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Global Clinical Laboratory Services Industry Published on January 2014
Report Summary This report analyzes the worldwide markets for Clinical Laboratory Services in US$ Million by the following Product Segments: Hospital-Based Laboratories, and Others. The report provides separate comprehensive analytics for the US, Canada, Japan, Europe, Asia-Pacific, Latin America, and Rest of World. Annual estimates and forecasts are provided for the period 2012 through 2020. Also, a six-year historic analysis is provided for these markets. Market data and analytics are derived from primary and secondary research. Company profiles are primarily based on public domain information including company URLs. The report profiles164 companies including many key and niche players such as ADICON Clinical Laboratories, Inc. ARUP Laboratories Asuragen, Inc. Atherotech Diagnostics Lab Bio-Reference Laboratories, Inc. Clarient, Inc.
Table of Content
I. INTRODUCTION, METHODOLOGY & PRODUCT DEFINITIONS Study Reliability and Reporting Limitations Disclaimers
I-1 I-2
Data Interpretation & Reporting Level
I-2
Quantitative Techniques & Analytics
I-3
Product Definitions and Scope of Study
I-3
Hospital-Based Medical Laboratories
I-3
Others
I-4
Physician's Office-Based Medical Labs
I-4
Independent Laboratories
I-4
II. EXECUTIVE SUMMARY 1. INDUSTRY OVERVIEW Prelude
II-1 II-1
Despite Challenges, Emerging Markets Provide Growth Opportunities II-2 Developed Nations: Cost Pressures Necessitate New Strategies
Global Clinical Laboratory Services Industry (From Issuu)
II-3
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II-3
II-3
Rising Healthcare Needs of Aging Global Population
II-4
Table 1: Over-65 Years Population as a % of Total Population (2010 & 2020P) (includes corresponding Graph/Chart)
II-5
Table 2: Elderly Population (65+ Years) as a % of Total Population (2000 & 2025) (includes corresponding Graph/Chart)
II-5
Table 3: Global Population Statistics for the 65+ Age Group (2012) (includes corresponding Graph/Chart)
II-6
Table 4: Life Expectancy Rates at Birth by Geographic Region (1990 & 2011) (includes corresponding Graph/Chart)
II-7
Increase in Healthcare Spending in Emerging Markets
II-7
Table 5: Healthcare Spending as % of GDP in Select Countries (2011) (includes corresponding Graph/Chart)
II-8
Increasing Awareness Levels
II-8
Need to Cut Healthcare Costs
II-8
Rising Incidence of Diseases
II-8
World Cancer Statistics: Incidence and Mortality Data
II-8
Table 6: World Cancer Incidence by Geographic Region and Gender (2012): Number of New Cancer Cases Reported (in Thousands) for Asia-Oceania, Europe, North America, Latin America & the Caribbean, and Africa (includes corresponding Graph/Chart)
II-9
Table 7: World Cancer Mortality by Geographic Region and Gender (2012): Number of Cancer-Related Deaths (in Thousands) for Asia-Oceania, Europe, North America, Latin America & the Caribbean, and Africa (includes corresponding Graph/Chart)
II-9
Table 8: New Cancer Cases in the World by Affected Site (2012) (In Thousands) (includes corresponding Graph/Chart)
II-10
Table 9: Global Incidence of Common Cancers in Men (2012): Number of New Cases Reported in Thousands for Lung & Bronchus, Prostate, Colorectal and Liver Cancers (includes corresponding Graph/Chart)
II-10
Table 10: Global Incidence of Common Cancers in Women (2012): Number of New Cases Reported in Thousands for Breast, Colorectal, Lung & Bronchus and Liver Cancers (includes corresponding Graph/Chart)
II-11
Table 11: Global Cancer Mortality in Men for Select Cancers
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II-11
Table 12: Global Cancer Mortality in Women for Select Cancers (2012): Number of Deaths in Thousands for Breast, Lung & Bronchus, Colorectal and Liver (includes corresponding Graph/Chart)
II-12
Cancer Prone Sites based on Age
II-12
Global HIV Statistics
II-12
Table 13: Global Summary of the AIDS Epidemic in 2011 (includes corresponding Graph/Chart)
II-12
Some Significant HIV Statistics by Region (2011)
II-13
Increasing Role of Clinical Labs in Testing of Infectious Diseases
II-13
Table 14: Reported Cases of Major Infectious by Geographic Region (2011)
II-14
Esoteric Testing Market: Faster Growth than Routine Testing Segment
II-15
Increasing Role of Advanced Tests in Clinical Treatment Decision Making
II-15
Opportunities in Personalized Medicine and Clinical Trial Services
II-15
Clinical Labs Opt for Reagent Rental Contracts to Sustain Operations
II-16
Cancer Testing Market: Opportunity for Clinical Labs
II-16
Shortened Hospitalization Enhances Significance of Medical Labs II-16 Lab Automation Speeds Up
II-17
Heightened Use of IT Systems in Clinical Laboratories Laboratory Outsourcing Trend Gains Strength
II-17 II-17
Autoimmune Disease Testing: Labs Seek Cost-Effective & High Productivity Options
II-18
Assessing the Impact of Point-of-Care Testing on Clinical Labs II-18 IVD Market Growth: An Indication of Growth in Clinical Labs Market
II-19
Laboratory Budget Allocations Affected by Prevailing Economic Environment
II-20
POLs: Reducing Turnaround Times for Testing
II-20
Challenges Facing Lab Testing Market
II-21
2. COMPETITIVE LANDSCAPE Introduction
II-22 II-22
Quest Diagnostics & LabCorp: The Leading Independent Labs Consolidation Activity Continues to Strengthen
II-23
