diff --git a/src/test/java/org/openelisglobal/AppTestConfig.java b/src/test/java/org/openelisglobal/AppTestConfig.java
index f0ad99080..7e6e2fae5 100644
--- a/src/test/java/org/openelisglobal/AppTestConfig.java
+++ b/src/test/java/org/openelisglobal/AppTestConfig.java
@@ -86,7 +86,8 @@
         "org.openelisglobal.sampleitem.", "org.openelisglobal.analysis", "org.openelisglobal.result.service",
         "org.openelisglobal.result.daoimpl", "org.openelisglobal.resultlimit", "org.openelisglobal.resultlimits",
         "org.openelisglobal.typeoftestresult", "org.openelisglobal.samplehuman", "org.openelisglobal.provider",
-        "org.openelisglobal.role", "org.openelisglobal.organization" }, excludeFilters = {
+        "org.openelisglobal.role", "org.openelisglobal.organization", "org.openelisglobal.region.service",
+        "org.openelisglobal.region.dao" }, excludeFilters = {
                 @ComponentScan.Filter(type = FilterType.REGEX, pattern = "org.openelisglobal.patient.controller.*"),
                 @ComponentScan.Filter(type = FilterType.REGEX, pattern = "org.openelisglobal.provider.controller.*"),
                 @ComponentScan.Filter(type = FilterType.REGEX, pattern = "org.openelisglobal.organization.controller.*"),
diff --git a/src/test/java/org/openelisglobal/region/RegionServiceTest.java b/src/test/java/org/openelisglobal/region/RegionServiceTest.java
new file mode 100644
index 000000000..a988d4ac0
--- /dev/null
+++ b/src/test/java/org/openelisglobal/region/RegionServiceTest.java
@@ -0,0 +1,87 @@
+package org.openelisglobal.region;
+
+import java.sql.Timestamp;
+import java.util.List;
+import java.util.Map;
+import org.junit.After;
+import org.junit.Assert;
+import org.junit.Before;
+import org.junit.Test;
+import org.openelisglobal.BaseWebContextSensitiveTest;
+import org.openelisglobal.region.service.RegionService;
+import org.openelisglobal.region.valueholder.Region;
+import org.springframework.beans.factory.annotation.Autowired;
+
+public class RegionServiceTest extends BaseWebContextSensitiveTest {
+
+    @Autowired
+    RegionService regionService;
+
+    private Map<String, String> testRegions;
+
+    @Before
+    public void init() throws Exception {
+        executeDataSetWithStateManagement("testdata/region.xml");
+    }
+
+    @After
+    public void tearDown() {
+        List<Region> regions = regionService.getAll();
+        for (Region region : regions) {
+            if (region.getLastupdated() == null) {
+                region.setLastupdated(new Timestamp(System.currentTimeMillis()));
+            }
+        }
+        regionService.deleteAll(regions);
+
+    }
+
+    @Test
+    public void createRegion_shouldCreateNewRegion() throws Exception {
+        String regionName = "Midwest";
+        String regionId = "1";
+        Region region = createRegion(regionName, regionId);
+
+        String savedRegionId = regionService.insert(region);
+
+        Region savedRegion = regionService.get(savedRegionId);
+        Assert.assertEquals(regionName, savedRegion.getRegion());
+        Assert.assertNotNull(savedRegion.getId());
+    }
+
+    @Test
+    public void updateRegion_shouldUpdateExistingRegion() throws Exception {
+        Region existingRegion = regionService.get("2");
+        Assert.assertNotNull(existingRegion);
+
+        existingRegion.setRegion("Updated Northeast");
+        regionService.update(existingRegion);
+
+        Region updatedRegion = regionService.get("2");
+        Assert.assertEquals("Updated Northeast", updatedRegion.getRegion());
+    }
+
+    @Test
+    public void getAllRegions_shouldReturnAllRegions() throws Exception {
+        List<Region> regions = regionService.getAll();
+        Assert.assertEquals(5, regions.size());
+    }
+
+    @Test
+    public void deleteRegion_shouldRemoveAnExistingRegion() throws Exception {
+        Region region = regionService.get("1");
+        Assert.assertNotNull(region);
+
+        Assert.assertEquals(5, regionService.getAll().size());
+
+        regionService.delete(region);
+        Assert.assertEquals(4, regionService.getAll().size());
+    }
+
+    private Region createRegion(String regionName, String regionId) {
+        Region region = new Region();
+        region.setRegion(regionName);
+        region.setLastupdated(new Timestamp(System.currentTimeMillis()));
+        return region;
+    }
+}
\ No newline at end of file
diff --git a/src/test/resources/testdata/region.xml b/src/test/resources/testdata/region.xml
new file mode 100644
index 000000000..24afef5ee
--- /dev/null
+++ b/src/test/resources/testdata/region.xml
@@ -0,0 +1,25 @@
+<?xml version='1.0' encoding='UTF-8'?>
+<!--
+ * The contents of this file are subject to the Mozilla Public License
+ * Version 1.1 (the "License"); you may not use this file except in
+ * compliance with the License. You may obtain a copy of the License at
+ * http://www.mozilla.org/MPL/
+ *
+ * Software distributed under the License is distributed on an "AS IS"
+ * basis, WITHOUT WARRANTY OF ANY KIND, either express or implied. See the
+ * License for the specific language governing rights and limitations under
+ * the License.
+ *
+ * The Original Code is OpenELIS code.
+ *
+ * Copyright (C) ITECH, University of Washington, Seattle WA.  All Rights Reserved.
+ -->
+<dataset>
+    <!-- Region Entries -->
+
+    <region id="1" region="Midwest" lastupdated="2023-10-01 12:00:00.000" />
+    <region id="2" region="Northeast" lastupdated="2023-10-01 12:00:00.000" />
+    <region id="3" region="Southeast" lastupdated="2023-10-01 12:00:00.000" />
+    <region id="4" region="Southwest" lastupdated="2023-10-01 12:00:00.000" />
+    <region id="5" region="Northwest" lastupdated="2023-10-01 12:00:00.000" />
+</dataset>