250-Network Contract Office 10 (36c250)(36C250)41$12.6M5.9%
Other reported values339$92.4M42.9%

Reported parent IDVs

Reported valueAwardsPositive obligationsShare
36C10G24D0059(3600)1$22.0M10.2%
36C24623A0020(3600)21$15.8M7.3%
V797D70090(3600)14$9.3M4.3%
36C24823D0012(3600)6$9.0M4.2%
V797D50532(3600)9$7.3M3.4%
36C24426D0122(3600)1$7.3M3.4%
36C25224D0004(3600)3$5.9M2.8%
36C10G22D0004(3600)1$5.5M2.6%
Other reported values362$102.2M47.5%
Not reported113$30.9M14.4%

Exact vehicle-match evidence

Reported award data linked 36 awards to a specific catalog vehicle.

Offers, award size, and timing

Median reported offers
1 median
235 reported · 296 not reported
Positive award obligations
$78K median
$23K–$344K middle 50%
Reported performance period
364 days (~12 months) median
531 reported · 0 not reported

Calculations group latest-period actions by award, retain awards with positive net obligations for share denominators, and use each award's latest reported USAspending procurement fields as of Oct 23, 2026. Blank competition, pricing, PSC, or parent-IDV values remain not reported; they are not inferred. Offer counts must be positive and below the FPDS 999 placeholder. Awarding organizations can differ from the funding agency that defines this page.

Top federal contractors

Latest 12-month market share, concentration, and complete prime contractor rankings across the period shown.

Prime contractor concentration
12 of 156prime contractors account for at least 80% of positive obligations in the last 12 months
Largest prime contractor
37.7%of positive obligations in the last 12 months
Leading four prime contractors
65.7%of positive obligations in the last 12 months
Leading eight prime contractors
75.9%of positive obligations in the last 12 months

Based on $186.2M in positive obligations during the 12 months ending Oct 23, 2026. Individual shares and movement appear in the searchable rankings below. Movement compares with Oct 24, 2024–Oct 23, 2025.

Last 12mo obligation volume: Highest positive obligations first; net deobligations follow by magnitude; contractors with no activity in the last 12 months follow by all-period obligations. Ranks use the complete contractor list and remain fixed when search narrows the results.

15 leading contractors
  1. #1

    Last 12mo obligations

    $70.2M

    37.7%

    Dollar movement

    −$26.3M

    vs. prior 12 months

    Last 12mo awards

    176 awards

    231 actions

    Historical and award details for QUEST DIAGNOSTICS INCORPORATED
    Obligations: prior → latest
    $96.5M → $70.2M
    −27.2%
    Share: prior → latest
    35.1% → 37.7%
    +2.6 percentage points
    All-period obligations
    $441.1M
    38.5% of all-period positive obligations · 644 awards
    Recorded activity
    Since Oct 1, 2021
    through Oct 22, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside67
    Not reported170217
    Reported small business00
    All-period set-aside types

    None reported.

  2. #2

    Last 12mo obligations

    $23.3M

    12.5%

    Dollar movement

    −$29.9M

    vs. prior 12 months

    Last 12mo awards

    88 awards

    117 actions

    Historical and award details for LABORATORY CORPORATION OF AMERICA
    Obligations: prior → latest
    $53.3M → $23.3M
    −56.2%
    Share: prior → latest
    19.4% → 12.5%
    −6.8 percentage points
    All-period obligations
    $197.2M
    17.2% of all-period positive obligations · 364 awards
    Recorded activity
    Since Oct 1, 2021
    through Oct 19, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside812
    Not reported80121
    Reported small business00
    All-period set-aside types

    None reported.

  3. #3

    Last 12mo obligations

    $19.2M

    10.3%

    Dollar movement

    −$12.5M

    vs. prior 12 months

    Last 12mo awards

    4 awards

    5 actions

    Historical and award details for FOUNDATION MEDICINE, INC.
    Obligations: prior → latest
    $31.6M → $19.2M
    −39.4%
    Share: prior → latest
    11.5% → 10.3%
    −1.2 percentage points
    All-period obligations
    $133.0M
    11.6% of all-period positive obligations · 25 awards
    Recorded activity
    Since Oct 1, 2021
    through Sep 25, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside22
    Not reported25
    Reported small business00
    All-period set-aside types

    None reported.

