Medical aid organizations moved to a modern system. Effective financial management model was created. Transition of the Russian society and the health care system in the new legal and economic framework for the provision of medical care has defined priority laboratory service reform to centralize laboratory studies. There was a need to create a large automated laboratory systems, serving a group of medical institutions, and performing a wide range of laboratory tests. Moscow City Guide given the task is not only to preserve the existing level of health services, but also a significant increase in the availability and quality of laboratory tests. The Moscow Health Department determined the legal framework for the centralization of laboratory research. The centralization program of laboratory research in the city of the Moscow has created a three-tier system of laboratory services outpatient care, re-equip and strengthen the base of the instrument, reduce staffing. As a result of the reforms significantly increased the availability of laboratory tests for the population, including expensive and high-tech.