# Health Gorilla vs Karpa: White Label Lab Testing Comparison (2026)

**Author:** Chad H., Co-founder, Karpa Health  
**Last reviewed:** November 8, 2026

Health Gorilla is a health data interoperability company and federally designated TEFCA QHIN that also offers electronic lab ordering and results from Labcorp, Quest, BioReference and 100+ other labs through a web app or FHIR API. It is developer and clinician infrastructure: the customer brings its own licensed clinicians, lab accounts and product. It is not a white label lab storefront for gyms, coaches or brands.

## Side by side
| Question | Karpa Health | Health Gorilla |
| --- | --- | --- |
| What it is | White label lab testing, sold through Karpa's storefront, your own website or the API, with prescription programs on the same platform | Health data interoperability network (a TEFCA Qualified Health Information Network) that also sells lab ordering and results infrastructure, through a web app or a FHIR API, to healthcare organizations and developers. |
| Built for | Businesses without a medical license and clinicians: gyms, trainers, coaches, med spas, chiropractors, supplement brands, creators and telehealth brands | Virtual care providers, EHR vendors, FQHCs, digital health companies and developers building lab ordering into their own products, plus payers, HIEs, lab vendors and life insurers on the data exchange side. |
| Who orders the test | A licensed provider in Karpa's independent network orders every test, so the business needs no medical license | The customer's own clinicians. Orders reference an ordering practitioner identified by NPI in the customer's tenant, and Medplum's integration guide states the customer must be a provider organization with a clinician licensed to review lab orders. Health Gorilla's pages do not say it supplies ordering physicians. |
| Sample collection | Walk-in or booked draw at a Labcorp patient service center; branded at-home kits, including white-labeled Tasso devices above a minimum order quantity, launch December 1, 2026 | Draws at the connected labs' patient service centers (over 6,200 across connected vendors, per Health Gorilla), with an API to search collection sites by location and test. Health Gorilla does not describe its own at-home kits or mobile phlebotomy. |
| Lab that runs the tests | Labcorp | Health Gorilla does not run a lab. It routes electronic orders to 110 to 120+ connected diagnostic vendors (its pages give both figures), naming Labcorp, Quest Diagnostics and BioReference, plus health system reference, regional, specialty and public health labs. Lab-specific credentialing or contracting is required, and some labs require a physician or practice account number. |
| Pricing | Labs-only storefront pricing is shared on a call, and each lab order carries a $6 collection fee; prescription programs start at $297/month plus a one-time implementation fee | Not publicly listed; Health Gorilla directs buyers to sales and an ROI calculator. Lab test costs are billed per order to the customer's account, the patient, a guarantor or insurance, depending on the lab account setup. |
| How customer payments flow | Customers pay at the branded storefront checkout Karpa supplies, at the price the business sets, and funds settle directly to the business's own Stripe account | Lab costs are billed per order to the customer's account, the patient, a guarantor or insurance, inside the customer's own software; there is no storefront. |
| Coverage | 47 states plus Washington DC (not Hawaii, Maine or North Dakota, where Labcorp has no patient service center) | United States. Health Gorilla says more than 90% of the US population lives within 20 miles of a connected patient service center. A state-by-state list is not published. |
| Add prescription programs | Yes: TRT, HRT, GLP-1 weight loss and peptide programs under the same brand, from $297/month plus a one-time implementation fee | None offered as a Health Gorilla service. Customers bring their own clinicians and care model; Health Gorilla supplies data and ordering infrastructure, which is also available inside virtual care platforms such as Wheel. |
| Sold under your brand (white label) | Yes | No |
| Branded storefront and checkout included | Yes | No |
| You set the retail price | Yes | Not publicly specified |
| Payments settle to your account | Yes | Not publicly specified |

## Health Gorilla: what you should know
Health Gorilla sits a layer below a branded lab storefront. Its Lab Network gives software teams and provider groups one FHIR connection to order tests from Labcorp, Quest, BioReference and other labs and get structured results back, and its QHIN status adds patient record retrieval from national networks. The customer supplies the licensed ordering clinician, the lab accounts, the patient-facing app, the checkout and the pricing, and Health Gorilla supplies the plumbing. Pricing is quote-based.
Health Gorilla fits when a digital health company or EHR has engineers and clinicians and wants to own the whole lab workflow inside its own product, often alongside records exchange. Karpa fits when a gym, coach, med spa or brand wants to sell labs under its own name without building software or hiring clinicians: a licensed provider in Karpa's independent network orders every test, patients walk in to a Labcorp patient service center or, from December 1, 2026, use branded at-home kits, the partner sets the retail price, and payments settle to the partner's own Stripe. A business that later wants prescription programs can add them under the same brand through Karpa, which Health Gorilla does not offer.