  4. #4

    Last 12mo obligations

    $9.6M

    5.2%

    Dollar movement

    +$496K

    vs. prior 12 months

    Last 12mo awards

    10 awards

    15 actions

    Historical and award details for COLLEGE OF AMERICAN PATHOLOGISTS
    Obligations: prior → latest
    $9.1M → $9.6M
    +5.4%
    Share: prior → latest
    3.3% → 5.2%
    +1.9 percentage points
    All-period obligations
    $19.1M
    1.7% of all-period positive obligations · 30 awards
    Recorded activity
    Since Oct 25, 2021
    through Oct 8, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside1013
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  5. #5

    Last 12mo obligations

    $5.5M

    3.0%

    Dollar movement

    −$224K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    3 actions

    Historical and award details for TEMPUS AI, INC
    Obligations: prior → latest
    $5.7M → $5.5M
    −3.9%
    Share: prior → latest
    2.1% → 3.0%
    +0.9 percentage points
    All-period obligations
    $27.5M
    2.4% of all-period positive obligations · 6 awards
    Recorded activity
    Since Jan 28, 2022
    through Mar 18, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported22
    Reported small business00
    All-period set-aside types

    None reported.

  6. #6

    Last 12mo obligations

    $5.2M

    2.8%

    Dollar movement

    +$2.0M

    vs. prior 12 months

    Last 12mo awards

    11 awards

    19 actions

    Historical and award details for OREGON HEALTH & SCIENCE UNIVERSITY
    Obligations: prior → latest
    $3.2M → $5.2M
    +60.6%
    Share: prior → latest
    1.2% → 2.8%
    +1.6 percentage points
    All-period obligations
    $15.1M
    1.3% of all-period positive obligations · 20 awards
    Recorded activity
    Since Nov 18, 2021
    through Sep 22, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside913
    Not reported21
    Reported small business00
    All-period set-aside types

    None reported.

  7. #7

    Last 12mo obligations

    $5.1M

    2.8%

    Dollar movement

    +$3.6M

    vs. prior 12 months

    Last 12mo awards

    6 awards

    10 actions

    Historical and award details for CAREDX, INC.
    Obligations: prior → latest
    $1.5M → $5.1M
    +240.8%
    Share: prior → latest
    0.55% → 2.8%
    +2.2 percentage points
    All-period obligations
    $14.0M
    1.2% of all-period positive obligations · 19 awards
    Recorded activity
    Since Oct 19, 2021
    through Oct 19, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside35
    Not reported32
    Reported small business32
    All-period set-aside types

    None reported.

  8. #8

    Last 12mo obligations

    $3.2M

    1.7%

    Dollar movement

    −$5.9M

    vs. prior 12 months

    Last 12mo awards

    22 awards

    37 actions

    Historical and award details for ARUP LABORATORIES INC
    Obligations: prior → latest
    $9.1M → $3.2M
    −65.2%
    Share: prior → latest
    3.3% → 1.7%
    −1.6 percentage points
    All-period obligations
    $36.6M
    3.2% of all-period positive obligations · 97 awards
    Recorded activity
    Since Oct 1, 2021
    through Oct 6, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside33
    Not reported1932
    Reported small business00
    All-period set-aside types

    None reported.

  9. #9

    Last 12mo obligations

    $2.7M

    1.4%

    Dollar movement

    +$1.2M

    vs. prior 12 months

    Last 12mo awards

    1 award

    4 actions

    Historical and award details for AVMEDICAL LLC
    Obligations: prior → latest
    $1.4M → $2.7M
    +85.3%
    Share: prior → latest
    0.53% → 1.4%
    +0.9 percentage points
    All-period obligations
    $4.1M
    0.36% of all-period positive obligations · 1 award
    Recorded activity
    Since Dec 23, 2024
    through Oct 16, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside11
    Not reported00
    Reported small business11
    All-period set-aside types

    None reported.