Major Clinical Laboratory Transactions (2011-2013) 3. CLINICAL LABORATORY SERVICES - AN INTRODUCTION Clinical Laboratory Services
Global Clinical Laboratory Services Industry (From Issuu)
II-22
II-23 II-25
II-25
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II-25
Laboratory Medicine
II-25
Anatomic Pathology
II-26
Clinical Pathology
II-26
Types of Tests Conducted in Medical Labs
II-28
Routine Tests
II-28
Esoteric Tests
II-28
Anatomic Pathology Services
II-28
Types of Clinical Laboratories
II-29
Hospital-Based Laboratories
II-29
Physician's Office-Based Medical Labs
II-29
Reference Laboratories
II-29
Potential Customers for Medical Laboratories
II-30
Work Process in Clinical Labs
II-30
Specimen Processing & Result Analysis in Clinical Labs Laboratory Information Systems
II-30
II-31
Conducting Lab Tests
II-31
Key Personnel in Medical Labs
II-31
Role of Medical Technologists
II-32
Role of Medical Technicians
II-33
Analysis, Validation and Interpretation of Results Testing Equipment
II-33
II-33
Bio-Safety Hazards and Equipment Design
II-33
Essential Bio-safety Equipment in Clinical Laboratories
II-34
Personal Protection Equipment in Medical Labs
II-34
Economic Model Followed By Testing Laboratories Revenues
II-35
Expenses
II-35
II-34
Dichotomy between Customers and Payers in Medical Lab Industry II-35 Impact of Environmental Factors on Lab Tests
II-35
Regulatory Overview
II-36
Legislative & Regulatory Environment Worldwide GCLP
II-36
ISO 15189:2003
II-37
ISO 15189 Accreditation ILAC
II-36
II-37 II-37
4. PRODUCT INNOVATIONS/INTRODUCTIONS
II-38
Genomic Health Launches Oncotype DX Prostate Cancer Test Clarient Rolls Out Next-Generation Sequencing Assay
II-38 II-38
SilverStaff Clinical Laboratories to Provide BGM Galectin-3速 Test of BG Medicine
II-38
Quest Diagnostics Unveils Dementia Clinical Diagnostic Panel Psychemedics Unveils Hair Alcohol Test
II-39
II-39
Prometheus Laboratories Introduces PROMETHEUS速 Anser' ADA NeoGenomics Launches Clinical Molecular Tests for MDS
II-40
II-40
LipoScience Introduces Vantera Clinical Analyzer for Cardiovascular Disease Management
Global Clinical Laboratory Services Industry (From Issuu)
II-40
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II-41
GeneDx to Introduce Comprehensive Genetic Tests Suite for Ovarian and Breast Cancers
II-41
Enzo Clinical Labs Collaborates with Oncimmune to Launch Novel Diagnostic Test
II-41
Myriad RBM Introduces Oncology® v. 2.0 Test
II-42
NeoGenomics Introduces NeoSITE' Barrett's Esophagus FISH Test
II-42
diaDexus Introduces CE marked PLAC Test for Lp-PLA(2) Activity 5. RECENT INDUSTRY ACTIVITY
II-42
II-43
Quest Diagnostics Acquires Dignity Health's Clinical Operations II-43 Quest Diagnostics Takes Over Laboratory Operations of Concentra II-43 LifeLabs Acquires BC Biomedical
II-43
JLL Takes Over BioClinica and CoreLab
II-44
Quest Diagnostics Takes Over ConVerge Diagnostic Services
II-44
Spectra Laboratories Acquires Shiel Medical Laboratory
II-44
Gamma-Dynacare Medical Acquires Controlling Stake in Impact Genetics
II-45
Proove Biosciences Takes Over Colwell Clinical Labs
II-45
BioReference to Acquire Laboratory Business of Edge BioSystems
II-45
Cleveland Clinic Laboratories Signs Agreement with ACL for Specialized Testing Services
II-46
Cancer Genetics and Mayo Clinic Establish JV, Oncospire Genomics II-46 HDL to Form Joint Venture with GeneNews for ColonSentry Test Gamma-Dynacare Collaborates with OSR Medical
II-46
II-46
Mayo Medical and Mayo Clinic in Collaboration Agreement with bioTheranostics
II-47
MACL & Oncimmune® Offer EarlyCDT®-Lung Blood Test
II-47
Luminex and NMTC Collaborate for Lab-Developed Panel ARUP Partners with Predictive Biosciences
II-47 II-47
PrimeraDx and Quest Diagnostics Ink Co-Development Agreement
II-48
DaVita Labs Inks Research Collaboration Agreement with Myriad RBM II-48 Rochester General Health System Inks Partnership Agreement with Mayo Medical Laboratories
II-48
Corgenix Medical Inks Agreement with Atherotech Diagnostics Lab II-49 MDxHealth Inks Marketing Partnership with Bostwick Laboratories II-49 ARUP Laboratories Inks Agreement with Oncimmune®
II-49
Instituto Hermes Pardini Takes Over Diagnostika - Unidade de Patologia e Citologia
II-50
LifeLabs Medical Laboratory Acquires CML HealthCare
II-50
Mayo Medical Conducts NMR Lipoprotein Particle Testing with LipoScience Vantera® Clinical Analyzer
II-50
Bio-Reference Signs Agreement with Natera to Commercialize Panorama' NIPT
II-51
Myriad Genetics Signs Companion Diagnostic Deal with TESARO
II-51
OpGen Establishes CLIA-Certified Clinical Services Laboratory and Introduces Microbial Genetic Tests for HAIs
II-51
Echevarne to Distribute Natera's Panorama' Prenatal Test
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II-51
AccelPath Acquires DigiPath
II-52
OPKO Health Takes Over Prost-Data
II-52
Ampersand Takes Over Willow Laboratories
II-52
LabCorp Takes Over MEDTOX
II-53
WCP Takes Over Sterling Reference Laboratories
II-53
Gamma-Dynacare to Take Over LifeLabs Quebec
II-53
Quest Diagnostics Takes Over S.E.D. Medical Laboratories
II-54
TrovaGene Acquires MultiGEN Diagnostics Clinical Laboratory Business
II-54
Bode Technology Group Takes Over Chromosomal Laboratories
II-54
Becton, Dickinson and Company Takes Over KIESTRA Lab Automation II-54 CD Diagnostics Acquires Stake in CML
II-55
Quest Diagnostics to Acquire UMass' Clinical Laboratory Outreach Business
II-55
AmperSand Capital to Acquire Calloway
