

<!--XBRL Document Created with Wdesk from Workiva-->
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    <link:label id="lab_us-gaap_InvestmentIncomeInterest_77DB72A35C6B653BCA832B3C07B44018_terseLabel_en-US" xlink:label="lab_us-gaap_InvestmentIncomeInterest_77DB72A35C6B653BCA832B3C07B44018" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Interest income</link:label>
    <link:label id="lab_us-gaap_InvestmentIncomeInterest_77DB72A35C6B653BCA832B3C07B44018_label_en-US" xlink:label="lab_us-gaap_InvestmentIncomeInterest_77DB72A35C6B653BCA832B3C07B44018" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Investment Income, Interest</link:label>
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    <link:label id="lab_us-gaap_InterestExpenseDebt_9947F616ACA3195B86DC2B3C07B49B0D_label_en-US" xlink:label="lab_us-gaap_InterestExpenseDebt_9947F616ACA3195B86DC2B3C07B49B0D" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Interest Expense, Debt</link:label>
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    <link:label id="lab_us-gaap_NetIncomeLoss_28D57939F1E66363446B2B3C07B5D2C0_totalLabel_en-US" xlink:label="lab_us-gaap_NetIncomeLoss_28D57939F1E66363446B2B3C07B5D2C0" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xlink:type="resource" xml:lang="en-US">Net income</link:label>
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    <link:label id="lab_us-gaap_EarningsPerShareAbstract_C2E73DFD30EB97E09F192B3C07B56A16_terseLabel_en-US" xlink:label="lab_us-gaap_EarningsPerShareAbstract_C2E73DFD30EB97E09F192B3C07B56A16" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Net income per ordinary share:</link:label>
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    <link:label id="lab_us-gaap_BusinessAcquisitionPercentageOfVotingInterestsAcquired_F79619B6FA721511F30C2A9A074BFC3C_terseLabel_en-US" xlink:label="lab_us-gaap_BusinessAcquisitionPercentageOfVotingInterestsAcquired_F79619B6FA721511F30C2A9A074BFC3C" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Percentage of common stock acquired</link:label>
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    <link:label id="lab_us-gaap_LesseeLeasesPolicyTextBlock_9D18D1D31DA2F0F466A62C190D6ECC9B_terseLabel_en-US" xlink:label="lab_us-gaap_LesseeLeasesPolicyTextBlock_9D18D1D31DA2F0F466A62C190D6ECC9B" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Leased Assets</link:label>
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    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_iclr_MediMediaPharmaSolutionsMember_0659087C916B6E5758882FA688824944" xlink:to="lab_iclr_MediMediaPharmaSolutionsMember_0659087C916B6E5758882FA688824944" xlink:type="arc" />
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    <link:label id="lab_iclr_PriceSpectiveLlcMember_DE3B2B11FC9F14A4F8242FA68882705D_terseLabel_en-US" xlink:label="lab_iclr_PriceSpectiveLlcMember_DE3B2B11FC9F14A4F8242FA68882705D" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">PriceSpective</link:label>
    <link:label id="lab_iclr_PriceSpectiveLlcMember_DE3B2B11FC9F14A4F8242FA68882705D_label_en-US" xlink:label="lab_iclr_PriceSpectiveLlcMember_DE3B2B11FC9F14A4F8242FA68882705D" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">PriceSpective Llc [Member]</link:label>
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    <link:loc xlink:href="iclr-20181231.xsd#iclr_PriceSpectiveLlcMember" xlink:label="loc_iclr_PriceSpectiveLlcMember_DE3B2B11FC9F14A4F8242FA68882705D" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_iclr_PriceSpectiveLlcMember_DE3B2B11FC9F14A4F8242FA68882705D" xlink:to="lab_iclr_PriceSpectiveLlcMember_DE3B2B11FC9F14A4F8242FA68882705D" xlink:type="arc" />
    <link:label id="lab_iclr_BeijingWitsMedicalLimitedMember_D8B823E82D012556DC5B2FA688835A19_terseLabel_en-US" xlink:label="lab_iclr_BeijingWitsMedicalLimitedMember_D8B823E82D012556DC5B2FA688835A19" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">BeijingWits Medical</link:label>
