# Best Lab Testing Companies for Chiropractors (2026)

**In short:** A buyer list for chiropractors adding lab testing: six companies compared on whether a DC orders under their own license or a provider network orders, how state scope of practice limits the test menu, whether samples are collected in the office or at a lab, and who sets the price.

Last reviewed 2026-11-09 · Written by Chad H.

## Key takeaways

- Chiropractic lab ordering is decided state by state and test by test: Florida's chiropractic statute lists phlebotomy among permitted methods, while New York's attorney general found in 2015 that a New York chiropractor could not legally order PSA, rheumatoid factor and two other tests.
- A DC whose state allows the tests can order under their own license through Evexia Diagnostics, Fullscript Labs (formerly Rupa Health) or Vibrant Wellness; Evexia and Fullscript also route orders through a signing physician for practitioners without ordering authority.
- Choose Health, Karpa Health and SiPhox Health have their own physicians or providers order every test, so the menu is not capped by chiropractic scope, though how the DC discusses results with patients still falls under state rules.
- Fullscript Labs (formerly Rupa Health) is where former Rupa practices now order: Rupa has been view-only for all providers since October 30, 2026, and its login closes January 20, 2027.

## Questions this page answers

**What is the best lab testing company for a chiropractor?**

Start from your state's scope rules. If your license covers the tests you want, Evexia Diagnostics, Fullscript Labs (formerly Rupa Health) and Vibrant Wellness let you order them yourself. If some tests fall outside your scope, or you want testing sold under your practice's name, compare Choose Health, Karpa Health and SiPhox Health, where the company's own physicians or providers order. Karpa publishes this guide, so verify each vendor's details.

**Can a chiropractor order lab tests?**

It depends on the state and on the specific test. Florida's statute defining chiropractic medicine allows chiropractic physicians to phlebotomize and to use physical and chemical methods of examination for diagnosis. In 2015, New York's attorney general found that a New York chiropractor could not legally order CA 27.29, rheumatoid factor, PSA and tacrolimus for an online testing company. Ask your state board about each test on your menu.

**Can a chiropractor draw blood in the office?**

Some states allow it. Florida's chiropractic statute lists phlebotomy among the methods a chiropractic physician may use. Drawing a sample is separate from running the test: if your office performs any test itself, federal CLIA rules require a certificate covering that test. Another route is a kit: Choose Health says its kits can be used in the partner's clinic.

**How can a chiropractor offer tests that are outside their scope of practice?**

By having another licensed provider order them. Choose Health, Karpa Health and SiPhox Health supply the ordering physicians or providers for every test. Evexia Diagnostics' internal physician network signs orders outside New York, New Jersey and Rhode Island, and Fullscript's authorization network places orders from a curated test list for $9.50 per test or panel. Check with your board how you may discuss results you did not order.

**What happened to Rupa Health?**

Fullscript announced its acquisition of Rupa Health in October 2024 and has moved Rupa practices to labs on Fullscript. Rupa has been view-only for all providers since October 30, 2026, so new orders go through Fullscript, and the Rupa login closes January 20, 2027. On Fullscript, patients pay Fullscript at its test price and practitioners can add a custom fee.

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The best lab testing company for a chiropractor depends on your state's scope of practice. Where your license covers the tests you want, Evexia Diagnostics, Fullscript Labs (formerly Rupa Health) and Vibrant Wellness let you order them yourself. Where it does not, or where you want testing sold under your practice's brand, Choose Health, Karpa Health and SiPhox Health supply the ordering providers.

**Disclosure:** This comparison is published by Karpa Health, one of the six vendors in it. Vendors appear A to Z, and position means nothing. For competitors, we used only their own sites, documents and press coverage, reviewed in November 2026, and we note where a detail is unpublished. Please verify with each company. The full market is in our [best white label lab testing companies](/compare/best-white-label-lab-testing-companies/) comparison.

## Can a Chiropractor Order Lab Tests in Your State?

There is no national answer. Each state's chiropractic practice act sets what a DC may do, and the answer can differ test by test.

