Why Genova Diagnostics is now on my s**t list

Once upon a time, there were two major functional/specialty diagnostic laboratories.  They each offered some unique test profiles, but there was also a lot of overlap between the two.  The overlap, however, was not perfect duplication – for example, both labs claimed to offer amino acids testing, but one analyzed urinary output, while the other took a direct blood measurement.

The most pivotal test offered between the two labs is the comprehensive stool analysis.  Both labs offered a similar panel, but their methods differed greatly.  One utilized the DNA-based PCR method, which is highly superior, while the other utilized the standard culture method, which misses a lot.

Unfortunately, the lab using the inferior technologies (Genova Diagnostics) bought out the other lab (Metametrix Clinical Labs), due to Metametrix’s owners/directors aspiring to retire.

Practically every good Functional Medicine doctor began a journey on eggshells.  As Princess Leia from Star Wars would gravely say, “I have a bad feeling about this.”  But, trying to think happy thoughts, we went with the flow, praying that the merger would take the best of both labs and produce a wonderful hybrid.

However, our gut intuition told us otherwise, and it turns out we were right.  The labs underwent about a year-long transitional period beginning in summer 2012, in which the retiring owners of Metametrix agreed to stay on for 1 year to ensure a smooth transition and harmonious blend between the marrying labs.


Genova behaved itself for the duration of that year, appearing to listen a lot (to us docs, who were not shy with our comments) and changing little (another relief, because Metametrix’s tests were fantastic just as they were, with little need for alteration).

Almost as soon as the door had closed behind Metametrix’s exiting owners, however, Genova took over like a tyrant.  It was as if they said, “Now that you’re mine and you have nowhere else to go…”

They began changing things, and not for the better.  Sure, we appreciate the increased insurance coverage and all that.  However, when you start discontinuing tests or changing up the remaining tests, those of us depending on you get a little perturbed.

So I started poking around my pools of colleagues, and found that they shared my same sentiment.  This sentiment grew a little more, um… intense… after talking with the lab directly.  Their list of “crimes” is as follows:

They discontinued the Male Hormone Panel, something I found quite useful.

They left Metametrix’s (better) version of the Amino Acids panels off the revised and integrated price list.  We had to call for test codes and pricing.  They were hesitant, and it appears that they want to get rid of them altogether, outside of the ION super-panel.

Their communication and documentation have been CRAP.  Policies got enacted or changed, major popular tests got *fundamentally* changed, and prices got increased, all without any prior notice.

Helpful informational articles on various tests have disappeared.  Back when Metametrix and Genova were bitter competitors (don’t worry, Metametrix, you were far better all along), Metametrix wrote an article comparing the superior PCR microbial testing to the inferior culture-based testing.  Of course, now that Genova has taken over and since Genova does culture and not PCR, they couldn’t have a disparaging article circulating out there.  (There are ways to obtain this article – dump the URL of the PDF article into a website called the Wayback Machine and get it anyway!)

Genova raised the prices on ALL of their testing – some prices didn’t go up much, while others became downright cost-prohibitive.

They fundamentally changed Metametrix’s stool analysis test in several ways.  First, they decided to “split off” the four major pathogenic bacteria from the original panel.  Now, if you want to test for those infections (which are common and you don’t dare NOT test for them!), they cost extra.  Second, they’re substituting inferior culture-based methods where superior PCR-based methods used to be.  And this is all after a price increase.  And all without any warning.

Genova outright lied to its clients, promising that they would.  Not.  Touch.  The Metametrix test.  All of the changes in the above paragraph were made to the Metametrix version of the test.  Way to build trust, Genova.

Perhaps the most disturbing is the fact that regarding that stool test, Genova is now going to do away with certain types of abnormal results and report them as “negative/normal” instead.  Yes, indeed!  We heard this directly FROM THEM.  Sometimes, microbial analysis will return abnormal yeasts, or parasites that cannot be classified.  That doesn’t mean they’re not there, or that they’re harmless, it just means that there’s no known NAME to attach to them.  What they’re going to do now is take the undetermined sample and attempt to culture it (yay) one more time and if they can’t make a specific determination, they’re going to report a “negative” (i.e. normal, no problem) result.

