1

Reference Lab Jobs in North Carolina (NOW HIRING)

Process specimens in a timely manner and in the appropriate way for testing in house or for sending out to a reference lab. This must be in a manner which will preserve the integrity of the specimen.

Process specimens in a timely manner and in the appropriate way for testing in house or for sending out to a reference lab. This must be in a manner which will preserve the integrity of the specimen.

Reference Test Clerk

Winston Salem, NC ยท On-site

$34K - $37K/yr

Onsite Lab and Customer Support Clerk Labcorp is seeking a Onsite Lab Support Clerk to join our ... The Hospital Reference Test Clerk will be responsible for performing clinical specimen accessioning ...

Reference Test Clerk

Winston Salem, NC ยท On-site

$34K - $37K/yr

Onsite Lab and Customer Support Clerk Labcorp is seeking a Onsite Lab Support Clerk to join our ... The Hospital Reference Test Clerk will be responsible for performing clinical specimen accessioning ...

Reference Test Clerk

Winston Salem, NC

$34K - $37K/yr

Onsite Lab and Customer Support Clerk Labcorp is seeking a Onsite Lab Support Clerk to join our ... The Hospital Reference Test Clerk will be responsible for performing clinical specimen accessioning ...

Reference Test Clerk

Winston Salem, NC

$34K - $37K/yr

Onsite Lab and Customer Support Clerk Labcorp is seeking a Onsite Lab Support Clerk to join our ... The Hospital Reference Test Clerk will be responsible for performing clinical specimen accessioning ...

Reference Test Clerk

Winston Salem, NC ยท On-site

$34K - $37K/yr

Onsite Lab and Customer Support Clerk Labcorp is seeking a Onsite Lab Support Clerk to join our ... The Hospital Reference Test Clerk will be responsible for performing clinical specimen accessioning ...

Reference Test Clerk

Winston Salem, NC ยท On-site

$34K - $37K/yr

Onsite Lab and Customer Support Clerk Labcorp is seeking a Onsite Lab Support Clerk to join our ... The Hospital Reference Test Clerk will be responsible for performing clinical specimen accessioning ...

Medical Assistant

Lenoir, NC ยท On-site

$16 - $18/hr

Draw blood and preparation labs for reference lab processing and/or in-house processing * Perform laboratory tests, lab-quality controls, and equipment maintenance according to written instructions

Medical Assistant

Hickory, NC ยท On-site

$15 - $18/hr

Draw blood and preparation labs for reference lab processing and/or in-house processing * Perform laboratory tests, lab-quality controls, and equipment maintenance according to written instructions

Showing results 21-40

Reference Lab information

See North Carolina salary details

$8

$22

$41

How much do reference lab jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for reference lab in North Carolina is $22.95, according to ZipRecruiter salary data. Most workers in this role earn between $17.50 and $25.34 per hour, depending on experience, location, and employer.

What is a reference lab?

A reference lab is a specialized medical laboratory that performs high-complexity or specialized diagnostic testing, often on samples sent from hospitals, clinics, or other medical facilities. These labs have advanced equipment and expertise to conduct tests that are not typically available in smaller or local labs. Reference labs play a crucial role in providing accurate results for rare, complex, or high-volume tests, supporting physicians in diagnosing and treating patients. They may also offer consultation on test interpretation and guidance on appropriate testing strategies.

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

To thrive as a Reference Laboratory Technician, you need a solid background in laboratory science, attention to detail, and typically an associate's or bachelor's degree in medical technology or a related field. Familiarity with laboratory information systems (LIS), automated analyzers, and quality control procedures is essential, along with certifications like ASCP or AMT being highly valued. Strong organizational skills, effective communication, and the ability to work independently under strict deadlines are crucial soft skills. These competencies ensure accurate test processing, reliable results, and efficient lab operations critical for patient diagnosis and care.

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

Professionals in a reference laboratory often encounter challenges such as managing high sample volumes, meeting strict turnaround times, and ensuring accuracy across a diverse range of tests. Effective communication with clinical teams and meticulous attention to detail are essential to maintain workflow efficiency and minimize errors. Continuous training and familiarity with evolving technologies also help staff stay current with best practices and regulatory requirements, ensuring high-quality results and patient safety.

