Valued at USD ~1.2 billion in 2025, the global market is projected to expand at a 6.8% CAGR through 2033, propelled by regulatory acceptance of quantitative serology endpoints for booster-dose decisions, integration of ELISA readers into hospital core-lab automation suites, and sustained procurement by public-health reference labs in the EU, USA, and Japan. North America commands the largest share (>38%) on the back of CDC-funded surveillance tenders, while South-East Asia is the fastest-expanding region (>9% CAGR) as Indonesia, Vietnam, and India fold RBD-IgG testing into routine vaccination verification programs. Competitive intensity is sharpening as multiplex bead-based assays erode ELISA volumes in academic labs, yet leading kit suppliers counter with walk-away automated ELISA platforms that deliver 30% lower cost per result and 4-hour turnaround, safeguarding the segment’s mid-term outlook.