II-55
Genova Diagnostics and Metametrix Merge Operations
II-55
Al Borg to Merge Operations with Al Mokhtabar
II-56
InCyte Pathology Signs Preliminary Merger Deal with Eastside Pathology
II-56
Gamma-Dynacare Acquires Alcohol and Drug Testing Business of Maxxam Analytics
II-56
ADICON Inks Strategic Collaboration Framework Contract with Siemens
II-57
Myriad RBM Signs Collaboration Agreement with Sanofi and PHRI for Protein Bio-marker Research
II-57
DLMP and MML Collaborate with Kindstar for Esoteric Tests
II-58
Qiagen Signs Co-Marketing Pact with KingMed Diagnostics
II-58
WuXi PharmaTech Enters into JV Agreement with PRA
II-58
AKUH Establishes High-Tech Stat Laboratory in Rawalpindi
II-59
Warburg Pincus Collaborates with Lab Industry Veterans to Launch RDL
II-59
Covance and BML Expand CB Trial Lab
II-60
Bio-Reference Laboratories to Establish Laboratorio Buena Salud II-60 The University of Western Australia Establishes Translational Cancer Pathology Laboratory
II-60
Khandelwal Laboratories Establishes KLab in Nepal
II-60
6. FOCUS ON SELECT PLAYERS
II-61
ADICON Clinical Laboratories, Inc. (China)
II-61
ARUP Laboratories (US) Asuragen, Inc. (US)
II-61 II-61
Atherotech Diagnostics Lab (US)
II-62
Bio-Reference Laboratories, Inc. (US)
II-62
Bioscientia Institut f端r Medizinische Diagnostik GmbH (Germany) II-62 Clarient, Inc. (US)
II-62
DaVita, Inc. (US)
II-63
Enzo Clinical Labs (US)
Global Clinical Laboratory Services Industry (From Issuu)
II-63
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II-64
Gamma-Dynacare Medical Laboratories (Canada)
II-64
Genoptix Medical Laboratory (US)
II-65
Genova Diagnostics, Inc. (US)
II-65
Kingmed Diagnostics (China)
II-65
Healthscope Ltd. (Australia)
II-66
Laboratory Corporation of America Holdings (US) Labco S.A. (France)
II-66 II-67
Mayo Medical Laboratories (US) Myriad Genetic, Inc. (US) Pathology, Inc. (US)
II-67 II-68 II-68
Prometheus Laboratories, Inc. (US)
II-68
Quest Diagnostics, Inc. (US)
II-69
Sonic Healthcare Limited (Australia)
II-69
American Esoteric Laboratories (US)
II-69
Spectra Laboratories, Inc. (US)
II-70
Thyrocare Technologies Limited (India)
II-70
The National Health Laboratory Service (South Africa) Unilabs SA (Switzerland)
II-70
II-71
7. GLOBAL MARKET PERSPECTIVE
II-72
Table 15: World Recent Past, Current and Future Analysis for Clinical Laboratory Services by Geographic Region - US, Canada, Japan, Europe, Asia-Pacific, Latin America, and Rest of World Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2012 through 2020 (includes corresponding Graph/Chart)
II-72
Table 16: World Historic Review for Clinical Laboratory Services by Geographic Region - US, Canada, Japan, Europe, Asia-Pacific, Latin America, and Rest of World Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2006 through 2011 (includes corresponding Graph/Chart)
II-73
Table 17: World 15-Year Perspective for Clinical Laboratory Services by Geographic Region - Percentage Breakdown of Revenues for US, Canada, Japan, Europe, Asia-Pacific, Latin America, and Rest of World Markets for Years 2006, 2014 & 2020 (includes corresponding Graph/Chart)
II-74
Table 18: World Recent Past, Current and Future Analysis for Hospital-based Medical Laboratories by Geographic Region - US, Canada, Japan, Europe, Asia-Pacific, Latin America, and Rest of World Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2012 through 2020 (includes corresponding Graph/Chart)
Global Clinical Laboratory Services Industry (From Issuu)
II-75
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II-76
Table 20: World 15-Year Perspective for Hospital-based Medical Laboratories by Geographic Region - Percentage Breakdown of Revenues for US, Canada, Japan, Europe, Asia-Pacific, Latin America, and Rest of World Markets for Years 2006, 2014 & 2020 (includes corresponding Graph/Chart)
II-77
Table 21: World Recent Past, Current and Future Analysis for Other Laboratories by Geographic Region - US, Canada, Japan, Europe, Asia-Pacific, Latin America, and Rest of World Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2012 through 2020 (includes corresponding Graph/Chart)
II-78
Table 22: World Historic Review for Other Laboratories by Geographic Region - US, Canada, Japan, Europe, Asia-Pacific, Latin America, and Rest of World Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2006 through 2011 (includes corresponding Graph/Chart)
II-79
Table 23: World 15-Year Perspective for Other Laboratories by Geographic Region - Percentage Breakdown of Revenues for US, Canada, Japan, Europe, Asia-Pacific, Latin America, and Rest of World Markets for Years 2006, 2014 & 2020 (includes corresponding Graph/Chart)
II-80
III. MARKET 1. THE UNITED STATES A.Market Analysis
III-1 III-1
Clinical Laboratories: A Small Yet Vital Constituent of Healthcare Industry
III-1
Table 24: US Healthcare Spending (2012): Percentage Share Breakdown of Spending by Segment - Hospitals, Professional Services, Prescriptions, Medical Products, Laboratory Testing, and Others (includes corresponding Graph/Chart)
III-1
Changing Healthcare Industry Dynamics Affect Clinical Lab Testing Market
III-1
Table 25: Healthcare Spending as a % of GDP (includes corresponding Graph/Chart)
III-2
Positive Outlook for Clinical Laboratory Services Market
Global Clinical Laboratory Services Industry (From Issuu)
III-3
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III-4
A Glance at Major Growth Drivers
