Abstract: The case study was done with the intention of identifying gaps in the established referral laboratory at BH Meerigama when providing services for the satellite laboratory system in the area. Desk reviews and key informant interviews were used to gather data for the problem analysis, which was done using a fishbone diagram. Inadequate laboratory staff, lack of a continuous supply of reagents, and inadequate space inside the laboratory were identified as key issues that needed to be addressed urgently. Upgrading of the staff needed, procuring adequate stocks of reagents needed for the lab and expanding the laboratory space were recommended as urgent solutions. The lessons learned during the functioning of the satellite laboratory system, with the referral laboratory, the challenges faced, and the strategies developed to overcome them will undoubtedly improve the efficiency of laboratory services in the region.