EverlywellvsmyLAB Box
Everlywell
myLAB Box
Side-by-side
| # | Product | Active ingredient | Starting price | FDA status | Score | Actions |
|---|---|---|---|---|---|---|
| 1 | Everlywell | — | Best ·$49/mo | service | Top ·7.9 | See offer → |
| 2 | myLAB Box | — | $79/mo | service | 7.4 | See offer → |
Side-by-side scoring breakdown
How they work
Everlywell is a digital health company, not a lab or device maker. You order a kit online, self-collect a sample at home (dried blood spot from a finger prick, saliva, urine, swab, or stool depending on the test), and mail it back in a prepaid envelope. A clinician in an independent physician network reviews and approves the lab requisition; the sample is then analyzed at a CLIA-certified laboratory (some also CAP-accredited), and a clinician reviews eligible results before they post to your secure online portal, typically within about 5 to 7 business days of the lab processing the sample. Everlywell states its at-home collection methods are clinically validated against traditional in-clinic methods to help ensure accuracy.
You order a kit online, collect your own sample at home (finger-prick blood, urine, saliva, or an oral/vaginal/rectal swab depending on the test), and mail it back in a prepaid, discreet envelope. Samples are processed at high-complexity CLIA-certified and CAP-accredited laboratories, the same type that handle clinic specimens, using established methods such as nucleic acid amplification testing (NAAT/PCR) for STIs. Results post to a secure online dashboard, and a positive STI result unlocks a free telemedicine consult with a physician licensed in your state who can discuss treatment and may prescribe medication to a local pharmacy.
Effectiveness
Everlywell's value depends heavily on the specific test. The company states all at-home sample-collection methods are clinically validated against traditional in-clinic methods, and its dried-blood-spot, saliva, and urine approaches rely on collection methods with established laboratory use; samples are run in CLIA-certified, sometimes CAP-accredited labs. Its COVID-19 home collection kit received an FDA Emergency Use Authorization in May 2020, which Everlywell described as the first EUA of its kind issued to a digital health company rather than a single lab. By contrast, the food-sensitivity (IgG) test has no credible diagnostic support: the American Academy of Allergy, Asthma & Immunology states IgG testing is not recommended for diagnosing food allergy or intolerance, because IgG antibodies likely reflect normal exposure and tolerance to foods, not sensitivity. An allergist quoted by STAT News called IgG tests "completely useless" and warned they "do dramatic harm" by prompting unnecessary food elimination. Independent reviewers note standard biomarker results generally align with conventional lab testing, while finger-prick collection can introduce slightly more variance than a venous draw for some markers.
myLAB Box does not run its own clinical trials; its credibility rests on the validated methods its partner labs use. The CDC identifies NAAT as the most sensitive and specific method for chlamydia and gonorrhea, noting FDA-cleared assays generally offer sensitivity well above 90% with very high specificity (usually 99% or higher). A 2015 systematic review and meta-analysis (PMC4500554) found self-collected vaginal swabs had about 92% sensitivity and 98% specificity versus clinician-collected cervical swabs, supporting self-collection as an acceptable approach. Note that the individual kits themselves are not FDA-approved; the company states its tests are laboratory-developed, its labs are CLIA-certified and CAP-accredited, and some test components are FDA-cleared.
Side effects
As a sample-collection service rather than a drug or treatment, Everlywell has no pharmacologic side effects. The main physical risk is from the finger-prick lancet: minor pain, a small bruise, or brief bleeding at the puncture site, and a low risk of infection if hygiene is poor. The more meaningful harms are interpretive: a false-positive or false-negative can cause unnecessary anxiety or false reassurance, and results are wellness information, not a diagnosis. The food-sensitivity (IgG) test carries a documented risk of prompting unwarranted food avoidance and overly restrictive diets, which allergists warn can be harmful. Always confirm and interpret results with a qualified clinician before changing diet, supplements, or medication.
As a testing service, there are no drug-style side effects. Physical risks are limited to minor finger-prick discomfort, a small bruise, or mild irritation from swabbing. The more meaningful risks are informational: a false negative (for example, testing inside an infection's window period) can give false reassurance, and a false positive can cause anxiety until confirmed. Self-collection errors or sample degradation in transit can also affect reliability, which is why any positive or concerning result should be confirmed with a clinician.