That, and dealing with their company is horrendous.  Calling their customer service does nothing; they refer you right to their “rep” (hint: Metametrix didn’t have “reps”).  These reps, while usually nice and personable and all that, are very poorly trained and have few real answers.  So you’re given the run-around, time and again.  (Some of my colleagues weren’t so lucky; they actually got treated RUDELY to the point where the Vice President had to send them a letter of apology for the phone operator’s rudeness.)

It’s important to understand that I was a loyal Metametrix customer for years.  I was also more than willing to give Genova the chance.  I offered suggestions and constructive criticism.  I shared hour-long conversations with my area rep in which I felt a good rapport had been established.  I was told very specifically that they would not change certain tests.

I was lied to.

The good news is, I am also a relatively influential force in my community.  I gave that lab (Metametrix and now Genova Diagnostics) a LOT of business, despite my low patient volume.  And my volume is only growing and will continue to do so.  Thus, they may likely notice a slight drop in business if I give them the proverbial finger.

I’m also quite vocal, including social media outlets.  I start conversation.  I get people thinking.  And I can rile people up and call them to action.  This isn’t an ego trip, I promise (my ego is actually below average).  But I’m sending a warning to Genova that they can’t lie to their clients and jack them around and expect us not to notice or get upset.  I am the type of person who will seek out a comparable lab just to spite these folks and show them that their practices are NOT OK.  And I do have several other options on the list; Genova is not the only fish in the pond…

18 thoughts on “Why Genova Diagnostics is now on my s**t list”

  1. Genova has gutted a cutting-edge lab–Metametrix. Some corporate predator named Levine Leichtman has now taken over Genova, so now all that remains of what was is money. It’s all about money. One look at the credentials of the people running Genova tells you they ain’t got no credentials to run a scientific laboratory. They’re bean counters. Predatory, corporate money-worshippers.

    What’s so tragic is that they destroyed the most critical tools Americans have for understanding what’s making them sick. The toxicology tests, especially, that Metametrix developed to determine levels of toxic manmade chemicals are among the most important tests Americans can get to understand WHY they have diabetes at age 40, WHY their kids are so overweight, WHY they have dementia and all the other “diseases” that manmade chemicals are linked with.

    But maybe that was the point all along–to destroy people’s ability to get themselves well.

  2. Can you please share what other options there are? I really want to know. I just found out about Genova in the What Doctors Don’t Tell You magazine and was excited to check them out because they offer stomach acid testing. But then I came across this post and another separate complaint. So I’m back to square one. I would love to get more info on other options for digestive system testing. Thank you!

    1. I use Genova, have for 30 years (when they were Great Smokies Comprehensive Stool Lab). I moved my stool testing in 2004 to DiagnosTechs, which has a much higher parasite pick up rate than does Genova’s CDSA. I find the 20 subtests on DiagnosTech’d GI-2 to be useful in a practical way. I do have a gripe about Genova’s glutathione testing For at least 10 years they have been testing reduced and oxidized glutathione as ONE single test. Reduced GSH is the good form and Oxidized GSH is the bad stuff. When you test them together, most of the time the results are “normal” because the oxidized GSH is so high. I spent 6 months putting together information to get them to change their test. I had 7 patients who had been tested through Genova (NutrEval) and HDRI lab. All 7 tested normal to high-normal at Genova. At HDRI all 7 were deficient in reduced glutathione and had elevated oxidized glutathione. I finally put together a package with a long cover letter, and mailed the package to 9 people at Genova: lab director, medical director, and every level of CEO, CFO, etc. When I shared what I was doing with one support person at Genova, she said, “Doc, you’re preaching to the choir. Good luck. It’s not going to be easy.” Genova responded to all the information I sent with the note, “Thank you for your letter.” (or something to that effect). When I’m in doubt about a glutathione result at Genova, I have to re-do it somewhere else.

  3. I was told by Genova I would be reimbursed for those test my insurance would cover. After not hearing from them for 9 months, I called and was told they were still waiting on my insurance response.
    Called my insurance co, they had not received any paperwork to authorize payment reimbursement for any labs I prepaid in advance.

  4. Informative article, so why not give an answer if there is another co as good as Metametrix? In my opinion, I found the article to be very disturbing from the lack of services, and from the comments above.