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

AspectReference LabMedical Laboratory Technician
CredentialsVaries; often specialized certifications or licensure depending on tests performedAssociate's degree in medical laboratory technology; certification often required
Work EnvironmentLarge laboratories, hospitals, or diagnostic centers; handling high volume testingHospital labs, clinics, or diagnostic facilities; performing routine tests under supervision
Employer & Industry UsageUsed by diagnostic companies and hospitals for specialized testingCommonly employed in healthcare settings for sample analysis

Reference Labs and Medical Laboratory Technicians both work in laboratory settings, but Reference Labs typically handle high-volume, specialized testing often for multiple clients, while Medical Laboratory Technicians perform routine testing under supervision. Understanding these differences helps in choosing the right career path or job search focus.

What does a reference lab do?

A reference lab is a specialized laboratory that performs complex or specialized diagnostic tests that are often not available at standard labs. They process samples from healthcare providers, using advanced equipment and techniques, and typically require trained personnel and quality certifications to ensure accurate results.

What cities in North Carolina are hiring for Reference Lab jobs?

Cities in North Carolina with the most Reference Lab job openings:

Infographic showing various Reference Lab job openings in North Carolina as of August 2026, with employment types broken down into 2% As Needed, 73% Full Time, 8% Part Time, 7% Temporary, and 10% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $47,727 per year, or $22.9 per hour.

Medical Lab Technician II

Craven County, NC

New Bern, NC โ€ข On-site

$51K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 days ago


Job description

Salary: $51,677.00 Annually
Location : Human Services Complex, 2818 Neuse Blvd, New Bern, NC
Job Type: Full-Time
Job Number: 10333
Department: Health
Division: Lab
Opening Date: 03/17/2026
Closing Date: Continuous
FLSA: Non-Exempt
Primary Purpose
Generate and deliver precise, accurate, and timely test results on clinical specimens for waived, moderate, and high complexity tests as outlined by CLIA. Testing areas encompass hematology, microbiology, chemistry, urinalysis, serology, virology, phlebotomy, and more. All tests are conducted in compliance with CLIA regulations, as well as state and OSHA requirements. Conduct necessary quality control checks, maintain equipment, and document all actions appropriately. Additionally, manage clinical lab inventory and perform various administrative duties as assigned.
Essential Functions
Clinical Laboratory Testing
  • Produce and report timely, accurate, and reliable test results in waived, moderate, and high complexity tests as defined by CLIA.
  • Follow established procedures for specimen handling and processing, test analyses, reporting and maintaining records of patient test results.
  • Assure that all specimens and requisitions are labeled with all required information so that the requested test(s) are performed on the correct patient specimen.
  • Use independent judgement to recognize abnormal and/or critical test values and make decisions regarding the need for retesting and/or confirmatory testing.
  • Perform and monitor quality control on test systems/equipment as required. Review results and report accordingly.
  • Perform preventative maintenance and troubleshooting on all equipment as necessary.
General Lab Duties
  • Successfully participate in required proficiency testing and competency evaluations.
  • Process specimens in a timely manner and in the appropriate way for testing in house or for sending out to a reference lab. This must be in a manner which will preserve the integrity of the specimen.
  • Monitor inventory and expiration dates of supplies and reagents regularly and request necessary supplies in a timely manner.
  • Monitor and record temperatures.
  • Maintain weekly, monthly, and quarterly checklists for the clinical lab.
  • Document all corrective actions taken when test systems deviate from the laboratory's established performance specifications.
  • Notify the Medical Lab Supervisor I and/or Medical Lab Technologist I of critical values, instrument or test malfunction, etc.; otherwise, responsible for final review of own work before releasing results.
  • Decontaminate work surfaces and reusable supplies as necessary and dispose of biohazardous materials and sharps appropriately.
  • Answer questions from patients and other staff regarding lab policies and procedures, testing, etc.
Phlebotomy
  • Blood drawing on adult, adolescent, and pediatric patients that come into the lab for testing.
  • Techniques include venipuncture and capillary puncture using standard phlebotomy supplies and equipment.
  • All techniques must be performed abiding by OSHA Bloodborne Pathogen regulations.
  • Explain and reassure patients, and guardians if patient is pediatric, about the phlebotomy procedure.
  • Collect blood specimen in a timely manner and in the container appropriate for the test to be performed.
Additional Support
  • Fill in at the Havelock clinic as assigned by the supervisor and transport specimen, mail, supplies, etc. to the CCHD New Bern office at the end of the day.
  • In the event of a disaster, may be required to assist as needed.
  • Other duties as assigned by supervisor and/or management.

