Hamilton Regional Laboratory Medicine Program

Nearly every patient that enters our care will be impacted by the services provided by the Hamilton Regional Laboratory Program (HRLMP). The HRLMP provides fast, accurate, and critical information to care providers that will treat and diagnose you or your loved ones.

The HRLMP delivers services across many disciplines.

  • Anatomic Pathology
  • Clinical Chemistry and Immunology
  • Core Laboratory
  • Genetics
  • Microbiology
  • Special Hematology
  • Transfusion Medicine

Specimen Collection Centre Locations

At the Specimen Collection Centres, medical laboratory assistants provide blood collection services for our hospital clinic patients only. All specimen collection centres are open Monday to Friday and closed on weekends and holidays.

Specimen Collection Centres are located at:

  • Hamilton General Hospital (8:00 a.m. – 11:30 a.m.)
  • Juravinski Hospital (10:00 a.m. – 3:00 p.m.)
  • Juravinski Cancer Clinic (8:00 a.m. – 4:15 p.m.)
  • McMaster University Medical Centre
    • 8:00 a.m. – 4:30 p.m. (Monday – Thursday)
    • 8:00 a.m. – 3:30 p.m. (Friday)
    • Boris Clinic – 8:00 a.m. – 4:00 p.m.
  • St. Joseph’s Healthcare Hamilton, West 5th campus
  • St. Joseph’s Healthcare Urgent Care Centre, King Street Campus (8:00 a.m. – 3:00 p.m.)

About the HRLMP

The HRLMP has more than 700 staff members including 50 medical and scientific staff with cross appointments at McMaster University. With laboratories located at each acute care site in Hamilton, we are one of the largest integrated laboratory service programs in Canada.


To provide leadership in all aspects of Laboratory Medicine, including service, education, and research, with the pursuit of excellence, encouragement of innovation and adherence to exemplary professional standards. The mission of the Hamilton Regional Laboratory Medicine Program shall be supportive of the missions of the participating hospitals and of McMaster University.


  • Clinical and academic leadership in the Central South Region of Ontario
  • A single influential, academic organization with an entrepreneurial approach
  • High quality patient care through effective and efficient use of laboratory resources
  • Maximal provision of specialized and reference clinical laboratory services for the Central South Region
  • Responsive to changing clinical, service, academic, technological and fiscal needs
  • Commercialized applied research and internationally recognized expertise
  • Balance between generalists and specialists
  • Serve as a Canada-wide reference center for laboratory testing consultation.


  • Respect: We will treat every person with dignity and courtesy.
  • Caring: We will act with concern for the well-being of every person.
  • Innovation: We will be creative and open to new ideas and opportunities.
  • Accountability: We will create value and accept responsibility for our activities.

Laboratory Reference Centre (LRC)

The Laboratory Reference Centre (LRC) provides reference testing services to hospitals external to Hamilton Health Sciences and St. Joseph’s Healthcare Hamilton. LRC Hamilton currently provides services to more than 150 clients, and performs greater than 250,000 tests annually.

For more information about available services and requisitions, please visit the LRC website.

To search for a test currently available through the LRC, please visit the LRC Test Information Guide.


As an academic health centre, education is a major focus. Many of our staff members have faculty appointments at McMaster University and are involved in teaching and training of undergraduate and graduate students, residents and fellows. The HRLMP has affiliation agreements with several Medical Laboratory Science training programs and provides clinical placements for more than 10 MLT students each year.

The HRLMP offers a comprehensive list of continuing education opportunities for MLTs and MLAs including professional development courses, education days/seminars, lunch n learn sessions and webinars.

Register for our continuing education programs.

Residency Education

McMaster University houses the Laboratory Resident Training Program which is accredited by the Royal College of Physicians and Surgeons.  McMaster University has fully accredited training programs in General Pathology, Anatomic Pathology, Medical Biochemistry, Medical Microbiology and Clinical Hematology.

The training in Medical Microbiology is integrated with Infectious Disease, a subspecialty of Internal Medicine; while the laboratory aspect of Hematology has become an integral part of the training of Clinical Hematology.  Clinical programs are reviewed and assessed to meet the requirements of the Royal College Specialty Accreditation.

Programs are guided by the requirements of the Royal College Specialty Examination but are sufficiently flexible to meet individual career needs.  There are ample opportunities for basic research related to various specialties.  Fellowship or postgraduate programs leading to Master of Science (MSc) and Doctor of Philosophy (PhD) are offered to qualified students in specialized areas such as immunology, thromboembolism, transfusion medicine, and health research methodology.

For more information, visit http://www.fhs.mcmaster.ca/pathres/ or http://www.fhs.mcmaster.ca/medicine/hematology/residency/


The Quality Management System (QMS) of HRLMP and LRC Hamilton is well designed and comprehensive in order to deliver excellence in testing services to ensure the highest quality patient care. A description of the QMS is outlined below:

The HRLMP Quality Management System is designed to:

  • Support the HRLMP Mission, Vision and Values
  • Ensure that medical laboratory services meet regulatory and accreditation requirements
  • Meet the needs of patients and all personnel responsible for patient care
  • Support continuous improvement and customer satisfaction;
  • Promote error free work
  • Support high quality and appropriate laboratory services (e.g. accurate and precise results, appropriate test selection, timely reporting, correct interpretation of results, clinical usefulness, appropriate recommendations for further tests).


HRLMP coordinates research studies for physicians, allied health professionals and researchers from across Hamilton Health Sciences and St. Joseph’s Healthcare Hamilton. The HRLMP participates in more than 50 research studies each year.

Services provided for research studies include:

  • Sample collection
  • Sample preparation – centrifugation and separation of serum and plasma, making blood smears
  • Sample testing on fresh and/or frozen samples
  • Sample storage – short term storage in both -20 and -70°C freezers
  • Tissue processing, embedding and slide preparation

Research studies being electronically submitted for ethics approval need to be shared with Mackensey Bacon (baconmack@hhsc.ca) and signature requests made to Dr. Marek Smieja (smiejam@hhsc.ca).

Cost estimates for grant applications require:

  1. protocol
  2. list of required laboratory services

Adult reference intervals most commonly requested for research studies can be found under HRLMP ‘Resources’.

Contact Information

Dr. Menaka Pai
Chief, Laboratory Medicine
Medical Director, Hamilton Regional Laboratory Medicine Program.
905 522-1155 Ext. 33857

Grace Kiers
Executive Assistant to Dr. Menaka Pai
905 522-1155, Ext. 33847

Sandra Fazari
Director, Laboratory Operations

Debbie Matthews
Administrative Coordinator to Sandra Fazari
905-522-1155 Ext. 36013

Teresa DiFrancesco
Senior Quality Manager
905-522-1155 x33842

Jeff Cuneo
Business Coordinator, Laboratory Reference Centre
905-521-2100 x46102

Natalie Daily
HRLMP Business Manager and Laboratory Reference Centre Manager
905-522-1155 Ext. 33686