Infrastructure for the way diagnostics should work
Specialty diagnostics have outpaced the infrastructure built to support them. Casandra exists to close that gap — connecting laboratories and providers through neutral, EHR-integrated ordering workflows.
Watch the videoMake specialty diagnostics as easy to order as a routine lab test — without disrupting the relationships that make clinical care work.
The diagnostic industry has produced extraordinary innovation — genomic panels, companion diagnostics, liquid biopsies, neurology biomarkers. But the infrastructure for ordering these tests inside clinical workflows has not kept pace.
Most specialty tests still require providers to leave the EHR, navigate a lab portal, fill out a paper requisition, or call someone. That friction is not just inconvenient — it means clinically valuable tests go unordered, and the labs that built them struggle to reach the providers who need them.
Casandra is the infrastructure layer that closes that gap. We do not own the test, control the relationship, or sit between labs and providers commercially. We build the connective tissue that lets modern diagnostics function inside modern clinical workflows.
Middleware, not middleman. Infrastructure, not marketplace. Workflow enablement, not commercial aggregation.
Built from the inside out
Casandra was founded by people who had worked inside the diagnostic industry and understood the ordering problem firsthand — not as a product gap, but as a daily operational reality for labs and clinicians alike.
The team behind Casandra
Experienced operators from diagnostic lab operations, healthcare IT, clinical informatics, and enterprise software — building infrastructure they wish had existed when they were on the other side of the problem.
Principles we build by
The decisions we make about the platform — what to build, what not to build, how we price, how we integrate — all flow from a small set of operating principles.
Two specialized platforms, built on Casandra infrastructure
In addition to the core lab and provider platform, Casandra operates two focused properties that extend the ordering infrastructure into specialized use cases.
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We'd love to hear from you
Whether you are a lab looking to connect, a health system exploring deployment, or a researcher with a question — reach out and we will get back to you promptly.