This document discusses the organization and design of diagnostic laboratories. It begins by introducing the importance of laboratory design and organization. Key documents like organizational charts and procedure manuals describe how personnel, equipment, and facilities are integrated. The document then discusses four major changes in laboratory design: 1) Open-plan designs for flexibility, 2) Increased automation testing, 3) Incorporation of biosafety level 3 containment, and 4) Growth of molecular testing. Ten steps for an efficient laboratory layout are also outlined. The document concludes that well-designed laboratories provide flexibility for future growth and ability to incorporate new technologies.