III-5
Unmet Diagnostic Needs of Aging Population
III-5
Table 26: North American Elderly Population by Age Group (1975-2050) (includes corresponding Graph/Chart)
III-6
Table 27: US Population Breakdown by Age Group (2012) (includes corresponding Graph/Chart)
III-7
Increasing Burden of Chronic Diseases Drives Focus onto Early Detection & Prevention
III-7
Cancer Statistics in the US
III-7
Table 28: New Cancer Cases by Gender and Affected Site in the US (2013)
III-8
Prevalence of Diabetes Mellitus in North America
III-9
Table 29: Prevalence of Diabetes Mellitus in North America (2012) (includes corresponding Graph/Chart)
III-9
Opportunities in Personalized Medicine and Clinical Trial Services
III-9
Increasing Reimbursement Pressures - Opportunities for Testing Services
III-10
Growing Focus on Early Diagnosis
III-10
Impact of Scientific Advances & Role of Healthcare IT Solutions
III-10
Need to Reduce Healthcare Costs
III-10
Legislative, Regulatory and Policy Environment
III-11
Opportunities for Individual Testing
III-11
Population Screening Initiatives
III-11
Challenges Facing Clinical Labs Market
III-11
Product-Related Trends
III-13
Table 30: Clinical Laboratory Testing Market in the US (2010): Percentage Share Breakdown of Revenues by Segment (includes corresponding Graph/Chart)
III-13
Routine Tests: The Largest Product Category
III-13
Anatomic Pathology & Cytology Testing: Personalized Medicine Presents Positive Future
III-13
Table 31: US Market for Outpatient Anatomic Pathology Testing (2010): Percentage Share Breakdown of Revenues by Test Type - Pap Smears, Skin Biopsies, Gynecology Biopsies, Prostate, Gastrointestinal, and Others (includes corresponding Graph/Chart)
III-14
Esoteric Testing Market: Faster Growth than Routine Testing Segment
III-14
Molecular Diagnostics: Promising Growth Opportunities
III-15
Drugs of Abuse Testing: Prospects Linked to Employment Levels III-16 Future Holds Promise for Specialty Testing Market
III-16
Impact of Healthcare Spending Cuts on Routine & Specialty Lab Tests
III-16
Increasing Role of Advanced Tests in Clinical Treatment
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III-16
Tissue-based Diagnostics Market to Expand
III-17
Toxicology Laboratories Market: An Insight
III-17
Genetic and Genomic Clinical Lab Testing Market: Promising Prospects
III-17
Shift towards Managed Care - A Challenge for Independent Clinical Labs'
III-19
Evolving ACO Business Model: A Challenge for Independent Labs III-19 Integration of Clinical Care: Impact on Clinical Labs & Anatomic Pathology Groups
III-20
Hospital Laboratory Outreach Programs: On the Rise
III-21
Physician Practices: The New Acquisition Targets
III-21
Table 32: % of Independent Physicians in the US (2005-2013) (includes corresponding Graph/Chart)
III-22
Cost Cutting Measures to Hit Lab Outreach Testing Business' III-22 Hospitals Foray into Health Insurance Market: Opportunities for Hospital Labs
III-22
FDA to Regulate Laboratory Developed Tests (LDTs)
III-23
Shortened Hospital Stay Enhances Significance of Medical Labs III-23 Lab Automation: A Key Trend in the Clinical Laboratory Testing Market
III-23
Health Plans Interpose Between Clinical Labs and Physicians POCT Segment Withstands Cost Pressures
III-24
III-24
Dealing with Regulatory Changes: A Tough Ask for Clinical Labs III-24 CMS Proposes to Slash Payment for Lab Tests
III-25
Providers of Clinical Laboratory Service in the US: A Review Hospital-Based Labs
III-25
III-25
Table 33: Hospital Lab Test Market in the US (2012): Percentage Share Breakdown of Revenues by Payer (includes corresponding Graph/Chart)
III-26
Table 34: Registered Hospitals in the US (2012): Percentage Share Breakdown of Number of Hospitals by Type of Hospital (includes corresponding Graph/Chart) Independent Labs
III-27
III-27
Table 35: Independent Labs Market in the US (2012): Percentage Share Breakdown of Revenues for Quest Diagnostics, LabCorp, Small Independent Labs, Niche Labs, and Tier 2 Labs (includes corresponding Graph/Chart) Physician Office-Based Labs and Others Competitive Landscape
III-28 III-28
III-29
Consolidation Activity Gathers Pace in Clinical Laboratory Testing Market
III-30
Table 36: Number of Closed M&A Transactions in the US Clinical Labs Market (2005-2012) (includes corresponding Graph/Chart)
III-31
Table 37: Closed M&A Transactions in the US Clinical Labs
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III-31
Major Clinical Laboratory Transactions (2011-2013) Regulatory Landscape A2LA
III-34 III-34
ASCLS CAP
III-32
III-34 III-34
Clinical Laboratory Improvement Amendments (CLIA)
III-35
Table 38: CLIA-Certified Laboratories in the US (2013): Percentage Share Breakdown of Number of Laboratories by Certificate Type (includes corresponding Graph/Chart)
III-36
Table 39: CLIA-Certified Laboratories in the US (2013): Percentage Share Breakdown of Number of Labs by Lab Type (includes corresponding Graph/Chart)
III-36
Health Insurance Portability and Accountability Act of 1996
III-37
Substance Abuse and Mental Health Services Administration (SAMHSA) Regulation
III-37
Reimbursement Scenario for Clinical Laboratory Tests
III-37
Impact on Funding Changes on Clinical Labs Testing Market Medicare Coverage for Screening Tests
III-38
Medicare Clinical Laboratory Fee Schedule (CLFS)
III-39
Medicare Physician Fee Schedule (MPFS) Medicaid
III-38
III-39 III-40
