Clinical laboratory wastewaters are of important environmental concern due to the highly complex chemical reagents and dyes used to identify various pathologies, which are difficult to degrade by conventional treatment methods. The present research aimed to assess the effects of ilmenite use in the discoloration process of clinical laboratory wastewater. The wastewater originates from a Gram staining process used to identify pathogenic microorganisms present in biological samples. The active ingredient is crystal violet, a triphenylmethane dye derivative, highly toxic and non-biodegradable that causes a shiny purple color in the wastewater. The ilmenite was characterized by X-ray Fluorescence, X-ray Diffraction, Scanning Electron Microscopy, energy-dispersive spectroscopy and Nitrogen adsorption isotherm, while the discoloration process of the wastewater was measured by UV–Vis spectrophotometry and pH change trough the reaction time, evaluating different ilmenite loads, particle size and stability under light sources with different energies. Chemical oxygen demand analysis confirmed that acid formation and discoloration were associated with organic substance mineralization. Type C ultraviolet light and 0.7 g/L load were identified as the best operating conditions for the discoloration process. It was possible to establish that ilmenite is stable after four uses in the discoloration process, obtaining, in all cases, discoloration percentages higher than 90% after 3 h of irradiation.