The healthcare and pharmaceutical sectors continuously demand more powerful analytical and diagnostic tools for the identification of disease, the development of new medicines, and better diagnostic tests. High-capability optical biosensing systems are emerging as a way to achieve these goals. Based on the combination of optical materials and photonic components, optical sensing offers many advantages. For instance, the technology is non-invasive, immune to electromagnetic interference, and the risk of electrical shocks or explosions is nonexistent. A key enabler for these systems is the development of costeffective miniaturization technology, which permits the efficient integration of mechanical, fluidic, and photonic components. In typical biosensors, detection of specific pathogens or proteins begins by immobilizing appropriate bioreceptors on the sensing areas of a chip. When analytes are introduced into those areas, only the target biomolecules will be bound to their corresponding biomolecular receptors. This binding process is usually monitored with commercial analytical techniques that require transduction labeling elements, such as fluorescent dyes or radioactive isotopes, to generate a physically readable signal from a recognition event. However, labeling chemistry is expensive and time-consuming. In contrast, recent progress in biosensing systems, in which biomolecules are unlabeled or unmodified (label-free biosensing), is showing promising results. The sensing transduction signals in optical label-free biosensing platforms are based on small changes in refractive index caused by the immobilization or binding reaction of biomolecules. Planar photonic biosensors have measured biomolecular binding interactions using well-known photonic structures, including surface plasmon resonance, 4 interferometers, resonators, 10 gratings, 12 and photonic crystals. 14 These photonic sensing biochips are attractive because they integrate multiple compact devices on a single chip. But, although they use low cost mature semiconductor technology, planar photonic biochips normally need complex optical coupling systems, such as inverted taper and grating couplers, which make the devices less cost effective. Our vision is to create a highly sensitive, label-free optical biosensing system that is fully compatible with semiconductor technology and can be fabricated and interrogated at wafer or disposable chip level. Our holistic approach combines biophotonic resonant or interferometric sensing cells and advanced micron and sub-micron spot size high-sensitivity optical interrogation technologies. This approach leads to a new generation of high-value biochips that are scalable at the wafer level without the need for complex coupling systems, thus offering an inexpensive solution for integration and packaging. Our optical sensing system uses a tightly focused beam (see Figure 1), which allows in situ measurement of micron and submicron size geometries. In our current work, we have already demonstrated the capability to measure extremely small volumes of analytes (on the order of 0.1fL per hole). 16 This system makes routine screening more cost effective and, because each wafer can integrate hundreds of sensing structures, it is also suitable for performing hundreds of measurements on one or multiple samples with high throughput and on-wafer monitoring. To determine the interactions with receptor biomolecules with more reliability and sensitivity, the system will be tremendously sensitive to refractive index variations: on the order of 10 or even 10 refractive index units (RIUs). This means that direct detection of picomolar or even lower concentrations is feasible. Both observation of the reflectivity profile and magnification of the biophotonic resonant or interferometric sensing cells will facilitate this sensitivity. Label-free optical biosensors are expected to grow most in importance in the healthcare, biomedical, and biopharmaceutical sectors, since they can provide new analytical tools with reduced size as well as facilitate large-scale screening of a very wide range of samples for many different parameters. Our optical biosensing system, which uses mixed technologies, such as op-