  10. #10

    Last 12mo obligations

    $2.5M

    1.4%

    Dollar movement

    +$1.6M

    vs. prior 12 months

    Last 12mo awards

    5 awards

    6 actions

    Historical and award details for STANFORD HEALTH CARE
    Obligations: prior → latest
    $860K → $2.5M
    +191.9%
    Share: prior → latest
    0.31% → 1.4%
    +1.0 percentage points
    All-period obligations
    $4.2M
    0.37% of all-period positive obligations · 6 awards
    Recorded activity
    Since Mar 25, 2024
    through Aug 26, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside20
    Not reported32
    Reported small business00
    All-period set-aside types

    None reported.

  11. #11

    Last 12mo obligations

    $2.2M

    1.2%

    Dollar movement

    +$2.2M

    vs. prior 12 months

    Last 12mo awards

    3 awards

    6 actions

    Historical and award details for PROPATH SERVICES, LLC
    Obligations: prior → latest
    $35K → $2.2M
    +6318.1%
    Share: prior → latest
    0.010% → 1.2%
    +1.2 percentage points
    All-period obligations
    $2.3M
    0.20% of all-period positive obligations · 7 awards
    Recorded activity
    Since Mar 2, 2022
    through Aug 5, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside11
    Not reported20
    Reported small business00
    All-period set-aside types

    None reported.

  12. #12

    Last 12mo obligations

    $2.0M

    1.1%

    Dollar movement

    +$2.0M

    vs. prior 12 months

    Last 12mo awards

    2 awards

    3 actions

    Historical and award details for BAYLOR COLLEGE OF MEDICINE
    Obligations: prior → latest
    $0 → $2.0M
    Not comparable
    Share: prior → latest
    0% → 1.1%
    +1.1 percentage points
    All-period obligations
    $2.1M
    0.19% of all-period positive obligations · 2 awards
    Recorded activity
    Since Jul 6, 2022
    through Jul 13, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside10
    Not reported10
    Reported small business00
    All-period set-aside types

    None reported.

  13. #13

    Last 12mo obligations

    $1.8M

    0.96%

    Dollar movement

    +$534K

    vs. prior 12 months

    Last 12mo awards

    18 awards

    32 actions

    Historical and award details for MAYO COLLABORATIVE SERVICES, INC.
    Obligations: prior → latest
    $1.3M → $1.8M
    +42.3%
    Share: prior → latest
    0.46% → 0.96%
    +0.5 percentage points
    All-period obligations
    $6.9M
    0.60% of all-period positive obligations · 44 awards
    Recorded activity
    Since Oct 31, 2021
    through Oct 20, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside75
    Not reported1110
    Reported small business00
    All-period set-aside types

    None reported.

  14. #14

    Last 12mo obligations

    $1.7M

    0.90%

    Dollar movement

    −$80K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    3 actions

    Historical and award details for UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY
    Obligations: prior → latest
    $1.8M → $1.7M
    −4.5%
    Share: prior → latest
    0.64% → 0.90%
    +0.3 percentage points
    All-period obligations
    $8.3M
    0.73% of all-period positive obligations · 10 awards
    Recorded activity
    Since Dec 14, 2021
    through Oct 20, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported33
    Reported small business00
    All-period set-aside types

    None reported.

  15. #15

    Last 12mo obligations

    $1.5M

    0.83%

    Dollar movement

    +$673K

    vs. prior 12 months

    Last 12mo awards

    22 awards

    33 actions

    Historical and award details for VERACYTE, INC.
    Obligations: prior → latest
    $867K → $1.5M
    +77.6%
    Share: prior → latest
    0.32% → 0.83%
    +0.5 percentage points
    All-period obligations
    $4.5M
    0.40% of all-period positive obligations · 53 awards
    Recorded activity
    Since Oct 1, 2021
    through Sep 28, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside58
    Not reported1714
    Reported small business52
    All-period set-aside types

    None reported.

Recent federal contract award activity

Recent contract actions with unusually large obligation changes or meaningful shifts in contractor and funding-office activity.

