Healthcare Support

Phlebotomist Salary (2026), outlook and how to become one

Draw blood for tests, transfusions, donations, or research.

Median pay
$45,230
Growth to 2035
+6.8%
Openings a year
18,000
Typical entry
Certificate

Phlebotomists earn a median of $45,230 per year ($21.75/hr) (BLS OEWS, May 2025). Employment is projected to grow 6.8% through 2035, with about 18,000 openings a year (BLS EP, 2025–2035). Typical entry-level education: Postsecondary nondegree award.

  • SOC 31-9097
  • Healthcare Support
  • Last updated October 15, 2026

At a glance

Phlebotomist in four numbers

Median pay
$45,230a year, or $21.75/hr
Lowest 10% $36KTop 10% $59K

US median, all jobs: $50,980

BLS OEWS, May 2025
Projected growth
+6.8%Faster than average
This career
+6.8%
All jobs
+3.5%
Projected employment change, 2025–2035
ItemValue
This career+6.8%
All jobs+3.5%
BLS EP, 2025–2035
Openings a year
18,000143,900 jobs today
  • Jobs in 2025143.9K
  • Projected 2035153.7K
Employment, 2025–2035
ItemValue
Jobs in 2025143.9K
Projected 2035153.7K
BLS EP, 2025–2035
Typical education
Certificateneeded to enterBLS EP, 2025–2035; mix: O*NET

Also advertised as: Lab Liaison Technician, Mobile Examiner, Patient Service Technician (PST), Phlebotomist Lab Assistant (Phlebotomist Laboratory Assistant), Phlebotomy Technician (Phlebotomy Tech), Registered Phlebotomist.

Pay

How much do phlebotomists make?

Phlebotomists earn a median of $45,230 a year ($21.75 an hour, or about $3,770 a month); the lowest-paid 10% earn less than $35,780 and the top 10% more than $58,780 (BLS OEWS, May 2025).

The best-paying state is California, with a median of $56,040. See Phlebotomist salary in California and every other state. By city, pay is highest around San Jose ($68,990 average): salary in every city.

Annual pay, lowest-paid to highest-paid

Every phlebotomist in the US, by percentile of annual wage

Median

$45,230

Middle half earn $38,190 to $48,930

10th
$35,780
25th
$38,190
75th
$48,930
90th
$58,780

All US occupations: $50,980

Phlebotomist annual wages
PercentileValue
10th$35,780
25th$38,190
Median$45,230
75th$48,930
90th$58,780
All US occupations$50,980

Source: BLS OEWS, May 2025

Median annual wage
$45,230
Median hourly wage
$21.75/hr
Mean annual wage
$45,520
People employed
143,540

Versus all US occupations

At $45,230, Phlebotomists earn 11% below the $50,980 median across all US occupations, a difference of $5,750 a year.

Versus healthcare support occupations

Inside the Healthcare Support group, where the middle occupation pays $42,260, this is 7% above the group median.

Pay range

The top 10% earn $58,780 or more while the bottom 10% earn $35,780, a gap of 1.6×. That is a narrow spread, so experience and employer move pay less than in most occupations.

Rank in the bank

This median pays more than 12% of the 1,741 occupations in the NueCareer career bank.

Cost of living

California posts the highest raw median ($56,040), but once local prices are taken into account North Dakota leads at $53,317 in national-average dollars.

Pay by state

Which states pay phlebotomists the most?

State medians come from the same OEWS release as the national figures. The cost-of-living column divides each state median by that state's BEA Regional Price Parity, restating pay in national-average dollars so a high-cost state and a low-cost one can be compared directly.

Top 10 states by median annual wage for Phlebotomists
StateMedianCOL-adjustedEmployed
1California$56,040$50,61413,520
2District of Columbia$51,980$47,297180
3New York$50,530$46,8216,400
4Massachusetts$50,170$47,4392,580
5Oregon$49,160$47,5611,800
6Washington$48,880$45,6772,820
7New Hampshire$48,660$46,714630
8New Jersey$48,650$44,7135,230
9Delaware$48,110$48,203430
10Hawaii$47,750$43,428110
See all 52 states, sortable, with cost-of-living adjustments

Job outlook

Is phlebotomist a growing career?

Projected change in jobs

Employment change over 2025–2035, against every US occupation

Phlebotomists
+6.8%
All US occupations
+3.5%

Faster than average. +6.8% projected growth vs 3.5% for all occupations.

