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Head-to-head · Medical Lab Software

STARLIMS vs Casandra LIS

  • Updated Sep 2026
  • Both researched from official sources
  • 2 checks side by side
STARLIMS #5 in Medical Lab Software —/10 Pricing on request ✓ 0 of 6 features Visit STARLIMS
Casandra LIS #6 in Medical Lab Software —/10 Free plan · pricing on request Free plan✓ 1 of 6 features Visit Casandra.ai

STARLIMS leads on 0 checks, Casandra LIS on 2, and 0 are even. Who comes out ahead on the 2 yes/no, price and count checks where we have data for both products. The editor score weighs everything else too.

Our verdict

  • Free planonly Casandra LIS
  • Most featuresCasandra LIS · 1 of 6

Our editors rank STARLIMS at #5 and Casandra LIS at #6 for medical lab software; STARLIMS and Casandra LIS have no rubric score yet (facts researched, not yet scored), so the checks below decide.

Casandra LIS offers free plan; STARLIMS doesn't. On deployment, STARLIMS gives you Hybrid where Casandra LIS offers Cloud. Casandra LIS offers specimen tracking; STARLIMS doesn't publish it.

STARLIMS is the better fit for labs needing broad LIMS and instrument management. Casandra LIS is the better fit for smaller labs seeking a free cloud LIS.

  • STARLIMS fits best

    Labs needing broad LIMS and instrument management

  • Casandra LIS fits best

    Smaller labs seeking a free cloud LIS

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Side by side

Feature STARLIMS —/10 Visit ↗ Casandra LIS —/10 Visit ↗
At a glance
Editor score — —
Ranking #5 in Medical Lab Software #6 in Medical Lab Software
Best for Labs needing broad LIMS and instrument management Smaller labs seeking a free cloud LIS
Pricing model Paid Free plan + paid
Starting price Not published Not published
Free plan — ✓ (best)
Free trial — —
Deployment Cloud, Self-hosted Cloud
Platforms Web, iOS, Android Web
Compliance GDPR, HIPAA HIPAA, SOC 2
Integrations 6 integrations 2 integrations
Built for Small business, Mid-market, Enterprise Small business, Mid-market
Features STARLIMS 0/6 · Casandra LIS 1/6
HL7 connectivity Not published Not published
Instrument integrations Not published Not published
Specimen tracking Not published ✓ (best)
Patient portal Not published Not published
Billing module Not published Not published
Multi-site management Not published Not published
Specs
Deployment Hybrid Cloud
Our review
Pros
  • Tracks samples and specimens through configurable laboratory workflows
  • Combines instrument integration with inventory and batch management
  • Includes audit trails, electronic signatures, and reporting tools
  • Covers order receipt, accessioning, specimen tracking and result validation
  • Routes orders and results through FHIR-enabled EHRs
  • Offers a free plan and an upgrade path to enterprise LIS platforms
Cons
  • Pricing requires contacting sales, with no free plan
  • Deployment and configuration vary by solution
  • Its listed scope does not establish clinical order/result workflows
  • Commercial deployment and support are available, but pricing is contact-sales
  • Its stated integrations focus on Casandra Ordering and FHIR-enabled EHRs
  • The product is aimed at specialty and emerging labs, not every lab workflow
Our verdict

STARLIMS brings sample and specimen lifecycle tracking, workflow automation, testing operations, and laboratory data management into a LIMS for clinical, public health, R&D, and quality-manufacturing labs. Its feature set also reaches…

Read the review →

Casandra LIS is a cloud laboratory information system for specialty laboratories, molecular diagnostics organizations and emerging testing programs. Its workflow covers order receipt and management, accessioning, specimen status tracking,…

Read the review →
  1. STARLIMSMedical Lab Software —Pricing on request
  2. Casandra LISMedical Lab Software —Free plan · pricing on request

Strengths and trade-offs

  • STARLIMS — where it wins

    • Tracks samples and specimens through configurable laboratory workflows
    • Combines instrument integration with inventory and batch management
    • Includes audit trails, electronic signatures, and reporting tools

    Where it doesn't

    • Pricing requires contacting sales, with no free plan
    • Deployment and configuration vary by solution
    • Its listed scope does not establish clinical order/result workflows

  • Casandra LIS — where it wins

    • Covers order receipt, accessioning, specimen tracking and result validation
    • Routes orders and results through FHIR-enabled EHRs
    • Offers a free plan and an upgrade path to enterprise LIS platforms

    Where it doesn't

    • Commercial deployment and support are available, but pricing is contact-sales
    • Its stated integrations focus on Casandra Ordering and FHIR-enabled EHRs
    • The product is aimed at specialty and emerging labs, not every lab workflow
  • STARLIMS—/10 · Pricing on request

    A broad LIMS for labs that need sample workflows, instrument links, and audit controls.

    Visit STARLIMSFull verdict →
  • Casandra LIS—/10 · Free plan · pricing on request

    A cloud LIS with core specimen workflows, a free plan and FHIR-enabled EHR routing.

    Visit Casandra.aiFull verdict →

More comparisons

All medical lab software comparisons → · Full ranking →

Reviewed by iTechGuides Editors · Editorial team · Updated Sep 2026