## Strengths
- Electronic ordering and structured results from Labcorp, Quest Diagnostics, BioReference and 110 to 120+ connected diagnostic vendors through a single integration.
- Offered both as a clinician web application and as a FHIR R4 API with sandbox, sample code and patient service center search.
- Federally designated QHIN under TEFCA (December 2023) and California QHIO, so the same vendor can also retrieve patient records from national networks.
- Supports several billing types per order: client account, patient, guarantor and insurance.
- Cites HITRUST R2, SOC 2 Type 2 and HIPAA compliance.

## Limitations
- Does not supply ordering physicians; the customer needs its own licensed clinician to order and review labs.
- Customers need their own lab accounts and must complete lab-specific credentialing; labs may set minimum order volumes and approve each connection.
- Not a white label storefront: there is no published branded checkout, patient portal or consumer pricing layer, so a business must build its own customer experience.
- No at-home collection kits are described; collection is at the labs' patient service centers.

## When Health Gorilla fits
Health Gorilla is the stronger fit for a digital health company, EHR vendor or provider group with its own licensed clinicians and engineering team that wants to embed electronic lab ordering and results from Labcorp, Quest, BioReference and other labs into its own software, and also needs patient record retrieval through national networks.

## When Karpa Health fits
Karpa is the stronger fit for a business without a medical license that wants to sell Labcorp testing under its own brand, set its own prices, and add prescription programs later. Karpa Health runs an automated lab storefront under the partner's brand: patient intake, a licensed provider's order, Labcorp testing, and the Labcorp report in a branded patient portal. The partner sets prices, payments settle to the partner's own Stripe account, and a partner portal shows revenue, orders, lab results, custom panels and discount codes. No website build, medical license or LegitScript certification is needed for labs-only. Instead of the ready-made storefront, a business can add a white-label checkout and patient portal to its own website, or connect lab ordering to its own app or platform through Karpa's API.

## Karpa's limitations
- Branded at-home kits launch December 1, 2026; until then customers give samples at a Labcorp patient service center.
- Labs-only storefront pricing is shared on a call rather than published.
- Covers 47 states plus Washington DC; not available in Hawaii, Maine or North Dakota, where Labcorp has no patient service center.
- Labcorp tests only: no specialty kit tests such as DUTCH or Genova.
- Results are not reviewed by a provider by default; a provider reviews them only when the customer books a TRT or HRT consult.
- Karpa's provider network orders every test, so a practice cannot order under its own clinicians' license.

## Frequently asked questions
**How much does Health Gorilla cost?**
Health Gorilla pricing, as of November 8, 2026: Not publicly listed; Health Gorilla directs buyers to sales and an ROI calculator. Lab test costs are billed per order to the customer's account, the patient, a guarantor or insurance, depending on the lab account setup. For comparison, Karpa Health also shares its labs-only storefront pricing on a call rather than publishing it; on Karpa the business sets its own retail price for each lab order, payments settle to its own Stripe account, and each order carries a $6 collection fee.

**Health Gorilla reviews: what are the pros and cons?**
This is Karpa Health's review of Health Gorilla, based on Health Gorilla's own public materials as of November 8, 2026. Karpa competes with Health Gorilla, so weigh it accordingly. Pros: Electronic ordering and structured results from Labcorp, Quest Diagnostics, BioReference and 110 to 120+ connected diagnostic vendors through a single integration; Offered both as a clinician web application and as a FHIR R4 API with sandbox, sample code and patient service center search. Cons: Does not supply ordering physicians; the customer needs its own licensed clinician to order and review labs; Customers need their own lab accounts and must complete lab-specific credentialing; labs may set minimum order volumes and approve each connection. The full list, with a source for each fact, is on this page.