Projected employment change, 2025–2035
ItemValue
Phlebotomists+6.8%
All US occupations+3.5%

Source: BLS EP, 2025–2035

Faster than average

BLS projects employment of Phlebotomists to change 6.8% over 2025–2035, against 3.5% projected for all occupations. That is 9,800 more jobs.

Annual openings

About 18,000 openings are projected each year, 12.5% of the 143,900 jobs that existed in 2025. Most come from workers leaving the occupation, not from growth alone.

Many of those openings are expected to result from the need to replace workers who transfer to different occupations or exit the labor force, such as to retire.

The growing population, with its rising share of older people, will continue to increase demand for medical services, including blood testing.

Blood analysis remains an essential part of medical care, as it is used to check for a wide range of issues. Therefore, demand for phlebotomists will remain high as doctors and other healthcare professionals require bloodwork for analysis and diagnosis.

AI exposure: low

BLS places this occupation in its low relative AI exposure category, among the occupations least exposed to current AI.

Will AI replace phlebotomists? →

Getting in

How to become a phlebotomist

In most states there is no phlebotomy license and national certification is voluntary, though employers commonly prefer or require it. A small number of states regulate the role directly: California requires a phlebotomy certificate issued by the state Department of Public Health, and Washington requires a medical assistant-phlebotomist credential from its Department of Health. The main national certifications are Phlebotomy Technician, PBT(ASCP), from the ASCP Board of Certification and Certified Phlebotomy Technician (CPT) from the National Healthcareer Association.

The credential path, step by step

  1. Check whether your state regulates phlebotomy

    This determines whether certification is a legal requirement or an employer preference. California and Washington issue state credentials; in most other states no phlebotomy license exists. Contact your state licensing agency.

  2. Earn a high school diploma or equivalent

    High school graduation or its equivalent is the baseline for entry and is a stated prerequisite for every ASCP BOC and NHA eligibility route.

  3. Complete a phlebotomy training programLess than 1 year

    Programs at community, vocational and technical schools cover anatomy, physiology, medical terminology and laboratory work. Choosing a NAACLS-accredited program keeps the most direct ASCP BOC eligibility route open. Some employers instead train new hires on the job.

  4. Document your supervised draws

    Certification bodies require evidence of hands-on practice. NHA requires at least 30 venipunctures and 10 capillary or finger sticks on live individuals; the ASCP BOC structured-program route requires 40 classroom hours plus a minimum of 100 successful unaided venipunctures, documented on the body's own form.

  5. Pass a national certification exam

    PBT(ASCP) from the ASCP Board of Certification and CPT from NHA are the main options. Employers often prefer or require one, and California accepts verification of a national certification examination as part of its state certificate application.

  6. Apply for the state credential if your state has one

    California applicants apply to CDPH Laboratory Field Services with training or experience documentation and a letter of phlebotomy experience signed by the CLIA laboratory director. Washington applicants apply to the Department of Health for the medical assistant-phlebotomist credential.

Exams you have to pass

  • Phlebotomy Technician, PBT(ASCP) (PBT(ASCP))

    Certification examination with several eligibility routes, all requiring high school graduation or equivalent: completion of a NAACLS-accredited phlebotomy program within the last 5 years; or a two-part structured phlebotomy program within the last 5 years consisting of 40 clock hours of classroom training plus documented clinical training including a minimum of 100 successful unaided venipunctures; or 1 year of full-time clinical experience as a phlebotomy technician in an acceptable laboratory within the last 5 years; or completion of an RN, LPN or other accepted accredited allied health program.

    Administered by ASCP Board of Certification.

  • Certified Phlebotomy Technician (CPT)

    Certification examination. Eligibility requires a high school diploma or equivalent plus either completion of a phlebotomy training or education program within the last 5 years, or 1 year of supervised phlebotomy work experience within the last 3 years (or 2 years within the last 5). Either route also requires evidence of at least 30 venipunctures and 10 capillary or finger sticks performed on live individuals.

    Administered by National Healthcareer Association.

How long the training takes

Less than 1 year

Postsecondary phlebotomy programs at community, vocational and technical schools usually take less than 1 year and lead to a certificate. Some employers instead hire candidates with a high school diploma and train them on the job.

Continuing education

Not required

There is no national continuing education requirement, because in most states there is nothing to renew. Requirements attach to specific credentials instead: the ASCP Board of Certification's Credential Maintenance Program requires 9 continuing education points for PBT within each three-year credential cycle, distributed as 2 in phlebotomy, 1 in laboratory or patient safety, 1 in medical ethics and 5 in related laboratory areas. California's state phlebotomy certificate must be renewed annually with documentation of continuing education.