- **Florida** defines chiropractic medicine to include examining and diagnosing "by the use of any physical, chemical, electrical, or thermal method," and the statute lets chiropractic physicians "phlebotomize" ([Fla. Stat. 460.403](https://www.flsenate.gov/Laws/Statutes/2024/460.403)).
- **New York** is narrower. In a 2015 settlement with an online lab company, the attorney general found that a New York-licensed chiropractor who signed its requisitions "could not legally order" CA 27.29, rheumatoid factor, PSA and tacrolimus ([NY AG Assurance of Discontinuance](https://ur.ag.ny.gov/sites/default/files/settlements-agreements/2015-10-6_DirectLabs_AOD_15-168_ERC.pdf)).
- **Telehealth orders** follow the law of the patient's state, not where the provider sits, per [Fullscript](https://fullscript.com/blog/functional-lab-test-ordering-rights-by-state). A DC licensed in two states needs to check both.

The practical step is to write down every test you want to offer and confirm each one with your state chiropractic board. Our guide on [who can order lab tests](/resources/who-can-order-lab-tests/) covers the rules for other professions.

### In-office collection vs. a lab draw

Drawing blood and running a test are different things. If your state lets you draw blood, you could collect a sample in the office and send it to a lab. If the office runs any test itself, even a finger-stick, it is doing laboratory testing, and federal rules require a laboratory to hold an HHS certificate, such as a certificate of waiver, covering the tests it performs ([42 CFR 493.3](https://www.law.cornell.edu/cfr/text/42/493.3)). Sending patients to a Labcorp or Quest draw site, or mailing a kit to the vendor's lab, keeps the testing at a certified lab. See [do you need a CLIA waiver to sell lab tests](/resources/clia-waiver-to-sell-lab-tests/).

## Quick Comparison

| Company | Who orders | Scope question for the DC | Sample collection | Practice branding | Retail price |
|---|---|---|---|---|---|
| Choose Health | Choose Health's physician requisitions | Ordering is not on your license | Finger-prick or Tasso kit, at home or in your office | Private label | You set it (resold through your channels) |
| Evexia Diagnostics | You, or Evexia's physician network (not NY, NJ, RI) | Your scope for own-license orders | Labcorp draw, mobile draw or specialty kit | No storefront | You set it with Client Bill |
| Fullscript Labs (formerly Rupa Health) | You, or Fullscript's authorization network | Each lab grants access by license and state | Specialty kit, in-office draw, or a Quest or Labcorp draw (Labcorp through Access Labs) | Practice storefront on Fullscript | Fullscript sets it; you can add a fee |
| Karpa Health | Karpa's independent provider network | Ordering is not on your license | Labcorp draw; branded kit from Dec 1, 2026 | White label storefront | You set it; paid to your Stripe |
| SiPhox Health | SiPhox's physicians | Ordering is not on your license | At-home upper-arm device | Co-branded; full white label at 500+ kits | You set it |
| Vibrant Wellness | You | You confirm state authority per test | Kits, or 2,000+ draw sites and mobile phlebotomists | Your logo on Vibrant's portal | You set it, except NY, NJ, CA, RI; patients pay Vibrant |

## Which Vendor Fits Which Practice?

- **Your state clearly covers the tests and you want Labcorp plus specialty kits in one account:** Evexia Diagnostics.
- **You already ordered on Rupa and want the same workflow:** Fullscript Labs (formerly Rupa Health).
- **You want gut, food sensitivity or toxin panels ordered under your license:** Vibrant Wellness, Fullscript Labs, Evexia Diagnostics.
- **Your scope is unclear or excludes the tests:** Choose Health, Karpa Health, SiPhox Health, or the signing-physician options at Evexia Diagnostics and Fullscript Labs.
- **You want patients to collect in your office:** Choose Health (kits), Fullscript Labs (in-office draws), Evexia Diagnostics (mobile phlebotomist to the office).
- **You want the test sold under your practice name with your own checkout price:** Karpa Health, SiPhox Health, and Choose Health through its private label kits.

## The Six Companies, Alphabetically

### Choose Health: In-Office or At-Home Kits, Ordered by Choose Health's Physicians

Choose Health names clinics and private practitioners among its customers and sells private label mail-in blood kits.