Payment and Coding for Clinical Laboratory Testing Services
III-40
Table 40: Medicare Spending in the US (2012): Percentage Share Breakdown of Spending by Category - Inpatient Hospital, Managed Care, Prescription Drugs, Physician Fee Schedule, SNF, Home Health, Hospice, Clinical Laboratory, and Others (includes corresponding Graph/Chart)
III-41
Product Innovations/Introductions
III-42
Strategic Corporate Developments Key Players B.Market Analytics
III-48 III-64 III-71
Table 41: US Recent Past, Current and Future Analysis for Clinical Laboratory Services by Location - Hospital-Based Laboratories, Independent Laboratories, and Physician Office Laboratories Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2012 through 2020 (includes corresponding Graph/Chart)
III-71
Table 42: US Historic Review for Clinical Laboratory Services by Location - Hospital-Based Laboratories, Independent Laboratories, and Physician Office Laboratories Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2006 through 2011 (includes corresponding Graph/Chart)
Global Clinical Laboratory Services Industry (From Issuu)
III-72
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III-73
2. CANADA
III-74
A.Market Analysis Outlook
III-74 III-74
Rising Incidence of Chronic Diseases Spurs Need for Testing
III-74
Table 44: New Cancer Cases in Canada by Gender and Affected Site (2012) (includes corresponding Graph/Chart)
III-75
Table 45: New Cancer Cases in Canada by Province (2012) (includes corresponding Graph/Chart)
III-76
Table 46: New Cancer Cases in Canada by Age Group and Gender (2012) (includes corresponding Graph/Chart)
III-77
Table 47: Prevalence of Diabetes Mellitus in Canada (2012) (includes corresponding Graph/Chart)
III-78
Funding Crunch Bolsters Consolidation Activity among Independent Labs
III-78
Regulatory Scenario in Canada Accreditation Canada
III-78 III-78
Standards Council of Canada
III-80
Strategic Corporate Developments
III-82
Gamma-Dynacare Medical Laboratories - A Key Player B.Market Analytics
III-85
III-86
Table 48: Canadian Recent Past, Current and Future Analysis for Clinical Laboratory Services by Location Hospital-Based Laboratories, and Other Laboratories Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2012 through 2020 (includes corresponding Graph/Chart)
III-86
Table 49: Canadian Historic Review for Clinical Laboratory Services by Location - Hospital-Based Laboratories, and Other Laboratories Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2006 through 2011 (includes corresponding Graph/Chart)
III-87
Table 50: Canadian 15-Year Perspective for Clinical Laboratory Services by Location - Percentage Breakdown of Revenues for Hospital-Based Laboratories, and Other Laboratories Markets for Years 2006, 2014 & 2020 (includes corresponding Graph/Chart)
Global Clinical Laboratory Services Industry (From Issuu)
III-88
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III-89
A.Market Analysis Outlook
III-89 III-89
Demographics Drive Market Growth
III-89
Table 51: Percentage Breakdown of Japanese Population by Age Group (2012) (includes corresponding Graph/Chart)
III-89
Table 52: Over 65 Years Population in Japan (1950-2010) (includes corresponding Graph/Chart)
III-90
Table 53: Prevalence of Diabetes Mellitus in Japan (2012 & 2030) (includes corresponding Graph/Chart)
III-90
Strategic Corporate Development
III-91
B.Market Analytics
III-92
Table 54: Japanese Recent Past, Current and Future Analysis for Clinical Laboratory Services by Location Hospital-Based Laboratories, and Other Laboratories Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2012 through 2020 (includes corresponding Graph/Chart)
III-92
Table 55: Japanese Historic Review for Clinical Laboratory Services by Location - Hospital-Based Laboratories, and Other Laboratories Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2006 through 2011 (includes corresponding Graph/Chart)
III-93
Table 56: Japanese 15-Year Perspective for Clinical Laboratory Services by Location - Percentage Breakdown of Revenues for Hospital-Based Laboratories, and Other Laboratories Markets for Years 2006, 2014 & 2020 (includes corresponding Graph/Chart) 4. EUROPE A.Market Analysis Outlook Overview
III-94 III-95 III-95 III-95 III-95
Table 57: Diagnostics Market in Europe (2012): Percentage Share Breakdown of Revenues by Medical Imaging, Laboratory Testing, and Anatomic Pathology (includes corresponding Graph/Chart)
III-95
Debt Crisis in Europe Affects Healthcare Industry
III-96
European Healthcare System: In a State of Transition'
III-96
Aging Population to Drive Demand for Medical Laboratory Services
III-97
Table 58: Population Breakup by Age Group for Select European Countries: 2012 (As a % of Total Population) (includes corresponding Graph/Chart) Accreditation and Regulatory Scenario in the EU
Global Clinical Laboratory Services Industry (From Issuu)
III-98 III-99
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III-100
Table 59: European Recent Past, Current and Future Analysis for Clinical Laboratory Services by Geographic Region France, Germany, Italy, UK, Spain, Russia, and Rest of Europe Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2012 through 2020 (includes corresponding Graph/Chart)
III-100
Table 60: European Historic Review for Clinical Laboratory Services by Geographic Region - France, Germany, Italy, UK, Spain, Russia, and Rest of Europe Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2006 through 2011 (includes corresponding Graph/Chart)