Cost & value
As of 2026, individual Everlywell tests generally range from about $49 to $299, with specialized add-on screenings priced much higher (the Galleri multi-cancer early-detection test has been listed around $949). An Everlywell+ membership has been offered at about $39/month or $449/year, including one free qualifying test monthly and a 20% discount on additional tests. Out of pocket, expect to pay the full sticker price: Everlywell generally does not bill insurance directly. However, many tests are clinician-authorized and can qualify for HSA/FSA payment or reimbursement using an itemized receipt; confirm with your benefits administrator first, since some plans deny wellness-only tests. Costs can rival or exceed an insured copay for the same test ordered through a doctor.
As of 2026, expect to pay fully out of pocket. Individual tests run roughly $22 to about $99, while panels are priced higher: Safe Box (5-panel STI) around $179, Uber Box (8-panel) around $199, Total Box (14-panel) around $369, Thyroid screening around $125, and Women's Health + Fertility around $249. Insurance is not accepted, but FSA/HSA cards typically are, and the company frequently runs promo codes (often 10-20% off). Shipping is free both ways. Prices vary by promotion and resellers may list different figures, so confirm the current price at checkout.
Who it's for
Best for adults (generally 18+) who want convenient, private screening of common biomarkers, such as cholesterol/lipids, HbA1c, vitamin D, thyroid and other hormones, or STIs, and who are comfortable with a finger prick or self-collected sample. It suits people without easy clinic access or those wanting discreet sexual-health testing. It is not a substitute for medical care: anyone with symptoms, an existing diagnosis, or an emergency should see a clinician. Avoid relying on the IgG food-sensitivity test for medical decisions. People who are needle-averse, pregnant with specific concerns, or who need a definitive diagnosis should consult a doctor and use standard clinician-ordered lab testing.
Good for adults (and, per the company, those 14 and older) who want private, convenient screening, have a potential exposure, want routine sexual-health checks, or cannot easily access a clinic. Do not rely on it alone if you have acute or severe symptoms (e.g., pelvic pain, testicular pain, fever, or sores), are pregnant, or are managing a known condition; those situations need prompt in-person care. It does not test for HSV-1 (oral herpes), is not a diagnosis, and should not replace regular care with a clinician. Anyone with a positive or unexpected result should follow up with a provider for confirmation and treatment.
Bottom line
myLAB Box: myLAB Box is a legitimate at-home, mail-in testing service that ships your self-collected samples to CLIA-certified, CAP-accredited labs using clinic-grade methods like NAAT for STIs. It is convenient and discreet, with a free telehealth consult for positive STI results, but the kits themselves are not FDA-approved, results can take a week or more, insurance is not accepted, and it is a screening tool, not a substitute for a doctor. On balance, Everlywell edges ahead in our scoring, but the right choice depends on your situation.
Sources behind our Everlywell and myLAB Box reviews
- Direct-to-Consumer Tests — U.S. Food and Drug Administration (2023)
- Everlywell COVID-19 Test Home Collection Kit DTC EUA Summary — U.S. Food and Drug Administration (2021)
- The Science — Everlywell (2025)
- What about the AAAAI Statement that IgG testing should not be done? — Everlywell Knowledge Base (2024)
- CSACI Position statement on the testing of food-specific IgG — Allergy, Asthma & Clinical Immunology (Canadian Society of Allergy and Clinical Immunology) (2012)
- Testing for IgG4 against foods is not recommended as a diagnostic tool: EAACI Task Force Report — Allergy (European Academy of Allergy and Clinical Immunology) (2008)
- Role of immunoglobulin G antibodies in diagnosis of food allergy — Postepy Dermatologii i Alergologii (Advances in Dermatology and Allergology) (2016)
- Food Allergy: A Practice Parameter — American Academy of Allergy, Asthma & Immunology / Joint Task Force on Practice Parameters (2006)
- Everlywell: At-Home Lab Tests That Don't Make Sense — Science-Based Medicine (2019)
- 8 things to know about direct-to-consumer health tests — Center for Science in the Public Interest (2021)