**For a chiropractor:** the order comes from Choose Health's physician requisition process, not from your license, so your scope does not limit which of its roughly 100 biomarkers you put in a panel. A patient can do the finger-prick card or Tasso arm device during an adjustment visit, since Choose Health says collection can happen in the partner's clinic, or at home after a kit drop-ships to any of the 50 states. The kit, emails and results dashboard carry your practice name. Because Choose Health does not name its physician group, ask who follows up on abnormal results. Partner pricing and minimums are set through its sales team, and it does not describe a storefront, so you sell the kit through your own front desk or website. See [Karpa vs. Choose Health](/compare/karpa-vs-choose-health/).

### Evexia Diagnostics: Own-License Orders, With a Physician Backstop

Evexia Diagnostics is a practitioner ordering account covering Labcorp plus 30+ specialty labs such as Genova, DUTCH, Doctors Data and Mosaic Diagnostics.

**For a chiropractor:** a DC whose state allows a test can order it under their own license. For tests outside that, Evexia's internal physician network signs the order for an oversight fee of $5 or $6 per order, per its clinician agreement, outside New York, New Jersey and Rhode Island. Evexia's agreement says those physicians only facilitate ordering and do not diagnose or treat, so the patient conversation stays with you and your scope still applies to it. Patients draw at a Labcorp patient service center for $10 per specimen, or one of 6,000+ mobile phlebotomists comes to your office or their home. With Client Bill you pay Evexia and bill patients your own price. Evexia integrates with Healthie and Practice Better. See [Karpa vs. Evexia](/compare/karpa-vs-evexia/).

### Fullscript Labs (Formerly Rupa Health): Where Rupa Practices Order Now

Rupa Health was a free account for ordering specialty and blood labs. Fullscript announced its acquisition in October 2024; Rupa has been view-only for all providers since October 30, 2026, and its login closes January 20, 2027.

**For a chiropractor:** on Fullscript you order under your own license and NPI, and each lab decides your access based on license and state, so a DC may see some tests and not others. If a test is out of reach, Fullscript's authorization network lets you recommend it from a curated list, and a licensed clinician reviews and places the order for $9.50 per test or panel. Collection options include specialty kits, an in-office draw, and draws at Quest or at Labcorp sites through Access Labs. Patients check out with Fullscript at its test price, and a custom fee you add is added to your regular Fullscript payout. Practices that already dispense supplements through Fullscript can keep labs in the same account. For the transition, see [Rupa Health is shutting down](/resources/rupa-health-shutting-down/), [Rupa Health alternatives](/resources/rupa-health-alternatives/) and [Karpa vs. Rupa Health](/compare/karpa-vs-rupa-health/).

### Karpa Health: Your Practice's Lab Storefront, Ordered Outside Your License

Karpa Health gives a chiropractic office its own branded Labcorp menu, delivered as a hosted storefront, a white-label checkout and patient portal embedded in the practice website, or an API.

**For a chiropractor:** every test is ordered by a licensed provider in Karpa's independent network, so the menu is not limited by what your state allows a DC to order. Patients draw at a Labcorp patient service center, not in your office; branded at-home kits, including white-labeled Tasso devices above a minimum order quantity, begin December 1, 2026. Results land in the patient's portal under your brand and are not reviewed by a provider unless the patient books a TRT or HRT consult, so check with your board how you may discuss results you did not order. Pricing is yours to set; patient payments reach the practice's Stripe account, minus a $6 collection fee on each order. Labs-only pricing is shared on a call. Karpa covers 47 states plus DC. See the [lab storefront](/solutions/diagnostic-labs/).

### SiPhox Health: Wholesale Kits a Practice Resells

SiPhox Health sells co-branded or white label at-home kits using its EasyDraw upper-arm device.

**For a chiropractor:** SiPhox's physicians write the requisitions and SiPhox says partners need no medical credentials, so ordering does not depend on your license. SiPhox describes the service as wellness-only and not diagnostic. You buy kits upfront at wholesale and sell them at your own price, with a 30-kit minimum to start and 500+ kits for full white label and custom panels, per SiPhox's articles. The device is built for home use with live collection support. Practices with patients in New York or Hawaii should note that SiPhox's coverage policy excludes both states. See [Karpa vs. SiPhox Health](/compare/karpa-vs-siphox-health/).