III-101
Table 61: European 15-Year Perspective for Clinical Laboratory Services by Geographic Region - Percentage Breakdown of Revenues for France, Germany, Italy, UK, Spain, Russia, and Rest of Europe Markets for Years 2006, 2014 & 2020 (includes corresponding Graph/Chart)
III-102
Table 62: European Recent Past, Current and Future Analysis for Clinical Laboratory Services by Location Hospital-Based Laboratories, and Other Laboratories Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2012 through 2020 (includes corresponding Graph/Chart)
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Table 63: European Historic Review for Clinical Laboratory Services by Location - Hospital-Based Laboratories, and Other Laboratories Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2006 through 2011 (includes corresponding Graph/Chart)
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Table 64: European 15-Year Perspective for Clinical Laboratory Services by Location - Percentage Breakdown of Revenues for Hospital-Based Laboratories, and Other Laboratories Markets for Years 2006, 2014 & 2020 (includes corresponding Graph/Chart) 4a. FRANCE A.Market Analysis Outlook Overview
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Table 65: 65+ Population as % of Total Population (includes corresponding Graph/Chart)
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Table 66: Clinical Testing Laboratories in France (2012): Percentage Share Breakdown of Number of Labs by Type
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Labco S.A. - A Key Player
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B.Market Analytics
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Table 67: French Recent Past, Current and Future Analysis for Clinical Laboratory Services by Location Hospital-Based Laboratories, and Other Laboratories Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2012 through 2020 (includes corresponding Graph/Chart)
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Table 68: French Historic Review for Clinical Laboratory Services by Location - Hospital-Based Laboratories, and Other Laboratories Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2006 through 2011 (includes corresponding Graph/Chart)
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Table 69: French 15-Year Perspective for Clinical Laboratory Services by Location - Percentage Breakdown of Revenues for Hospital-Based Laboratories, and Other Laboratories Markets for Years 2006, 2014 & 2020 (includes corresponding Graph/Chart)
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4b. GERMANY
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A.Market Analysis Outlook
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Privatization: A Visible Trend in the Labs Market Regulatory Scenario in Germany
III-111 III-111
DAkkS GmbH - Germany's National Accreditation Body
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Bioscientia Institut f端r Medizinische Diagnostik GmbH - A Key Player B.Market Analytics
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Table 70: German Recent Past, Current and Future Analysis for Clinical Laboratory Services by Location Hospital-Based Laboratories, and Other Laboratories Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2012 through 2020 (includes corresponding Graph/Chart)
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Table 71: German Historic Review for Clinical Laboratory Services by Location - Hospital-Based Laboratories, and Other Laboratories Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2006 through 2011 (includes corresponding Graph/Chart)
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Table 72: German 15-Year Perspective for Clinical Laboratory Services by Location - Percentage Breakdown of Revenues for Hospital-Based Laboratories, and Other Laboratories Markets for Years 2006, 2014 & 2020 (includes corresponding
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4c. ITALY
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A.Market Analysis Outlook
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ACCREDIA - The Italian Accreditation Body B.Market Analytics
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Table 73: Italian Recent Past, Current and Future Analysis for Clinical Laboratory Services by Location Hospital-Based Laboratories, and Other Laboratories Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2012 through 2020 (includes corresponding Graph/Chart)
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Table 74: Italian Historic Review for Clinical Laboratory Services by Location - Hospital-Based Laboratories, and Other Laboratories Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2006 through 2011 (includes corresponding Graph/Chart)
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Table 75: Italian 15-Year Perspective for Clinical Laboratory Services by Location - Percentage Breakdown of Revenues for Hospital-Based Laboratories, and Other Laboratories Markets for Years 2006, 2014 & 2020 (includes corresponding Graph/Chart)
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4d. THE UNITED KINGDOM A.Market Analysis Outlook
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UKAS - The Sole National Accreditation Body in the UK B.Market Analytics
