This paper describes an inexpensive, handheld device that couples the most common forms of electrochemical analysis directly to "the cloud" using any mobile phone, for use in resource-limited settings. The device is designed to operate with a wide range of electrode formats, performs on-board mixing of samples by vibration, and transmits data over voice using audio-an approach that guarantees broad compatibility with any available mobile phone (from low-end phones to smartphones) or cellular network (second, third, and fourth generation). The electrochemical methods that we demonstrate enable quantitative, broadly applicable, and inexpensive sensing with flexibility based on a wide variety of important electroanalytical techniques (chronoamperometry, cyclic voltammetry, differential pulse voltammetry, square wave voltammetry, and potentiometry), each with different uses. Four applications demonstrate the analytical performance of the device: these involve the detection of (i) glucose in the blood for personal health, (ii) trace heavy metals (lead, cadmium, and zinc) in water for in-field environmental monitoring, (iii) sodium in urine for clinical analysis, and (iv) a malarial antigen (Plasmodium falciparum histidine-rich protein 2) for clinical research. The combination of these electrochemical capabilities in an affordable, handheld format that is compatible with any mobile phone or network worldwide guarantees that sophisticated diagnostic testing can be performed by users with a broad spectrum of needs, resources, and levels of technical expertise.electrochemistry | mHealth | point-of-care diagnostics | low-cost potentiostat | telemedicine E lectrochemistry provides a broad array of quantitative methods for detecting important analytes (e.g., proteins, nucleic acids, metabolites, metals) for personal and public health, clinical analysis, food and water quality, and environmental monitoring (1, 2). Although useful in a variety of settings, these methodswith the important exception of blood glucose meters (3, 4)-are generally limited to well-resourced laboratories run by skilled personnel. If simplified and made inexpensive, however, these versatile methods could become broadly applicable tools in the hands of healthcare workers, clinicians, farmers, and military personnel who need accurate and quantitative results in the field, especially in resource-limited settings. Furthermore, if results of testing were directly linked to "the cloud" through available mobile technology, expertise (and archiving of information) could be geographically decoupled from the site of testing. To enable electrochemical measurements to be performed and communicated in any setting, a useful technology must be (i) able to perform complete electrochemical analyses while remaining low in cost, simple to operate, and as independent of infrastructure as possible; and (ii) compatible with any generation of mobile telecommunications technology, including the low-end phones and 2G networks that continue to dominate communications in much o...