Junction (Vital) vs Karpa: White Label Lab Testing Comparison (2026)
Junction vs Karpa for selling lab tests under your brand: who orders, sample collection, pricing and who keeps the revenue.
Last reviewed: November 9, 2026
TL;DR
Junction, formerly Vital, is a lab testing and health data API for digital health companies. Through one integration, a customer's app can order labs at Quest, Labcorp and other partners, collect samples by at-home kit, mobile phlebotomy or walk-in draw, and pull wearable data, with Junction's physician network or the customer's own clinicians ordering the tests. Lab testing is on a custom-priced Enterprise plan.
Karpa Health
- Who orders the test
- Karpa's provider network
- no medical license needed
- Retail price
- Set by you
- plus a $6 collection fee per order
JJunction
- Who orders the test
- Junction's physician network or yours
- Retail price
- Lab testing is part of the custom-priced Enterprise plan
About Junction
- Founded
- 2021 per its Y Combinator profile, which lists the Winter 2020 batch; founded by Maitham Dib (CEO), a former Babylon Health engineer. Started in London.
- Ownership & funding
- Venture-backed and independent. A $2.9M seed round led by Point Nine (June 2022) and an $18M Series A led by Creandum with Y Combinator, Point Nine, Amino Collective and Inflect Health (March 11, 2025, announced with the Vital to Junction rebrand).
At-a-Glance Comparison
Karpa wrote this comparison and is one of the two companies compared. Every Junction fact comes from a public source cited at the end of the page, reviewed November 9, 2026. “Not publicly specified” means we could not verify that detail. Spot something wrong or out of date? Contact us with a public source and we’ll update the page.
| QUESTION | Karpa Health | Junction |
|---|---|---|
| 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 and lab testing API for digital health companies: one integration for lab ordering, sample collection, results and wearable device data, built into the customer's own app or platform. Source |
| Built for | Businesses without a medical license and clinicians: gyms, trainers, coaches, med spas, chiropractors, supplement brands, creators and telehealth brands | Developer teams at virtual-first and digital health clinics, consumer diagnostics and wellness platforms, and EHR, EMR and healthcare SaaS companies. |
| Who orders the test | A licensed provider in Karpa's independent network orders every test, so the business needs no medical license | Either side: Junction's physician network can sign the order and review results, the customer can supply its own ordering physicians, or a hybrid where Junction's network orders and the customer's physicians handle results. Junction's network is always notified of critical results. Source |
| 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 | At-home test kits (dried blood spot and ADX cards, saliva), mobile phlebotomy at the patient's home or office, walk-in draws at Quest, Labcorp and BioReference patient service centers (appointment booking through Junction at supported Quest sites), and on-site collection at customer-managed sites (in beta). Source |
| Lab that runs the tests | Labcorp | Partner labs including Quest, Labcorp and BioReference; Junction says it works with 10+ labs, all CLIA and CAP certified. Customers can also connect their own lab accounts. Source |
| 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 | Lab testing is part of the custom-priced Enterprise plan, billed annually; test prices are not published, and Junction says there are no upcharges on the tests themselves. The Launch plan is $300/month for wearables only (up to 500 connected users). At-home kits have a stated 250-kit minimum order, with smaller quantities on request. Source |
| 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 | Junction does not describe a patient checkout; the business builds the ordering experience in its own product. Orders carry a billing type: client bill (the business pays for the test), patient bill or patient passthrough, or commercial insurance, depending on the lab account and state. Source |
| Coverage | 47 states plus Washington DC (not Hawaii, Maine or North Dakota, where Labcorp has no patient service center) | Lab ordering in all 50 states per Junction, with availability varying by collection method, lab, billing type and patient address. Its pricing page lists New York, New Jersey and Rhode Island as included; its support matrix shows client-billed Quest and Labcorp orders through Junction's physician network are not available in those three states, where other lab and billing combinations apply. Source |
| 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 | No. Junction says it provides the doctor's order for tests but does not offer physician consults or personal result interpretation, and it does not publish a prescription program a customer can add. Source |
| Sold under your brand (white label) | Yes | Yes Source |
| Branded storefront and checkout included | Yes | No Source |
| You set the retail price | Yes | Not publicly specified |
| Payments settle to your account | Yes | Not publicly specified |
Junction: What You Should Know
Junction fits a digital health company that already has engineers and its own app or platform and wants lab testing as a feature inside it. It offers a broad set of collection methods (at-home kits, mobile phlebotomy, walk-in draws at several lab networks and on-site collection), lets the customer use Junction's physician network or its own clinicians, supports commercial insurance billing, and adds wearable data from 300+ devices through the same API. The customer designs the patient experience, checkout and pricing in its own product, and Junction runs the lab logistics behind it.
Karpa fits a business without an engineering team that wants to start selling lab tests under its own brand without building an app. A licensed provider in Karpa's network orders every test, and the business chooses a ready-made branded storefront, a white-label checkout on its own website, or an API into its own app (Karpa's provider network still orders in each case). The business sets the price and payments settle to its own Stripe account. Collection is at Labcorp patient service centers now, with branded at-home kits, including white-labeled Tasso devices above a minimum, launching December 1, 2026. Karpa covers 47 states plus DC (not Hawaii, Maine or North Dakota) and can add TRT, HRT, GLP-1 and peptide programs under the same brand, which Junction does not offer.
Junction: Strengths & Limitations
Strengths
- Flexible ordering: Junction's physician network, the customer's own physicians, or a hybrid.
- Four collection methods through one API: at-home kits, mobile phlebotomy, walk-in draws at Quest, Labcorp and BioReference, and on-site collection.