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Table 76: UK Recent Past, Current and Future Analysis for Clinical Laboratory Services by Location - Hospital-Based Laboratories, and Other Laboratories Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2012 through 2020 (includes corresponding Graph/Chart)
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Table 77: UK Historic Review for Clinical Laboratory Services by Location - Hospital-Based Laboratories, and Other Laboratories Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2006 through 2011 (includes corresponding Graph/Chart)
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Table 78: UK 15-Year Perspective for Clinical Laboratory Services by Location - Percentage Breakdown of Revenues for Hospital-Based Laboratories, and Other Laboratories Markets for Years 2006, 2014 & 2020 (includes corresponding Graph/Chart)
Global Clinical Laboratory Services Industry (From Issuu)
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A.Market Analysis Outlook
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Strategic Corporate Development
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B.Market Analytics
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Table 79: Spanish Recent Past, Current and Future Analysis for Clinical Laboratory Services by Location Hospital-Based Laboratories, and Other Laboratories Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2012 through 2020 (includes corresponding Graph/Chart)
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Table 80: Spanish Historic Review for Clinical Laboratory Services by Location - Hospital-Based Laboratories, and Other Laboratories Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2006 through 2011 (includes corresponding Graph/Chart)
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Table 81: Spanish 15-Year Perspective for Clinical Laboratory Services by Location - Percentage Breakdown of Revenues for Hospital-Based Laboratories, and Other Laboratories Markets for Years 2006, 2014 & 2020 (includes corresponding Graph/Chart)
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4f. RUSSIA
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Market Analysis
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Table 82: Russian Recent Past, Current and Future Analysis for Clinical Laboratory Services by Location Hospital-Based Laboratories, and Other Laboratories Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2012 through 2020 (includes corresponding Graph/Chart)
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Table 83: Russian Historic Review for Clinical Laboratory Services by Location - Hospital-Based Laboratories, and Other Laboratories Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2006 through 2011 (includes corresponding Graph/Chart)
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Table 84: Russian 15-Year Perspective for Clinical Laboratory Services by Location - Percentage Breakdown of Revenues for Hospital-Based Laboratories, and Other Laboratories Markets for Years 2006, 2014 & 2020 (includes corresponding Graph/Chart)
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4g. REST OF EUROPE A.Market Analysis Outlook
Global Clinical Laboratory Services Industry (From Issuu)
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Switzerland Ukraine
III-130 III-130
Strategic Corporate Developments
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Unilabs SA (Switzerland) - A Key Player B.Market Analytics
III-131 III-132
Table 85: Rest of Europe Recent Past, Current and Future Analysis for Clinical Laboratory Services by Location Hospital-Based Laboratories, and Other Laboratories Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2012 through 2020 (includes corresponding Graph/Chart)
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Table 86: Rest of Europe Historic Review for Clinical Laboratory Services by Location - Hospital-Based Laboratories, and Other Laboratories Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2006 through 2011 (includes corresponding Graph/Chart)
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Table 87: Rest of Europe 15-Year Perspective for Clinical Laboratory Services by Location - Percentage Breakdown of Revenues for Hospital-Based Laboratories, and Other Laboratories Markets for Years 2006, 2014 & 2020 (includes corresponding Graph/Chart) 5. ASIA-PACIFIC A.Market Analysis Overview
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Healthcare Spending in Asia-Pacific: On the Rise
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China and India: Two Fast-Growing Markets
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APLAC - A Regional Accreditation Body in Asia-Pacific B.Market Analytics
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Table 88: Asia-Pacific Recent Past, Current and Future Analysis for Clinical Laboratory Services by Geographic Region - China and Rest of Asia-Pacific Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2012 through 2020 (includes corresponding Graph/Chart)
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Table 89: Asia-Pacific Historic Review for Clinical Laboratory Services by Geographic Region - China and Rest of Asia-Pacific Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2006 through 2011 (includes corresponding Graph/Chart)