Base award

This action

+$22.0M

FOUNDATION MEDICINE, INC.

STRATEGIC ACQUISITION CENTER FREDERICKSBURG (36C10G)

TASK ORDER FOR TUMOR MOLECULAR TESTING.

Why it stands out

A new award added obligations despite weaker contractor activity.

The action represented 11.8% of the market’s latest 12-month positive obligations while the contractor’s obligations fell $12.5M overall.

Award net obligations
$22.0M
Share of 12-month positive obligations
11.8%
Supporting data
Prime contractor
#3 · 10.3% share
$12.5M net decline despite this positive action
Funding office
#1 · 18.6% attributed share
$9.7M net decline despite this positive action
Related:Unusually large action
PIID 36C10G26F0017
Base award

This action

+$7.3M

LABORATORY CORPORATION OF AMERICA

DEPART OF VETERANS AFFAIRS (3600)

REFERENCE LABORATORY SERVICES TASK ORDER

Why it stands out

A new award added obligations despite weaker contractor activity.

The action represented 3.9% of the market’s latest 12-month positive obligations while the contractor’s obligations fell $29.9M overall.

Award net obligations
$7.3M
Share of 12-month positive obligations
3.9%
Supporting data
Prime contractor
#2 · 12.5% share
$29.9M net decline despite this positive action
Funding office
#4 · 4.3% attributed share
+4.3 percentage points · $8.4M net increase; action accounted for 87.6%
PIID 36C24426N1083
Deobligation

This action

−$3.1M

FOUNDATION MEDICINE, INC.

STRATEGIC ACQUISITION CENTER FREDERICKSBURG (36C10G)

MODIFICATION DECREASE PO.

Why it stands out

This award recorded a material contraction.

The action removed $3.1M. A deobligation does not by itself show lower requirement demand.

Award net obligations
$21.6M
Share of 12-month positive obligations
1.7%
Supporting data
Prime contractor
#3 · 10.3% share
−1.2 percentage points · $12.5M net decline; action accounted for 25.2%
Funding office
#1 · 18.6% attributed share
+2.4 percentage points · $9.7M net decline; action accounted for 32.4%
Related:Unusually large action
PIID 36C10G25F0019 · Mod P00002
Modification

This action

+$9.5M

COLLEGE OF AMERICAN PATHOLOGISTS

STRATEGIC ACQUISITION CENTER FREDERICKSBURG (36C10G)

EXERCISE OPTION PERIOD ONE

Why it stands out

This award grew while spending attributed to its office declined.

The modification added $9.5M while office-attributed obligations fell $9.7M overall.

Award net obligations
$18.4M
Share of 12-month positive obligations
5.1%
Supporting data
Funding office
#1 · 18.6% attributed share
$9.7M net decline despite this positive action
PIID 36C10G25C0001 · Mod P00002
Base award

This action

+$2.0M

BAYLOR COLLEGE OF MEDICINE

580-HOUSTON(00580)

TRANSPLANT LABORATORY TESTING SERVICES - ORDERING PERIOD 1

Why it stands out

No activity for this contractor was reported in this market during the preceding 12 months.

The base action placed the contractor #12 in this market by positive obligations over the latest 12 months.

Award net obligations
$2.0M
Share of 12-month positive obligations
1.1%
Supporting data
Prime contractor
#12 · 1.1% share
Newly active in this market; no actions were reported in the preceding 12 months
Funding office
#26 · 1.2% attributed share
$1.7M net decline despite this positive action
PIID 36C25626N0672
Base award

This action

+$2.0M

OREGON HEALTH & SCIENCE UNIVERSITY

648-PORTLAND (00648)

REFERENCE LABORATORY SERVICES

Why it stands out

The contractor climbed 3 positions in this market.

It now ranks #6 by positive obligations over the latest 12 months.