Program accreditation

NAACLS · National Accrediting Agency for Clinical Laboratory Sciences

Accreditation is not a universal legal requirement, but it is the fastest route to certification: completing a NAACLS-accredited phlebotomy program within the previous 5 years, on top of high school graduation, is Route 1 to the PBT(ASCP) examination.

Licensing and state variation

Not a state license

Most states do not license phlebotomists, and in those states national certification is voluntary rather than a legal requirement, even though employers often prefer or require it. A few states do regulate the role: California requires a phlebotomy certificate from CDPH Laboratory Field Services, which involves documented academic and clinical training or on-the-job experience, verification of a national certification examination, and annual renewal with a fee and continuing education; Washington requires a medical assistant-phlebotomist credential from the Department of Health, based on a completed phlebotomy training program and high school education, renewed every two years. Other states may require an accredited training program, a license or a certification, so check your state licensing agency. Phlebotomists may also need Basic Life Support certification, and a driver's license if they transport specimens.

Who governs the credential

Credential detail for phlebotomists is researched by hand from the bodies that issue it, not derived from BLS or O*NET. Sources last checked August 23, 2026. Requirements change: confirm with your own state board before enrolling in anything.

What the federal data says

Phlebotomists typically enter the occupation with a certificate from a postsecondary phlebotomy program, but some qualify with a high school diploma and on-the-job training. Employers may prefer to hire candidates who have earned professional certification.

  1. 1

    Typical entry-level education

    Postsecondary nondegree award

  2. 2

    Work experience in a related occupation

    None

  3. 3

    Typical on-the-job training

    None

  4. 4

    Preparation needed (O*NET job zone)

    Medium preparation

BLS Employment Projections, 2025–2035; job zone from O*NET 31.0 Database.

Full BLS Occupational Outlook Handbook entry

The work

What does a phlebotomist do?

Draw blood for tests, transfusions, donations, or research. May explain the procedure to patients and assist in the recovery of patients with adverse reactions.

Phlebotomists draw blood for purposes such as tests, research, or donations. They help patients or donors who are anxious before or have an adverse reaction after the blood draw.

Day-to-day tasks

  1. Confirm the identities of patients by verifying their personal information.
  2. Match laboratory requisition forms to specimen tubes.
  3. Collect specimens at specific time intervals for tests, such as those assessing therapeutic drug levels.
  4. Draw blood from veins by vacuum tube, syringe, or butterfly venipuncture methods.
  5. Organize or clean blood-drawing trays, ensuring that all instruments are sterile and all needles, syringes, or related items are of first-time use.
  6. Draw blood from capillaries by dermal puncture, such as heel or finger stick methods.
  7. Train other medical personnel in phlebotomy or laboratory techniques.
  8. Dispose of contaminated sharps, in accordance with applicable laws, standards, and policies.

O*NET core tasks, ordered by reported importance.

Working conditions and hours

Most phlebotomists work full time. Phlebotomists who work in hospitals and labs may need to work nights, weekends, and holidays.

Where the work happens

  • Indoors, climate-controlled

    NeverEvery day

    Indoors, in a climate-controlled space, every day.

  • Outdoors in all weather

    NeverEvery day

    Almost never works outdoors.

Physical demands

  • Sitting

    NeverAlmost all the time
  • Standing

    NeverAlmost all the time

    On their feet more than half the working day.

  • Bending or twisting

    NeverAlmost all the time

Working with people

  • Contact with other people

    NoneConstant

    Constant contact with other people.

  • Face-to-face discussions

    NeverEvery day

    Face-to-face discussions every day.

  • Dealing with the public

    Not importantExtremely important

Pressure and stakes

  • Strict deadlines

    NeverEvery day

    Meeting strict deadlines at least weekly.

  • Conflict situations

    NeverEvery day
  • Cost of a mistake

    Not seriousExtremely serious

    Mistakes carry very serious consequences.

Autonomy

  • Freedom to decide

    NoneA lot

Schedules: BLS Occupational Outlook Handbook, 2025–2035 edition. Conditions: O*NET Work Context survey. Each item has its own scale, so each dot is read against the two answers that end its own line.

