An integrated sample testing meter, for instance for measuring blood, comprising a puncture means, a sensor and a test strip cartridge disposed in a single modular housing. The test strip cartridge includes a stack of test strips suitable for performing an electrochemical or photometric analysis of a blood sample. The integrated test system automatically dispenses and positions a test strip and forms a puncture site. Blood is transferred to the test strip from the puncture site and the sensor automatically analyzes the blood sample after the test strip collects the sample from the puncture site.