    <link:label id="lab_iclr_BeijingWitsMedicalLimitedMember_D8B823E82D012556DC5B2FA688835A19_label_en-US" xlink:label="lab_iclr_BeijingWitsMedicalLimitedMember_D8B823E82D012556DC5B2FA688835A19" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">BeijingWits Medical Limited [Member]</link:label>
    <link:label id="lab_iclr_BeijingWitsMedicalLimitedMember_D8B823E82D012556DC5B2FA688835A19_documentation_en-US" xlink:label="lab_iclr_BeijingWitsMedicalLimitedMember_D8B823E82D012556DC5B2FA688835A19" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">BeijingWits Medical Limited [Member]</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_BeijingWitsMedicalLimitedMember" xlink:label="loc_iclr_BeijingWitsMedicalLimitedMember_D8B823E82D012556DC5B2FA688835A19" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_iclr_BeijingWitsMedicalLimitedMember_D8B823E82D012556DC5B2FA688835A19" xlink:to="lab_iclr_BeijingWitsMedicalLimitedMember_D8B823E82D012556DC5B2FA688835A19" xlink:type="arc" />
    <link:label id="lab_iclr_FirecrestClinicalMember_95452B8D53038754976B2FA68883F550_terseLabel_en-US" xlink:label="lab_iclr_FirecrestClinicalMember_95452B8D53038754976B2FA68883F550" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Firecrest Clinical Limited</link:label>
    <link:label id="lab_iclr_FirecrestClinicalMember_95452B8D53038754976B2FA68883F550_label_en-US" xlink:label="lab_iclr_FirecrestClinicalMember_95452B8D53038754976B2FA68883F550" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Firecrest Clinical [Member]</link:label>
    <link:label id="lab_iclr_FirecrestClinicalMember_95452B8D53038754976B2FA68883F550_documentation_en-US" xlink:label="lab_iclr_FirecrestClinicalMember_95452B8D53038754976B2FA68883F550" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Firecrest Clinical [Member]</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_FirecrestClinicalMember" xlink:label="loc_iclr_FirecrestClinicalMember_95452B8D53038754976B2FA68883F550" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_iclr_FirecrestClinicalMember_95452B8D53038754976B2FA68883F550" xlink:to="lab_iclr_FirecrestClinicalMember_95452B8D53038754976B2FA68883F550" xlink:type="arc" />
    <link:label id="lab_iclr_OxfordOutcomesLimitedMember_C3F11C238FA714E6AB062FA68883D085_terseLabel_en-US" xlink:label="lab_iclr_OxfordOutcomesLimitedMember_C3F11C238FA714E6AB062FA68883D085" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Oxford Outcomes Limited</link:label>
    <link:label id="lab_iclr_OxfordOutcomesLimitedMember_C3F11C238FA714E6AB062FA68883D085_label_en-US" xlink:label="lab_iclr_OxfordOutcomesLimitedMember_C3F11C238FA714E6AB062FA68883D085" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Oxford Outcomes Limited [Member]</link:label>
    <link:label id="lab_iclr_OxfordOutcomesLimitedMember_C3F11C238FA714E6AB062FA68883D085_documentation_en-US" xlink:label="lab_iclr_OxfordOutcomesLimitedMember_C3F11C238FA714E6AB062FA68883D085" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Oxford Outcomes Limited [Member]</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_OxfordOutcomesLimitedMember" xlink:label="loc_iclr_OxfordOutcomesLimitedMember_C3F11C238FA714E6AB062FA68883D085" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_iclr_OxfordOutcomesLimitedMember_C3F11C238FA714E6AB062FA68883D085" xlink:to="lab_iclr_OxfordOutcomesLimitedMember_C3F11C238FA714E6AB062FA68883D085" xlink:type="arc" />
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    <link:label id="lab_iclr_PrevalereLifeSciencesMember_4BC7346D23436B8C07962FA688830156_label_en-US" xlink:label="lab_iclr_PrevalereLifeSciencesMember_4BC7346D23436B8C07962FA688830156" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Prevalere Life Sciences [Member]</link:label>