Where phlebotomists work

Share of jobs by employer type

  • Hospitals; state, local, and private36%
  • Medical and diagnostic laboratories33%
  • All other ambulatory healthcare services16%
  • Offices of physicians9%
  • Outpatient care centers2%
Largest employers of Phlebotomists
ItemValue
Hospitals; state, local, and private36%
Medical and diagnostic laboratories33%
All other ambulatory healthcare services16%
Offices of physicians9%
Outpatient care centers2%

Source: BLS Occupational Outlook Handbook, 2025–2035 edition

Core skills

O*NET importance, 1 to 5

  • Speaking3.5
  • Active Listening3.3
  • Critical Thinking3.3
  • Reading Comprehension3.1
  • Monitoring3.1
  • Writing3.0
  • Active Learning3.0
  • Learning Strategies3.0
Core skills for Phlebotomists
ItemValue
Speaking3.5
Active Listening3.3
Critical Thinking3.3
Reading Comprehension3.1
Monitoring3.1
Writing3.0
Active Learning3.0
Learning Strategies3.0

Source: O*NET 31.0 Database

Transferable skills

O*NET importance, 1 to 5

  • Service Orientation3.6
  • Social Perceptiveness3.5
  • Coordination3.1
  • Instructing3.1
  • Complex Problem Solving3.0
  • Judgment and Decision Making3.0
  • Time Management2.9
  • Quality Control Analysis2.6
Transferable skills for Phlebotomists
ItemValue
Service Orientation3.6
Social Perceptiveness3.5
Coordination3.1
Instructing3.1
Complex Problem Solving3.0
Judgment and Decision Making3.0
Time Management2.9
Quality Control Analysis2.6

Source: O*NET 31.0 Database

Tools and software

  • Electronic mail software · in demand
  • Medical software · in demand
  • Office suite software · in demand
  • Spreadsheet software · in demand
  • Web platform development software · in demand
  • Word processing software · in demand
  • Calendar and scheduling software

“In demand” marks an O*NET Employer-Based Hot Technology, software named in real job postings for this occupation.

The workforce

Who works as a phlebotomist?

Women make up 88.2% of phlebotomists, against 47.1% of all employed people: a female-dominated occupation.

Only 13.9% are 55 or older (23.2% across all jobs): a young workforce, with 19.4% under 25.

The median worker is 38.8 years old (all workers: 42.1).

Women
88.2%All workers 47.1% · BLS CPS, 2025
Median age
38.8All workers 42.1 · BLS CPS, 2025
Aged 55+
13.9%All workers 23.2% · BLS CPS, 2025
Employed (CPS)
144,000BLS CPS, 2025
Share of phlebotomists by sex, race, ethnicity and age, against all employed people
GroupShare of phlebotomistsAll employed people
Women
88.2%
47.1%
White
57.1%
75.7%
Black or African American
32.2%
12.7%
Asian
4.7%
7.5%
Hispanic or Latino (any race)
19.6%
20.0%
Aged 55 and over
13.9%
23.2%
Aged 16 to 24
19.4%
12.2%

Current Population Survey annual averages, 2025 (BLS tables 11 and 11b). Race groups can overlap with Hispanic or Latino ethnicity, so they do not sum to 100%.

Personality fit

What personality type suits a phlebotomist?

Interest profile

O*NET Occupational Interests (RIASEC), scored 1 to 7

Phlebotomist · Realistic: 5Phlebotomist · Investigative: 5Phlebotomist · Artistic: 1Phlebotomist · Social: 4Phlebotomist · Enterprising: 1Phlebotomist · Conventional: 5
Phlebotomist interest profile
AxisPhlebotomist
Realistic5
Investigative5
Artistic1
Social4
Enterprising1
Conventional5

Source: O*NET 31.0 Database

What the work is built around

Day to day this is work built around hands-on, practical work with tools, machines or the outdoors, combined with organising, following procedures and working precisely with data.

  • Realistic5.4
  • Conventional5.4
  • Investigative4.7
  • Social3.6
  • Enterprising1.4
  • Artistic1.0

Closest MBTI types

NueCareer fit scores: cosine similarity between each MBTI type's interest vector and this occupation's O*NET interest profile. Not a BLS or O*NET figure; the method is documented on our methodology page.

Questions

Phlebotomist: frequently asked questions

How much do phlebotomists make?

Phlebotomists earn a median of $45,230 a year (BLS OEWS, May 2025), 11% below the $50,980 median for all US occupations. That works out at $21.75/hr. The middle half earn between $38,190 and $48,930. The top 10% earn $58,780 or more.

How much do phlebotomists make an hour?

The median hourly wage for phlebotomists is $21.75 (BLS OEWS, May 2025). On a full-year basis the $45,230 annual median works out to about $3,770 a month before tax.

