Purpose: This study aims to enable measuring performance and its quality and seeks to improve performance, is that the research problem emerged in the emergence of poor results for patients' blood test cases due to delayed results of the analysis. Theoretical framework: This study adopted the deductive approach by relying on sources and references related to the literature of the topic directly, to benefit from them in enriching the theoretical aspect of the research. Design/methodology/approach: The inductive approach through the application of the applied analytical aspect, where the financial data for the year 2021 was obtained through financial accounts, production reports, inventory cards, quality reports, observations, and personal interviews, study sample at the Hussein Teaching Hospital's blood laboratory in the service sector represented by the Lean Six Sigma methodology. Findings: The blood laboratory at Al-Hussein Teaching Hospital did not rely on modern quality systems, including the agile Six Sigma methodology. There is a lot of wastage and loss in the specified standard time, which causes a lot of delay in the time of analysis, and this indicates the discrepancy and decentralization of the process. The laboratory testing equipment breaks down many times because of its old age (these devices were obtained from the Japanese grant during the year 2003), and this causes two or three re-examinations, which drains additional time. As well, the small area of the laboratory compared to the number of visitors. Research, Practical & Social implications: The research enables measuring performance and its quality and seeks to improve performance, is that the research problem emerged in the emergence of poor results for patients' blood test cases due to delayed results of the analysis. The Hussein Teaching Hospital's blood laboratory is the service sector represented by the Lean Six Sigma methodology. In order to implement continuous improvement in the area of medical staff quality and to simultaneously provide the right environment for continuous improvement, Originality/value: This study is one of the very few studies that focus on the concept of Six Sigma as one of the tools of the modern quality management system, which is concerned with diagnosing and treating deviations to improve the performance of the blood test process, an attempt to manage cost through the use of accounting and statistical concepts, to achieve the highest levels of sigma.