The Philippines is among the world’s most disaster-prone countries, yet medical laboratories remain an underrecognized component of disaster preparedness and health system resilience. These facilities are essential for disease surveillance, diagnostics, and emergency response, but their operations are frequently disrupted during climate-related disasters and public health emergencies.

This commentary examines the structural, operational, and systemic gaps that limit the integration of medical laboratories into national and local disaster risk reduction and health emergency frameworks.

Drawing on global disaster risk reduction frameworks, World Health Organization guidance, regional and international literature, and documented Philippine experiences from infectious disease outbreaks and climate-related disasters, the article highlights how fragmented planning, vulnerable infrastructure, weak digital systems, and communication failures compromise laboratory continuity during crises.

Despite rapid laboratory scale-up during the COVID-19 pandemic, many facilities continued to experience shortages in trained personnel, inconsistent biosafety practices, data loss, and delayed diagnostic services, particularly in disaster-affected and geographically isolated areas.

To address these gaps, the commentary proposes five strategic action areas: institutionalizing laboratory emergency preparedness at national and local levels, upgrading laboratory infrastructure for climate and hazard resilience, strengthening digital health systems to ensure data continuity, establishing redundant and disaster-resilient communication protocols, and deploying mobile and modular laboratory units to maintain diagnostic services during emergencies. Strengthening medical laboratory resilience is essential to sustaining core health services, reducing disaster-related morbidity and mortality, and advancing equitable, disaster-responsive health systems in the Philippines. Achieving this requires sustained policy commitment, multisectoral collaboration, and integration of laboratory preparedness into broader health security, climate adaptation, and universal health care strategies.