### Vibrant Wellness: Specialty Panels, Checked Against Your Scope Panel by Panel

Vibrant Wellness is a Santa Clara specialty lab that runs its own Zoomer panels and accepts orders only from licensed providers.

**For a chiropractor:** Vibrant's terms make you confirm that state law authorizes you to order each test, and Vibrant does not provide physician services, so there is no signing-physician fallback. Check Gut, Food, Toxin and Nutrient Zoomers against your scope before adding them. For samples, Vibrant either mails a kit within 24 hours or lets your office assemble one, and venous blood comes from its network of 2,000+ draw sites and mobile phlebotomists. Patients or the practice pay Vibrant. You can set your own patient prices, with your share credited to Vibrant's Wallet and paid out to your bank, except in New York, New Jersey, California and Rhode Island, where prices cannot be adjusted. Testing is cash pay only, with no superbills. See [Karpa vs. Vibrant Wellness](/compare/karpa-vs-vibrant-wellness/).

## Questions to Ask Each Vendor Before You Sign

1. Which tests on your menu will you let a DC order in my state, and who decides?
2. If a test is outside my scope, who signs the order, and what does that cost per order?
3. Who receives and follows up on abnormal or critical results?
4. Can my staff collect the sample in my office, and what certificate does that require?
5. Will the patient see my practice name or yours at checkout and on the report?
6. Do I set the price, and where does the money land?
7. Which states are excluded?

## A Worked Example: Sorting Your Test Menu by Scope

Say a practice wants to offer a vitamin D test, a thyroid panel, a lipid panel and a food sensitivity panel.

1. **List each test and ask your board** whether a DC in your state may order it. Keep the answer in writing.
2. **Tests you may order:** run them under your license through Evexia Diagnostics, Fullscript Labs or Vibrant Wellness, and set or add your fee.
3. **Tests you may not order:** route them through a provider-ordered vendor (Choose Health, Karpa Health, SiPhox Health) or a signing physician (Evexia's network, Fullscript's authorization network).
4. **Pick collection.** Decide whether patients collect in the office or go to a draw site, and confirm the CLIA position for anything run on site.
5. **Set the follow-up.** Decide who explains each result to the patient, and stay within what your state allows you to discuss.

For pricing math, see [how much to charge for lab tests](/resources/how-much-to-charge-for-lab-tests/).

## When Karpa Is the Right Fit, and When It Is Not

Karpa Health fits a chiropractor who wants a Labcorp menu sold under the practice's name without the orders resting on chiropractic scope, with prices the practice sets, payments into its own Stripe account, and the option to add TRT, HRT, GLP-1 or peptide programs under the same brand later from $297 a month plus a one-time implementation fee.

Karpa Health is not the right fit when:

- **You want to order under your own license.** Karpa's network places every order. Evexia Diagnostics, Fullscript Labs (formerly Rupa Health) and Vibrant Wellness are built for own-license ordering.
- **You want to draw samples in your office.** Karpa uses Labcorp patient service centers now and at-home kits from December 1, 2026. Fullscript Labs supports in-office draws, and Choose Health supports in-clinic kit collection.
- **Your menu is mostly GI-MAP, DUTCH, Genova or Zoomer-style panels.** Karpa runs Labcorp tests only.
- **You want a provider to review every result.** On Karpa, review happens only when a patient books a TRT or HRT consult.
- **Your patients are in Hawaii, Maine or North Dakota.** Without a Labcorp patient service center in those states, Karpa's storefront is unavailable.
- **You want published labs-only pricing up front.** Karpa shares it on a call.

## How to Choose

Sort your test list by what your state lets a DC order. Own-license tests point to Evexia Diagnostics, Fullscript Labs (formerly Rupa Health) or Vibrant Wellness. Out-of-scope tests, or anything you want sold under your practice brand, point to Choose Health, Karpa Health or SiPhox Health. Then decide on in-office versus lab collection.

For the business setup, see [how to start a lab testing business](/resources/how-to-start-a-lab-testing-business/). If you are also considering prescription programs, see [peptide telehealth for chiropractors](/resources/chiropractor-peptide-telehealth/).