Award net obligations
$2.0M
Share of 12-month positive obligations
1.1%
Supporting data
Prime contractor
#6 · 2.8% share
up 3 ranks · +1.6 percentage points · $2.0M net increase; action exceeded it by $85K
PIID 36C26026N0359
View recent award activity by date (10)
  1. QUEST DIAGNOSTICS INCORPORATEDModification · PIID 36C26026F0074
    Action+$459K
    Award net obligations$918K
  2. REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THEBase award · PIID 36C26127N0164
    Action+$178K
    Award net obligations$178K
  3. CYTOPATH BIOPSY LAB INCDeobligation · PIID 36C24724P0721
    Action−$52K
    Award net obligations$268K
  4. MEMORIAL HOSPITAL OF LARAMIE COUNTYDeobligation · PIID 36C25925N0354
    Action−$40K
    Award net obligations$0
  5. PROMETHEUS LABORATORIES INCModification · PIID 36C25025N1061
    Action+$10K
    Award net obligations$30K
  6. VERSITI BLOOD HEALTH, INC.Base award · PIID 36C25627N0203
    Action+$7K
    Award net obligations$7K
  7. IOWA PATHOLOGY ASSOCIATES, P.C.Base award · PIID 36C26327N0003
    Action+$650K
    Award net obligations$650K
  8. CDX DIAGNOSTICS, INC.Deobligation · PIID 36C24722F0617
    Action−$52K
    Award net obligations$36K
  9. PURE AIR UV INC.Base award · PIID 36C24427N0141
    Action+$44K
    Award net obligations$44K
  10. EXOSOME DIAGNOSTICS INCDeobligation · PIID 36C24126N0901
    Action−$1K
    Award net obligations$5K

VA medical laboratories market FAQs

Answers based on reported federal contract data.

Who are the top VA medical laboratories contractors?

In the 12 months through October 23, 2026, QUEST DIAGNOSTICS INCORPORATED, LABORATORY CORPORATION OF AMERICA, and FOUNDATION MEDICINE, INC. were the leading VA medical laboratories prime contractors by positive obligations.

  1. #1

    QUEST DIAGNOSTICS INCORPORATED

    $70,244,640 in positive obligations

  2. #2

    LABORATORY CORPORATION OF AMERICA

    $23,307,558 in positive obligations

  3. #3

    FOUNDATION MEDICINE, INC.

    $19,165,360 in positive obligations

Rankings use reported USAspending award data.

Did VA contract obligations decrease in the medical laboratories market?

Yes. Measured by net prime contract obligations, reported VA activity in the medical laboratories market decreased 33.7% from $269,945,508 in the preceding 12 months to $178,908,232 in the 12 months through October 23, 2026.

Latest 12 months
$178,908,232
Net prime contract obligations
Preceding 12 months
$269,945,508
Net prime contract obligations
Change
−33.7%
Between matched 12-month periods

Reported contract actions, not outlays or a forecast.

What recent VA contract award activity was reported in the medical laboratories market?

Recent VA contract award activity reported in the medical laboratories market included actions for FOUNDATION MEDICINE, INC., LABORATORY CORPORATION OF AMERICA, and COLLEGE OF AMERICAN PATHOLOGISTS during the 12 months through October 23, 2026.

Action obligations are transaction-level amounts, not current award-level obligations.

Which procurement methods were reported for VA contracts under NAICS 621511?

From October 24, 2025 through October 23, 2026, VA reported 531 positive-obligation awards for medical laboratories under NAICS 621511. The leading award type was delivery order. The leading reported procedure was sp1.

Positive-obligation awards
531
Leading reported procedure
Sp1
22.4% of positive obligations
Leading award type
Delivery Order
61.6% of positive obligations
Full and open
29.7%
of positive obligations
Reported parent IDV
85.6%
of positive obligations
Observed vehicles
621II and Schedule 621 II
Exact matches from reported parent PIIDs

Percentages use positive obligations as the denominator.

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Related market research

Complete market indexes:

Same NAICS at other agencies:

Nearby NAICS at this agency:

Markets sharing leading prime records:

Leading-prime vehicle memberships:

Company memberships do not establish award-channel use.

Reported obligations include contract actions from October 1, 2021 through October 23, 2026. Set-aside and business-size fields reflect award records, not a contractor's current eligibility.

Review data methodology