  5. I feel that whoever posted this should put their name to it & also send it to Genova for their comments, if that person is going to complain then they ought to allow Genova to respond.
    I too don’t like that the Adrenal Stress Profile, Female Hormone Profile & Male Hormones have been changed, & I now use a the Comprehensive Urinary Hormones via another lab.
    As for the comments about Genova’s price increase, all businesses increase their prices, which is a necessity for for all businesses. With regards to the comments about Genova’s staff I have ALWAYS found them very polite, helpful & knowledgeable, the girls in Practitioner support are really excellent.

    1. Thank you for your comments. These are good points, so I’ll address them separately…

      “I feel that whoever posted this should put their name to it & also send it to Genova for their comments, if that person is going to complain then they ought to allow Genova to respond.”

      Never assume that we haven’t already, and been met only with rude responses and no actual improvement.

      “As for the comments about Genova’s price increase, all businesses increase their prices, which is a necessity for for all businesses.”

      Of course it is, and I don’t hold that against them. I do, however, find a LARGE price increase (several large increases in rapid succession since I wrote my original post, in fact) to be in bad taste, especially when they just got done hosing the quality of the test and removing a bunch of sensible, useful biomarkers that would not have been expensive to retain (such as pH, Mycoplasma, etc). It’s even worse when I only hear about yet another price increase only a month later…and that I learn about it from an understandably-freaked-out–and irate–patient.

      “With regards to the comments about Genova’s staff I have ALWAYS found them very polite, helpful & knowledgeable, the girls in Practitioner support are really excellent.”

      I wish I had had your experience; I’ve never gotten anything but rudeness and incompetence and please believe me–we’re very nice people when we call and our questions and concerns are legitimate! I would be interested to know who you talked to; I’d love to have someone I know we could talk to.

      I’ve found the practitioner support to be so-so; this was true under Metametrix also. Not bad, but not great; they only allotted 15 min and usually didn’t tell me anything I didn’t already know. Perhaps there was an Advanced Support available somewhere that I was missing?

      1. I worked at Genova Diagnostics for 3 years, only finally leaving as I got accepted into medical school (allopathic). I’m going to have to call BS on the ” I’ve never gotten anything but rudeness and incompetence and please believe me–we’re very nice people when we call and our questions and concerns are legitimate!”. GDX is literally the nicest company I have ever worked for. I have never come across a rude person in my entire three years there, and I’m not exaggerating.

        I’m not saying no one has ever been short on the phone, or a rep in the office was a bit curt, everyone has a bad day. What I’m saying is that if every interaction you’ve ever had with a GDX representative has been negative, YOU and you alone are the common denominator here.

        Also, GDX’x latest stool test is a continuation and improvements of Metametrix’s stool test, so take it for what you will.

  6. So, does anyone have an alternative company for comprehensive stool? Vibrant America can do a good microbiome, but not test for sensitivity, plus absorption, inflammatory markers… I have a patient that the stool’s cost from Genova is cost prohibitive. She has an insurance company that doesn’t pay well for Genova and the cash price is costly too. I have been wanting to have other options as well, anyways. thanks for any alternative suggestions.

  7. According to the published literature 3 fixed samples find 80% of the two most common GI parasites D.fragilis and Blasto. Repeat microscopy usually finds parasites missed on the first one. My beef with Metametrix was their frequent finding of “parasites of unknown taxonomy”. It’s not fair to expect people to pay for this type of ultimately useless result. http://www.badbugs.org

  8. Very interesting blog post. I’m a postdoc from the Knight Lab at UCSD and would love to discuss with you more an alternative to Genova Diagnostics (using PCR). If you’re interested, you can contact me at ekopylova [at] ucsd [dot] com. Looking forward to hearing back, Jenya.

  9. Hi, I’m a patient trying to figure this out on my own as I have terrible insurance and none of the doctors I can go to know anything about functional tests. As my budget is limited, would you be able to recommend the best labs for someone with autoimmune issues (Hashimoto, Sjogren, Crohns)? So far, I’ve been recommended Genova Organix Comprehensive, GI Effects, NutriEval, and Ion but I can’t possibly afford all of them. Which one of these tests would you recommend?
    Thank you

    1. I order the NutrEval for all of my patients. Genova does have a helpful payment plan called EasyPay. Genova has contracts with hundreds of insurance plans. Most PPOs qualify for EasyPay. If you qualify for EasyPay, the NutrEval (with Vitamin D add-on) costs about $160. Without EasyPay, it costs about $900.

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