- Multiple labs, including Quest and Labcorp, plus support for the customer's own lab accounts and commercial insurance billing.
- Wearable and device data from 300+ integrations alongside lab results.
- White-labeled ordering and results inside the customer's own product, with Junction handling kit logistics, reminders and follow-ups.
- States no upcharges on the tests themselves; SOC 2 Type 2, ISO 27001 and HIPAA compliance listed.
Limitations
- API infrastructure: the customer builds its own app, checkout and patient experience, which needs engineering resources.
- Lab testing is only on the Enterprise plan, which is priced per customer and billed annually.
- At-home kits carry a stated 250-kit minimum order, and lab setup takes about 4-6 weeks per Junction.
- No physician consults or result interpretation, per Junction's pricing page.
- Availability varies by lab, billing type and state; client-billed Quest and Labcorp orders through Junction's physician network are not available in NY, NJ and RI per its support matrix.
Junction or Karpa: Who Each Fits
When Junction fits
Junction is the stronger fit for a digital health company with its own engineers and app that wants to add lab ordering, at-home kits, phlebotomy and wearable data to its product through one API.
Junction, called Vital until its March 2025 rebrand, is a New York and London company that sells an API for lab testing and health device data. Its Lab Testing API lets a customer create lab orders, coordinate collection by at-home kit, mobile phlebotomy, walk-in draw or on-site collection, track orders by webhook, and receive results as structured data and PDFs from partner labs including Quest and Labcorp. Junction can supply the ordering physician, follow up on abnormal results, and send patients SMS and email updates under the customer's team name, and it describes its ordering and results as white-labeled. Separately, it connects 300+ wearables and health devices such as Apple Watch, Oura, Dexcom, Fitbit and Garmin. Customers build the patient experience in their own app; Junction supplies the infrastructure, a dashboard and operations support.
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. See how Karpa's lab storefront works.
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.
Lab Testing Guides
- How to Start a White Label Lab Testing Business
- Who Can Order Lab Tests? A Guide for Coaches, Gyms and Wellness Businesses
- How Much to Charge for Lab Tests: Pricing and Margins for Your Own Lab Brand
- Tasso vs Finger Prick vs Lab Draw: Which Blood Collection Method Should Your Business Offer?
- Blood Testing for Gyms: How to Offer Lab Work to Your Members
- How Does White Label Lab Testing Work?
- Do You Need a CLIA Waiver to Sell Lab Tests?
- Best White Label Lab Testing Companies (2026)
Frequently Asked Questions
How much does Junction cost?
Junction pricing, as of November 9, 2026: Lab testing is part of the custom-priced Enterprise plan, billed annually; test prices are not published, and Junction says there are no upcharges on the tests themselves. The Launch plan is $300/month for wearables only (up to 500 connected users). At-home kits have a stated 250-kit minimum order, with smaller quantities on request. 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.
Junction reviews: what are the pros and cons?
This is Karpa Health's review of Junction, based on Junction's own public materials as of November 9, 2026. Karpa competes with Junction, so weigh it accordingly. Pros: Flexible ordering: Junction's physician network, the customer's own physicians, or a hybrid; Four collection methods through one API: at-home kits, mobile phlebotomy, walk-in draws at Quest, Labcorp and BioReference, and on-site collection. Cons: API infrastructure: the customer builds its own app, checkout and patient experience, which needs engineering resources; Lab testing is only on the Enterprise plan, which is priced per customer and billed annually. The full list, with a source for each fact, is on this page.
Is Junction the same company as Vital?
Yes. Vital (tryvital.io) rebranded to Junction on March 11, 2025, the same day it announced an $18M Series A led by Creandum. The product is the same health data and lab testing API, now at junction.com and docs.junction.com.
Does Junction provide ordering physicians for lab tests?
It can. Junction's docs describe three setups: Junction's physician network orders the test and reviews results, the customer supplies its own ordering physicians, or Junction's network orders and the customer's physicians review results. Junction's network follows up on abnormal results only for orders it handles, and it is always notified of critical results. Junction does not offer physician consults or result interpretation.
Can you sell lab tests through Junction without building an app?
Junction is built for teams integrating its API into their own product: its docs describe creating orders, tracking them by webhook and pulling results into the customer's app, plus a dashboard for managing orders. Junction does not describe a ready-made storefront or patient checkout, so the business builds that part.
What are the best Junction alternatives for white label lab testing?
Businesses comparing lab testing infrastructure also look at platforms that include the storefront and ordering provider, such as Karpa Health, where a licensed provider in Karpa's network orders every test, Labcorp runs it, and the business can sell through a branded storefront, its own website or an API. The right choice depends on whether you have engineers to build the patient experience, which collection methods you need, and whether you want prescription programs later.
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.
References
- Junction homepage
- Junction pricing
- Junction docs: Lab Testing introduction
- Junction docs: Order and follow-up physician
- Junction docs: Testing modalities
- Junction docs: Lab accounts and billing types
- Junction docs: Insurance ordering
- Junction docs: Patient communications
- Junction docs: Follow-ups
- Junction support: Billing types
- Junction support: Lab testing availability in NY, NJ and RI
- Junction: Meet Junction, $18M Series A
- Healthcare Dive press release: Junction raises $18M Series A (March 11, 2025)
- TechCrunch: Junction raises $18M (March 2025)
- Vital: $2.9M seed round led by Point Nine (June 2022)
- Y Combinator: Junction company profile
Sell Lab Testing Under Your Brand
A licensed provider orders every test, Labcorp runs it, and you set the price. No medical license, no website build.