Overview

Founded in 2008, Castle Biosciences is a leading molecular diagnostics company focused on improving health through innovative tests that guide patient care. Our corporate headquarters is in Friendswood, Texas with laboratory facilities located in Phoenix, Arizona and Pittsburgh, Pennsylvania.

Realizing a large unmet clinical need in disease management, we continuously strive to evolve and improve, challenging the status quo with scientific expertise, valuable insights and robust data development.

Our innovative portfolio of commercial and pipeline tests targets unmet clinical need along the patient care continuum. We currently market six proprietary tests designed to answer clinical questions and address treatment plan challenges facing clinicians, with a primary focus in dermatologic, including our recently launched AdvanceAD-Tx™ test, and gastroenterological disease.

Our two tests that currently represent our core revenue drivers are 1) DecisionDx®-Melanoma test for invasive cutaneous melanoma, which is a proprietary gene expression profile (GEP) test that uses an individual patient’s tumor biology to predict the risk of metastasis or recurrence, as well as the risk of sentinel lymph node positivity, independent of traditional staging factors, and 2) TissueCypher® Barrett’s Esophagus test, designed to predict future development of esophageal cancer in patients with Barrett’s esophagus, the only known risk factor for the development of esophageal cancer.

DecisionDx®-SCC is our GEP test that predicts the risk of metastasis in high-risk squamous cell carcinoma patients and predicts which patients are most likely to benefit from adjuvant radiation therapy. DecisionDx®-UM, the standard of care in uveal melanoma staging, is our GEP test that predicts the risk of metastasis for patients with uveal melanoma, a rare eye cancer. MyPath® Melanoma provides a highly accurate, objective result to aid dermatopathologists and dermatologists in characterizing suspicious pigmented lesions. AdvanceAD-Tx™ is our 487-GEP test designed to guide systemic treatment decision making in patients ages 12 and older with moderate-to-severe atopic dermatitis, addressing a major unmet need by providing a personalized approach, helping physicians match patients to the right treatment class and avoid the trial-and-error process.

Additionally, we have active research and development programs for tests in these and other diseases with high unmet clinical need, including ongoing initiatives to increase both our current dermatologic and gastrointestinal offerings. We also look to put the strength of our balance sheet to work through a disciplined and strategic approach to capital deployment, focusing on creating stockholder value.



Learn more about Castle Biosciences' mission to empower patients and healthcare providers by combining innovation, advanced technologies, and relevant real-world evidence to address critical unmet clinical needs and improve health outcomes.

This behind-the-scenes video offers an inside look at Castle Biosciences' TissueCypher testing process, showcasing how advanced imaging, multiplexed biomarker staining, and AI-driven analysis are utilized to assess a patient's risk of progression from Barrett’s esophagus to esophageal cancer.

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Annual Report

In 2025, Castle delivered strong operating and financial performance while continuing to advance our mission of improving health through innovative tests that guide patient care. We exceeded our full-year revenue guidance, delivering approximately $344 million in revenue, reflecting sustained demand across our core product portfolio and continued execution by our commercial and operational teams. Total test report volume for our core revenue drivers, DecisionDx®-Melanoma and TissueCypher®, increased 37% over 2024, underscoring growing clinical adoption and the strength of our differentiated clinical evidence. These results reflect the successful scaling of our business model, supported by a focus on quality, the clinical utility of our tests and disciplined investment in long-term value creation for our stockholders. Download PDF