**Is Health Gorilla legit?**
Yes. Health Gorilla was founded in 2014, raised a $50 million Series C led by SignalFire in March 2022, and was designated one of the first five Qualified Health Information Networks under TEFCA by HHS in December 2023.

**Does Health Gorilla offer white label lab testing?**
Not as a storefront. Health Gorilla provides lab ordering and results infrastructure through a web app or FHIR API that companies embed in their own software. It does not publish a branded checkout, consumer pricing or patient portal, and it does not supply the ordering clinician, so a business would need to build those pieces itself.

**Do I need my own doctor to order labs through Health Gorilla?**
Yes. Orders reference an ordering practitioner with an NPI in your own account, and integration partner Medplum states that the customer must be a provider organization with a clinician licensed to review lab orders. You also need your own account with each lab, such as Quest or Labcorp.

**What are the best Health Gorilla alternatives?**
It depends on what you are building. Teams that want an embeddable lab ordering API usually compare other lab integration platforms and EHR-native lab integrations, such as those Medplum offers on top of Health Gorilla. Businesses that want a turnkey branded lab storefront with ordering providers included are looking at a different category, white label lab platforms such as Karpa.

**Do I need a medical license to sell lab tests with Karpa?**
No. A licensed provider in Karpa's independent network orders every test, so the business never orders or interprets labs. Labs-only needs no LegitScript certification, and Karpa's lab testing covers 47 states plus Washington DC.

**How do I sell lab tests with Karpa?**
Three ways: use Karpa's white-label lab storefront under your brand, add Karpa's lab ordering checkout and patient portal to your own website, or connect your own app or platform through Karpa's API. In each, a licensed provider in Karpa's network orders the test, Labcorp runs it, and payments settle to your own Stripe account.

**How do customers give a sample with Karpa?**
They walk in or book a time at a Labcorp patient service center. Branded at-home kits launch December 1, 2026, and from then, above a minimum order quantity, Tasso at-home collection devices can be white-labeled under your brand and sold as a subscription, such as a retest every quarter.

Karpa wrote this comparison and is one of the two companies compared. Every Health Gorilla fact comes from a public source listed below, reviewed November 8, 2026.

## Sources
- [Health Gorilla homepage](https://www.healthgorilla.com/)
- [Health Gorilla Lab Network product page](https://web.healthgorilla.com/home/products/lab-network)
- [Health Gorilla Lab Data product page](https://web.healthgorilla.com/new-products/lab-network)
- [Health Gorilla digital health market page](https://healthgorilla.com/home/markets/digital-health)
- [Health Gorilla API docs: Lab Network ordering and results](https://apidocs.healthgorilla.com/guides/lab-network/ordering-and-results)
- [Health Gorilla API docs: lab partners](https://apidocs.healthgorilla.com/guides/lab-network/lab-partners)
- [Health Gorilla developer docs: Lab Network (billing types, account numbers, PSC search)](https://developer.healthgorilla.com/docs/diagnostic-network)
- [Medplum: Health Gorilla lab orders integration requirements](https://www.medplum.com/docs/integration/health-gorilla)
- [Health Gorilla QHIN page](https://healthgorilla.com/home/company/qhin)
- [Health Gorilla: federal QHIN designation (Dec 2023)](https://healthgorilla.com/blog/health-gorilla-achieves-federal-designation-as-a-qualified-health-information-network)
- [Health Gorilla: $50M Series C (Mar 2022)](https://healthgorilla.com/blog/health-gorilla-secures-50-million-in-series-c-funding)
- [HIT Consultant: Health Gorilla Series C brings total to $80M](https://hitconsultant.net/2022/03/07/health-gorilla-series-c-funding)
- [Health Gorilla and Wheel partnership (Mar 2024)](https://web.healthgorilla.com/blog/health-gorilla-partners-with-wheel-to-extend-diagnostic-ordering-through-wheels-virtual-care-ecosystem)
- [CMS Health Tech Ecosystem pledge: Health Gorilla (CEO Bob Watson)](https://www.cms.gov/initiatives/health-technology-ecosystem/overview/early-adopters-all-pledgees/health-care-keeps-up-you/health-gorilla)

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https://karpahealth.com/book/labs/

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