- Self-Collected versus Clinician-Collected Sampling for Chlamydia and Gonorrhea Screening: A Systematic Review and Meta-Analysis — PLOS ONE (2015)
- At-home specimen self-collection as an additional testing strategy for chlamydia and gonorrhoea: a systematic literature review and meta-analysis — BMJ Global Health (2024)
- Sexually Transmitted Infections Treatment Guidelines, 2021 — CDC Morbidity and Mortality Weekly Report (Recommendations and Reports) (2021)
- Concordance of Fingerstick and Venipuncture Sampling for Fertility Hormones — Obstetrics & Gynecology (2019)
- Comparison of Dried Blood Spots and Venous Blood for the Detection of SARS-CoV-2 Antibodies in a Population of Nursing Home Residents — Microbiology Spectrum (2021)
- Diagnostic accuracy of dried blood spots for serology of vaccine-preventable diseases: a systematic review — Expert Review of Vaccines (2022)
- Screening for Vitamin D Deficiency in Adults: US Preventive Services Task Force Recommendation Statement — U.S. Preventive Services Task Force (2021)
- Screening for Vitamin D Deficiency in Adults: U.S. Preventive Services Task Force Recommendation Statement — Annals of Internal Medicine (2015)
- Clinical Practice Guidelines for Hypothyroidism in Adults: Cosponsored by the American Association of Clinical Endocrinologists and the American Thyroid Association — Endocrine Practice / Thyroid (2012)
- 2. Diagnosis and Classification of Diabetes: Standards of Care in Diabetes—2024 — Diabetes Care (American Diabetes Association) (2024)
- Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: US Preventive Services Task Force Recommendation Statement — JAMA (2016)
- Sexually Transmitted Infections Treatment Guidelines, 2021 — Centers for Disease Control and Prevention (CDC) (2021)
- Sexually Transmitted Infections Treatment Guidelines, 2021 (Full Report) — MMWR Recommendations and Reports (2021)
- Recommendation: Chlamydia and Gonorrhea: Screening — U.S. Preventive Services Task Force (USPSTF) (2021)
- Recommendation: Syphilis Infection in Nonpregnant Adolescents and Adults: Screening — U.S. Preventive Services Task Force (USPSTF) (2022)
- Screening for HIV Infection: US Preventive Services Task Force Recommendation Statement — JAMA (2019)
- Recommendation: Hepatitis C Virus Infection in Adolescents and Adults: Screening — U.S. Preventive Services Task Force (USPSTF) (2020)
- Performance of three nucleic acid amplification tests for detection of Chlamydia trachomatis and Neisseria gonorrhoeae by use of self-collected vaginal swabs obtained via an Internet-based screening program — Journal of Clinical Microbiology (2009)
- Clinical Evaluation of the Cepheid Xpert TV Assay for Detection of Trichomonas vaginalis with Prospectively Collected Specimens from Men and Women — Journal of Clinical Microbiology (2018)
- Adolescent women can perform a point-of-care test for trichomoniasis as accurately as clinicians — Sexually Transmitted Infections (2010)
- Evaluating the sensitivity and specificity of dried blood spots for serological testing of HIV, syphilis, hepatitis B and C Elecsys assays on the Roche Cobas system — Pathology (2023)
- Comparability of HbA1c and lipids measured with dried blood spot versus venous samples: a systematic review and meta-analysis — BMC Clinical Pathology (2014)
- New FDA Information on OraQuick In-Home HIV Test — HIV.gov (U.S. Department of Health and Human Services) (2020)
- Increasing Access to HIV Testing Through Direct-to-Consumer HIV Self-Test Distribution — United States, March 31, 2020–March 30, 2021 — MMWR (Morbidity and Mortality Weekly Report) (2021)
- WHO updates HIV testing guidance: more self-testing, integration, and prevention support — World Health Organization (WHO) (2024)
- FDA Approves HPV Tests That Allow for Self-Collection in a Health Care Setting — National Cancer Institute (NCI) (2024)
- American Cancer Society Statement: FDA Approval of HPV Self-Collection for Cervical Cancer Screening — American Cancer Society (2024)
- Policies of US Companies Offering Direct-to-Consumer Laboratory Tests — JAMA Internal Medicine (2023)
- STD Testing: At Home Test Kits Explained (How It Works) — myLAB Box (Manufacturer) (2024)
- Frequently Asked Questions — myLAB Box (Manufacturer) (2024)
Editorial comparison, not medical advice. Discuss options with a qualified clinician. Individual results vary.