Hawaii Cracks Down on Illegal Lab Testing: 4 Companies Ordered to Cease Operations (2026)

The Hawaii Department of Health has taken a strong stance against illegal direct-to-consumer lab testing, ordering notices to four companies for violating state law. But here's where it gets controversial... The department has issued a Notice of Violation and Order against John Roehm, CEO of Ulta Lab Tests, LLC, for providing direct-to-consumer laboratory testing to Hawaiʻi consumers since May 2022, despite the state's strict regulations. This move has sparked debate about the balance between innovation and regulation in the healthcare industry. The controversy lies in the fact that Ulta Lab Tests, LLC, is affiliated with three laboratory test and healthcare sites in Hawaii, where specimens are collected directly from individuals without a request made by an authorized person, as required by state law. This raises questions about the authority of these sites to operate independently and the potential risks to patient safety. The department's investigation revealed that the entities were illegally operating as collecting depots for Ulta Lab Tests, LLC, without approval from the Office of Health Care Assurance (OHCA). This highlights the importance of proper oversight and regulation in the healthcare industry to ensure patient safety and compliance with state laws. The three entities were also individually issued NOVOs to cease and desist operations as a collecting depot for Ulta Lab Tests, LLC, and fined $15,000. This sends a clear message that the department will not tolerate violations of state law and will take action to protect the public. The controversy surrounding this case invites discussion about the balance between innovation and regulation in the healthcare industry. What do you think? Do you agree with the department's decision, or do you believe there are alternative interpretations or solutions to this issue? Share your thoughts in the comments below!

Hawaii Cracks Down on Illegal Lab Testing: 4 Companies Ordered to Cease Operations (2026)
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