Blood Analysers in Community Pharmacies: What Is Allowed and What Makes Sense
In April 2026 the Health Ministry said blood taking for health screening may only happen at registered or licensed premises. What that means for a pharmacy, whether an FBC analyser fits one at all, and the routes that keep blood testing within the law.
The April 2026 Health Ministry statement
On 30 April 2026 the Ministry of Health said that health screening services involving blood collection, including those offered by community pharmacies, may only be carried out at premises registered or licensed under the Private Healthcare Facilities and Services Act 1998 (Act 586). It called blood collection a clinical procedure that must meet safety standards, and said premises that collect blood are treated as providing healthcare services. The statement followed a call from the Federation of Private Medical Practitioners’ Associations Malaysia (FPMPAM) to act on blood taking in retail pharmacies.
- The ministry put the penalty for providing the service without registration or a licence at a fine of up to RM500,000, up to six years in jail, or both, and said it would strengthen enforcement.
- The statement speaks of blood taking, phlebotomy and blood collection in general. It does not set out a separate rule for finger-prick tests.
- It also said the ministry recognises the role of community pharmacies in healthcare — the issue is where blood is collected, not pharmacy services as a whole.
- Ask the Health Ministry’s private healthcare control unit (CKAPS) or your state health department how this applies to your premises, and keep the answer in writing, before you buy a meter or advertise a blood test.
The laws involved
| Law | What it covers | Why it matters to a pharmacy |
|---|---|---|
| Private Healthcare Facilities and Services Act 1998 (Act 586) | Registration and licensing of private healthcare facilities and services | The basis of the April 2026 statement: premises that collect blood for screening must be registered or licensed under it |
| Pathology Laboratory Act 2007 (Act 674) | Licensing of private pathology laboratories | Passed in 2007, but FPMPAM said in April 2026 that it has never been put into operation. As passed, it excludes side-room laboratories in the clinics of registered doctors and dentists testing their own patients |
| Medical Device Act 2012 (Act 737) | Registration of medical devices, including IVD analysers, meters, strips and reagents | Every meter, analyser and reagent must be registered with the Medical Device Authority (MDA), whoever uses it |
Read next Checking MDA registration
Finger-prick tests seen at pharmacy counters
These are the tests most often offered at pharmacy health-screening counters. Whether each may be offered on your premises after the April 2026 statement is a question for the authorities, not for this guide.
| Test | Device | What it tells you | Limits |
|---|---|---|---|
| Blood glucose | Glucose meter and strips | A spot glucose for screening and self-monitoring | One reading does not diagnose diabetes |
| Cholesterol or lipid panel | Lipid meter and test cassettes | Total cholesterol, and on some meters HDL, triglycerides and a calculated LDL | Fasting status changes triglycerides |
| HbA1c | Benchtop point-of-care HbA1c analyser | Average glucose over the previous two to three months | Thalassaemia and other haemoglobin variants can affect some methods |
| Haemoglobin | Haemoglobin meter | A quick anaemia screen | Not a full blood count — no platelets, white cells or red-cell indices |
| Uric acid | Uric acid meter | A spot uric acid for gout follow-up | Varies with diet, alcohol and medicines |
Read next Point-of-care analysers comparedHbA1c analysers in depth
Does an FBC analyser make sense in a pharmacy?
For most stand-alone community pharmacies, the honest answer is no — and not only because of the rules.
It needs a blood sample
An FBC analyser runs on EDTA blood, normally from a vein. That is exactly the blood taking the April 2026 statement places inside registered or licensed premises.
Capillary FBC and its limitsSomeone has to act on the result
An FBC is read with the patient’s symptoms and examination. A falling platelet count in dengue, a very high white count or a new anaemia needs a doctor’s decision the same day.
The daily cost runs regardless of volume
Start-up, background checks, controls and shutdown use reagent every working day. At a handful of samples, each reportable FBC becomes expensive.
Cost per test explainedQuality control is a daily job
Control blood, Levey-Jennings charts and external quality assessment are part of running an analyser responsibly, and they need trained staff and time.
Daily QC routineRoutes that keep blood testing within the law
- A pharmacy with a registered clinic: where a doctor runs a private medical clinic registered under Act 586 on the same site, blood can be taken and an FBC run in the clinic for its patients. Check that the registration covers the room where the analyser sits.
- Referral: send patients who need a blood test to a nearby clinic or licensed laboratory collection point, and keep the counselling and medicine follow-up at the pharmacy.
- Screening without blood: blood pressure, weight, body mass index and waist circumference need no blood sample.
- Whatever you use, ask for the MDA registration number of each meter, analyser and reagent and check it on the MDA public register.
Read next FBC analysers for GP clinicsSetting up a clinic lab corner
Questions to settle before buying any blood-test device
- Written confirmation from the authorities that the test may be offered on your premises.
- Who collects the blood, their training, and how needlestick injuries are handled.
- Sharps and blood-stained waste: clinical waste is scheduled waste (SW404) under the Environmental Quality (Scheduled Wastes) Regulations 2005 and needs a licensed contractor.
- Who reviews each result, which results trigger a referral, and how quickly.
- Quality control records for every meter and analyser, and how results are stored under the Personal Data Protection Act 2010.
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Frequently asked questions
Can a pharmacy in Malaysia do blood tests?
Are finger-prick glucose and cholesterol tests affected?
Should a pharmacy buy an FBC machine?
What is the penalty for unlicensed blood collection?
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