What is the starting salary for a phlebotomist?

BLS does not publish a starting salary. The nearest measure is the low end of the pay range: the lowest-paid 10% of phlebotomists earn less than $35,780 a year and the bottom quarter less than $38,190 (BLS OEWS, May 2025). New workers often start near that end, but where a particular job starts depends on the employer, the state and the credentials you bring, so read these as the bottom of the range rather than a guaranteed entry wage.

Which states pay phlebotomists the most?

The highest state medians for Phlebotomists are California ($56,040), District of Columbia ($51,980), New York ($50,530) (BLS OEWS, May 2025). Adjusted for local prices using BEA Regional Price Parities, North Dakota moves to the top at $53,317.

What kind of phlebotomist earns the most?

BLS does not split phlebotomists' pay by specialty or employer, but its range shows how far the top end runs: the highest-paid 10% earn more than $58,780, against a median of $45,230 (BLS OEWS, May 2025). Location moves pay the most in the published data: the best-paying states are California ($56,040), District of Columbia ($51,980), New York ($50,530).

Do you need a degree to become a phlebotomist?

Not a degree, but you do need credentialed training: BLS lists a postsecondary non-degree award (a certificate or license program) as the typical entry route for Phlebotomists.

Is phlebotomist a growing career?

Yes. Employment is projected to grow 6.8% over 2025–2035, faster than the 3.5% average for all occupations (BLS EP, 2025–2035). BLS still projects about 18,000 openings a year, mostly from workers retiring or moving to other work.

What does a phlebotomist do?

Phlebotomists draw blood for purposes such as tests, research, or donations. A core O*NET task: confirm the identities of patients by verifying their personal information. Employers most often ask for Electronic mail software, Medical software, Office suite software.

Do phlebotomists work 40 hours a week?

Yes, for most. In O*NET's survey of people in the job, 24% of phlebotomists usually work more than 40 hours a week, 76% work exactly 40 and 0% work fewer. 96% say their schedule is regular and 4% irregular. Source: O*NET 31.0 Database, Work Context.

What personality type suits a phlebotomist?

O*NET scores Phlebotomists highest on the Realistic, Conventional and Investigative interest areas, so the work mixes hands-on, practical work with tools, machines or the outdoors with organising, following procedures and working precisely with data. On NueCareer's MBTI-to-interest mapping that lines up most closely with ISTJ personalities. Personality is a fit signal, not a gate. The free NueCareer quiz scores your own profile against all 1,731 careers in the bank.

How long does it take to become a phlebotomist?

Less than 1 year. Postsecondary phlebotomy programs at community, vocational and technical schools usually take less than 1 year and lead to a certificate. Some employers instead hire candidates with a high school diploma and train them on the job.

Do you need a license to work as a phlebotomist?

Not a state license. Most states do not license phlebotomists, and in those states national certification is voluntary rather than a legal requirement, even though employers often prefer or require it. A few states do regulate the role: California requires a phlebotomy certificate from CDPH Laboratory Field Services, which involves documented academic and clinical training or on-the-job experience, verification of a national certification examination, and annual renewal with a fee and continuing education; Washington requires a medical assistant-phlebotomist credential from the Department of Health, based on a completed phlebotomy training program and high school education, renewed every two years. Other states may require an accredited training program, a license or a certification, so check your state licensing agency. Phlebotomists may also need Basic Life Support certification, and a driver's license if they transport specimens.

What exams and certifications apply to a phlebotomist?

The PBT(ASCP) (Phlebotomy Technician, PBT(ASCP)) and the CPT (Certified Phlebotomy Technician). Certification examination with several eligibility routes, all requiring high school graduation or equivalent: completion of a NAACLS-accredited phlebotomy program within the last 5 years; or a two-part structured phlebotomy program within the last 5 years consisting of 40 clock hours of classroom training plus documented clinical training including a minimum of 100 successful unaided venipunctures; or 1 year of full-time clinical experience as a phlebotomy technician in an acceptable laboratory within the last 5 years; or completion of an RN, LPN or other accepted accredited allied health program.

What percentage of phlebotomists are women?

Women make up 88.2% of phlebotomists, against 47.1% of all employed people: a female-dominated occupation. Only 13.9% are 55 or older (23.2% across all jobs): a young workforce, with 19.4% under 25. The median worker is 38.8 years old (all workers: 42.1). Source: BLS Current Population Survey, 2025 annual averages.