Minimum Education and Experience
Associate's degree in medical technology from an appropriately accredited institution or completion of a certified laboratory assistant course in medical technology or a comparable course, and one year of medical laboratory experience; or high school or General Educational Development diploma and three years of medical laboratory experience; or an equivalent combination of education and experience.
Experience in high complexity testing (microbiology and hematology) preferred. ASCP, CLS, HEW, or an equivalent certification or eligibility is required.
Special Requirements
G.S. 153A-94.2(b) Subject to SBI criminal history record check prior to hire.
Craven County offers regular full-time employees a wide variety of employee benefits including:
Health Insurance
Health Insurance is provided by ACS Benefits Services and covers a wide variety of healthcare services. Craven County pays 100% of Employee Only premium cost. Employees have the option to add child and spouse dependent coverage at their own cost.
Dental Insurance
Dental Insurance is provided through the Delta Dental PPO and Delta Dental Premier network administered by ACS Benefits Services. It covers a percentage of basic to major dental procedures, including orthodontia for children. Craven County pays 100% of Employee Only premium cost. Employees have the option to add child and spouse dependent coverage at their own expense.
Life Insurance and AD&D
Craven County provides eligible employees with $10,000 life insurance and accidental dealth and dismemberment coverage through OneAmerica AUL. Employees have the option to purchase additional coverage and/or dependent coverage at their own expense.
Disability Insurance
Craven County provides eligible employees with $50.00 per week in disability insurance through OneAmerica AUL. Employees have the option to purchase additional disability insurance at their own cost.
North Carolina Local Governmental Employees' Retirement System
Eligible employees are automatically enrolled in the retirement system and must contribute 6% of their gross salary each pay period. Once eligibility requirements are met, employees will be able to receive monthly payments for life based on their salary, age, and years of service credit.
NC401k
Craven County contributes 2% of eligible employees' gross salary into the 401(k) account regardless of the employee's deferral amount. In addition, the County matches employee deferrals up to an additional 3%.
Annual Leave
Regular full-time employees earn annual leave based upon years of service. Eligible employees begin to accrue annual leave as soon as they start but must complete a six month probationary period before they are eligible to use annual leave.
  • Less than two years of service earns 10 days per year.
  • Two but less than five years of service earns 12 days per year.
  • Five but less than 10 years of service earns 15 days per year.
  • 10 but less than 20 years of service earns 18 days per year.
  • 20 or more years of service earns 20 days per year.
Sick Leave
Regular full-time employees earn 3.69 hours of sick leave per pay period. Craven County accepts eligible sick leave from the State of North Carolina, any of its political subdivisions, any local government entity or authority, or municipality in North Carolina.
Paid Holidays
County employees receive 11-14 paid holidays annually. The Board of County Commissioners may adjust the holiday schedule as deemed necessary.
Longevity
Eligible employees earn $200 in longevity after five years of service by October 31 of the qualifying year. Longevity benefits increase $25 per year up to a maximum of $1,000.
Merit Program
Craven County offers a merit program. Up to 56% of eligible employees may receive a performance-based merit increase each year.
Supplemental Benefits
County employees are also offered a variety of supplemental benefits to select at their own expense such as Life Insurance, Vision Insurance, Flexible Spending Accounts, Critical Care policies, Cancer policies, Long-term Care policies, Hospitalization policies, 457b Deferred Compensation Plan and Aflac.
Employee benefits are subject to change or may be contingent upon funding availability.