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Clinical Reference Laboratory Jobs in Texas (NOW HIRING)

Hospital - Laboratory Support Manager

San Antonio, TX · On-site

$80 - $100/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... reference laboratory testing. The Clinical Laboratory Support Manager will also be responsible for staff scheduling, active participation in outpatient department meetings, serving as a subject ...

Phlebotomist

Midland, TX

$16.75 - $20.75/hr

Follows Clinical Laboratory Standards Institute order of draw. * Ensures that specimen requirements ... Prepares specimens for reference laboratory dispatch and testing. * Prepares test order in the ARUP ...

Phlebotomist

Midland, TX · On-site

$16.75 - $20.75/hr

Follows Clinical Laboratory Standards Institute order of draw. * Ensures that specimen requirements ... Prepares specimens for reference laboratory dispatch and testing. * Prepares test order in the ARUP ...

Phlebotomist

Midland, TX · On-site

$16.75 - $20.75/hr

Follows Clinical Laboratory Standards Institute order of draw. * Ensures that specimen requirements ... Prepares specimens for reference laboratory dispatch and testing. * Prepares test order in the ARUP ...

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Showing results 1-20

Clinical Reference Laboratory information

See Texas salary details

$14

$33

$65

How much do clinical reference laboratory jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for clinical reference laboratory in Texas is $33.31, according to ZipRecruiter salary data. Most workers in this role earn between $23.27 and $42.98 per hour, depending on experience, location, and employer.

What is a clinical reference laboratory?

A Clinical Reference Laboratory is a specialized facility that performs a wide range of medical tests on clinical specimens, such as blood, urine, or tissue, to provide information for diagnosing, treating, and preventing diseases. These laboratories typically receive samples from hospitals, clinics, and physicians' offices that do not have the resources to conduct specialized or high-volume testing in-house. Clinical reference labs use advanced technologies and highly trained staff to ensure accurate and timely results, often offering specialized testing that may not be available at smaller labs. Their services are essential for patient care, public health surveillance, and medical research.

What are the key skills and qualifications needed to thrive as a clinical reference laboratory technician?

To thrive as a Clinical Reference Laboratory Technician, you typically need a background in laboratory science, a relevant associate or bachelor's degree, and knowledge of clinical testing procedures. Familiarity with laboratory information systems (LIS), automated analyzers, and quality control protocols is crucial. Attention to detail, problem-solving skills, and effective communication help ensure accurate test results and collaboration with healthcare teams. These skills are essential for maintaining reliable diagnostics and patient safety in a high-stakes laboratory environment.

What are some common challenges faced by professionals working in a clinical reference laboratory, and how can they be addressed?

Professionals in a clinical reference laboratory often encounter challenges such as managing high sample volumes, maintaining strict quality and safety standards, and staying current with rapidly evolving laboratory technologies. Effective time management, regular training, and adherence to standard operating procedures are critical for addressing these issues. Additionally, clear communication and collaboration with colleagues and healthcare providers help ensure accuracy and efficiency in test processing and reporting.

What is the difference between Clinical Reference Laboratory vs Medical Laboratory Technician?

AspectClinical Reference LaboratoryMedical Laboratory Technician
CredentialsTypically requires certification or licensing, such as CLIA certificationRequires an associate degree in medical laboratory technology and certification (e.g., ASCP)
Work EnvironmentOperates in large labs, hospitals, or specialized testing facilitiesWorks in hospital labs, clinics, or diagnostic labs
Employer & Industry UsageUsed by diagnostic labs providing specialized testing servicesEmployed in healthcare settings performing routine lab tests
Common Search & ComparisonOften compared for testing scope and certification requirementsCompared for training, duties, and certification needed

In summary, Clinical Reference Laboratories focus on specialized testing and often require advanced certifications, operating in large-scale lab environments. Medical Laboratory Technicians perform routine tests in healthcare settings, requiring specific training and certification. Both roles are essential in the diagnostic process but differ in scope, environment, and credentials.

How to get a job in a clinical reference laboratory?

To work in a clinical reference laboratory, candidates typically need a relevant healthcare or laboratory science degree, such as a medical laboratory technician or technologist certification. Gaining experience through internships or entry-level positions, understanding laboratory procedures, and obtaining certifications like ASCP can improve job prospects. Strong attention to detail, knowledge of laboratory equipment, and adherence to safety protocols are essential for success in this environment.

What job categories do people searching Clinical Reference Laboratory jobs in Texas look for?

The top searched job categories for Clinical Reference Laboratory jobs in Texas are:

Infographic showing various Clinical Reference Laboratory job openings in Texas as of August 2026, with employment types broken down into 3% As Needed, 75% Full Time, 15% Part Time, and 7% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $69,291 per year, or $33.3 per hour.

Immunohematology Reference Laboratory (IRL) Specialist - MLS/MT/SBB

Gulf Coast Blood

Houston, TX

Full-time

Posted 29 days ago


Job description

Position Title:

Join our team of heroes!

Are you seeking daily adventure while advancing your career? Look no further.

The Immunohematology Reference Laboratory (IRL) Specialist provides technical leadership and subject matter expertise within the IRL while performing advanced serologic testing to investigate complex antibody identification cases, resolve serologic discrepancies, and support the selection of compatible blood products for patient transfusion. This role supports laboratory operations, quality systems, regulatory compliance, scientific advancement, and customer service initiatives while fostering a culture of safety, continuous improvement, collaboration, and operational excellence. The IRL Specialist serves as a technical resource to laboratory staff and frequently interacts with internal and external customers, requiring sound judgment, professionalism, diplomacy, and effective communication skills.