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Table 90: Asia-Pacific 15-Year Perspective for Clinical Laboratory Services by Geographic Region - Percentage Breakdown of Revenues for China and Rest of Asia-Pacific
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Table 91: Asia-Pacific Recent Past, Current and Future Analysis for Clinical Laboratory Services by Location Hospital-Based Laboratories, and Other Laboratories Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2012 through 2020 (includes corresponding Graph/Chart)
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Table 92: Asia-Pacific Historic Review for Clinical Laboratory Services by Location - Hospital-Based Laboratories, and Other Laboratories Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2006 through 2011 (includes corresponding Graph/Chart)
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Table 93: Asia-Pacific 15-Year Perspective for Clinical Laboratory Services by Location - Percentage Breakdown of Revenues for Hospital-Based Laboratories, and Other Laboratories Markets for Years 2006, 2014 & 2020 (includes corresponding Graph/Chart)
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5a. CHINA
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A.Market Analysis Outlook
III-143 III-143
Medical Labs Market: An Overview
III-143
Healthcare Reforms: Opportunities for Clinical Labs Market Independent Clinical Labs - A Nascent Market
III-143
III-144
Table 94: Leading Independent Medical Labs in China (2013): Percentage Share Breakdown of Revenues for KingMed Diagnostics, DiAn Diagnostics, Adicon Clinical Laboratories Inc., DaAn Health, and Others (includes corresponding Graph/Chart)
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CNAL - The National Accreditation Body in China
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HKAS - An Accreditation Body in Hong Kong
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Strategic Corporate Developments Key Players B.Market Analytics
III-147 III-149 III-151
Table 95: Chinese Recent Past, Current and Future Analysis for Clinical Laboratory Services by Location Hospital-Based Laboratories, and Other Laboratories Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2012 through 2020 (includes corresponding Graph/Chart)
III-151
Table 96: Chinese Historic Review for Clinical Laboratory Services by Location - Hospital-Based Laboratories, and Other Laboratories Markets Independently Analyzed with
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III-152
Table 97: Chinese 15-Year Perspective for Clinical Laboratory Services by Location - Percentage Breakdown of Revenues for Hospital-Based Laboratories, and Other Laboratories Markets for Years 2006, 2014 & 2020 (includes corresponding Graph/Chart)
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5b. REST OF ASIA-PACIFIC
III-154
A.Market Analysis
III-154
Outlook
III-154
Review of Select Regional Markets
III-154
Australia
III-154
Strong Growth in Lab Testing Leads to Increased Private Health Insurance Premiums
III-154
NATA - An Australian Regulatory Agency India
III-154
III-155
Clinical Laboratory Market: Overview Growth Drivers Challenges
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Table 98: Indian Medical Laboratories Market (2010): Percentage Share Breakdown of Revenues by Type of Lab High-End Labs, Regional Labs, and Manual Labs (includes corresponding Graph/Chart)
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Table 99: Indian Clinical Laboratory Market (2013E): Percentage Share Breakdown of Revenues by Segment Biochemistry, Immunology, Hematology, Microbiology, Histopathology, Molecular, and Genetics (includes corresponding Graph/Chart)
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Biochemistry Analysis: An Important Clinical Lab Segment Competitive Landscape
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Business Model of Medical Labs
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Table 100: Indian Medical Laboratories Market (2013)): Number of Labs and Collection Centers Operated by Metropolis, SRL Diagnostics, and Dr. Lal Path Labs Regulatory Scenario in India Indonesia Korea
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Rapidly Aging Population Spurs Demand for Clinical Lab Testing
III-160
Table 101: South Korean Medical Laboratories Market (2010): Percentage Share Breakdown of Medical Laboratories by Healthcare Segment - Immunochemistry, Infectious Disease, Clinical Chemistry, Microbiology, Hematology, Molecular Biology, and Others (includes corresponding Graph/Chart)
Global Clinical Laboratory Services Industry (From Issuu)
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Regulatory Scenario in Philippines Singapore
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SAC - The National Agency for Accreditation in Singapore Thailand
BLQS - A Designated Accreditation Authority in Thailand Strategic Corporate Developments Key Players B.Market Analytics
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Table 102: Rest of Asia-Pacific Recent Past, Current and Future Analysis for Clinical Laboratory Services by Location Hospital-Based Laboratories, and Other Laboratories Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2012 through 2020 (includes corresponding Graph/Chart)
III-165
Table 103: Rest of Asia-Pacific Historic Rev
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