Tips to thrive in our culture:

  • Embody our Core Values of Commitment, Integrity, and Respect

  • Work to actively create experiences that inspire others to save lives, each and every day.

  • Embrace doing it right, making connections, and creating desired experiences.

  • Comply with all organizational policies and standards, including safety rules, and be willing to report actual and potential violations to the appropriate supervisor or manager.


In this role, you will:

Operational Leadership: 20%
  • Provide technical leadership and guidance for daily IRL operations, ensuring effective workflow and timely resolution of complex serologic cases.

  • Evaluate the acceptability of patient samples, testing requests, and consultation referrals in accordance with established laboratory guidelines.

  • Receive specimens and orders, issue and return blood products, and ensure accurate documentation of all activities.

  • Coordinate the identification, reservation, and management of antigen-negative red blood cell units for patients with special transfusion requirements.

  • Monitor inventory levels of blood components, reagents, laboratory supplies, and reference materials to support uninterrupted laboratory operations.

  • Communicate effectively with hospitals, physicians, laboratory personnel, donors, and other stakeholders regarding patient requests, sample requirements, rare donor donations, and related services.

  • Prepare consultation reports and provide technical recommendations to support serologic problem resolution and transfusion management.

Regulatory Compliance, Quality and Continuous Improvement – 30%
  • Maintain compliance with FDA, AABB, CAP, CLIA, OSHA, state, and organizational requirements governing laboratory operations.

  • Participate in proficiency testing, quality assurance activities, quality control review, and corrective and preventive action (CAPA) processes.

  • Ensure accurate, complete, and timely documentation of laboratory procedures, testing activities, and results in accordance with regulatory and accreditation standards.

  • Perform and/or oversee quality control testing, preventive maintenance, and equipment performance monitoring.

  • Assist in validation and implementation of new methods, reagents, instrumentation, software systems, and process improvements.

  • Collaborate with laboratory leadership, Quality, Hospital Services, and external partners to support operational excellence, quality improvement, and customer service initiatives.

  • Promote adherence to organizational policies related to safety, equal employment opportunity, affirmative action, and ethical conduct.

  • Identify opportunities for process improvement and contribute to initiatives that enhance efficiency, quality, compliance, and service delivery.

Testing: 40%
  • Develop and implement testing strategies to investigate and resolve complex serologic problems.

  • Perform, interpret, and document advanced immunohematology testing, including antibody identification, compatibility testing, antigen typing, and related reference laboratory procedures.

  • Conduct antigen screening to identify antigen-negative blood products for patients with specific transfusion requirements.

  • Review and verify test results for technical accuracy, completeness, and clinical appropriateness.

  • Investigate and resolve serologic discrepancies, unusual findings, and complex transfusion support cases.

  • Troubleshoot testing issues, instrumentation problems, reagent performance concerns, and unexpected laboratory results.

  • Provide technical recommendations regarding compatible blood product selection and transfusion support.

Mentorship & Professional Development: 10%
  • Support the training, onboarding, and competency assessment of laboratory personnel.

  • Serve as a technical resource and mentor to technologists and laboratory staff.

  • Assist with internal and external educational programs, presentations, workshops, and professional development activities.

  • Prepare educational materials and laboratory samples for training and competency programs.

  • Maintain current knowledge of advances in immunohematology, transfusion medicine, and laboratory science through professional journals, continuing education, workshops, seminars, and professional organizations.


We need someone who has:

Education
  • Bachelor’s degree in Medical Laboratory Science, Biology, Chemistry, or related scientific discipline required.

Experience
  • 3-5 years of experience in blood banking, transfusion services, or an Immunohematology Reference Laboratory required.

  • Demonstrated experience performing complex antibody identification and advanced serologic investigations.

  • Experience interpreting complex immunohematology test results and providing transfusion support recommendations.

Certifications / Licenses
  • MT(ASCP), MLS(ASCP), BB(ASCP), or equivalent certification required.

We prefer:

  • Specialist in Blood Bank Technology (SBB) certification


Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Ability to stand, walk, lift 25 lbs, and perform repetitive tasks consistent with laboratory operations.


Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Work performed in a clinical laboratory environment with exposure to biological materials and laboratory chemicals.

  • Available to work overtime, weekends, holidays, as needed to support business operations.

Who We Are:

Since 1975, Gulf Coast Blood has been one of the nation’s largest community blood centers, serving 170 hospitals across 26 counties. Headquartered in Houston, we support the world’s largest medical complex—the Texas Medical Center—while operating 18 donor centers and hosting more than 7,000 mobile blood drives each year. As an FDA-accredited nonprofit, we provide high-quality human cellular material for both scientific and therapeutic use.

Some Jobs Change Lives. Others Save Them.

Think you have what it takes to save lives with us? We want to hear from you.


EQUAL OPPORTUNITY EMPLOYER STATEMENT

Gulf Coast Blood is an Equal Employment Opportunity Employer. Qualified applicants for positions are considered without regard to race/ethnicity, color, religion, national origin, age, pregnancy, sex, sexual orientation, gender identity, transgender status, military status, protected veteran status, disability status, genetic testing results, or any other basis or characteristic prohibited by applicable law, statute, regulation or Executive Order.