    <link:label id="lab_iclr_PrevalereLifeSciencesMember_4BC7346D23436B8C07962FA688830156_documentation_en-US" xlink:label="lab_iclr_PrevalereLifeSciencesMember_4BC7346D23436B8C07962FA688830156" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Prevalere Life Sciences [Member]</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_PrevalereLifeSciencesMember" xlink:label="loc_iclr_PrevalereLifeSciencesMember_4BC7346D23436B8C07962FA688830156" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_iclr_PrevalereLifeSciencesMember_4BC7346D23436B8C07962FA688830156" xlink:to="lab_iclr_PrevalereLifeSciencesMember_4BC7346D23436B8C07962FA688830156" xlink:type="arc" />
    <link:label id="lab_iclr_HealthcareDiscoveriesIncMember_CAFF8D46C82997E94EBA2FA68883683A_terseLabel_en-US" xlink:label="lab_iclr_HealthcareDiscoveriesIncMember_CAFF8D46C82997E94EBA2FA68883683A" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Healthcare Discoveries</link:label>
    <link:label id="lab_iclr_HealthcareDiscoveriesIncMember_CAFF8D46C82997E94EBA2FA68883683A_label_en-US" xlink:label="lab_iclr_HealthcareDiscoveriesIncMember_CAFF8D46C82997E94EBA2FA68883683A" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Healthcare Discoveries Inc [Member]</link:label>
    <link:label id="lab_iclr_HealthcareDiscoveriesIncMember_CAFF8D46C82997E94EBA2FA68883683A_documentation_en-US" xlink:label="lab_iclr_HealthcareDiscoveriesIncMember_CAFF8D46C82997E94EBA2FA68883683A" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Healthcare Discoveries Inc [Member]</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_HealthcareDiscoveriesIncMember" xlink:label="loc_iclr_HealthcareDiscoveriesIncMember_CAFF8D46C82997E94EBA2FA68883683A" xlink:type="locator" />
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    <link:label id="lab_us-gaap_CustomerRelationshipsMember_531776B96D8A2ACB82332FA688858024_terseLabel_en-US" xlink:label="lab_us-gaap_CustomerRelationshipsMember_531776B96D8A2ACB82332FA688858024" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Customer relationships acquired</link:label>
    <link:label id="lab_us-gaap_CustomerRelationshipsMember_531776B96D8A2ACB82332FA688858024_label_en-US" xlink:label="lab_us-gaap_CustomerRelationshipsMember_531776B96D8A2ACB82332FA688858024" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Customer Relationships [Member]</link:label>
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    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_CustomerRelationshipsMember_531776B96D8A2ACB82332FA688858024" xlink:to="lab_us-gaap_CustomerRelationshipsMember_531776B96D8A2ACB82332FA688858024" xlink:type="arc" />
    <link:label id="lab_us-gaap_OrderOrProductionBacklogMember_0472EB977144F08866292FA6888572E5_terseLabel_en-US" xlink:label="lab_us-gaap_OrderOrProductionBacklogMember_0472EB977144F08866292FA6888572E5" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Order backlog</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_OrderOrProductionBacklogMember" xlink:label="loc_us-gaap_OrderOrProductionBacklogMember_0472EB977144F08866292FA6888572E5" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_OrderOrProductionBacklogMember_0472EB977144F08866292FA6888572E5" xlink:to="lab_us-gaap_OrderOrProductionBacklogMember_0472EB977144F08866292FA6888572E5" xlink:type="arc" />
    <link:label id="lab_us-gaap_NoncompeteAgreementsMember_3D8FAFDE72AADA8BB6C92FA688866858_terseLabel_en-US" xlink:label="lab_us-gaap_NoncompeteAgreementsMember_3D8FAFDE72AADA8BB6C92FA688866858" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Non-compete arrangements</link:label>
    <link:label id="lab_us-gaap_NoncompeteAgreementsMember_3D8FAFDE72AADA8BB6C92FA688866858_label_en-US" xlink:label="lab_us-gaap_NoncompeteAgreementsMember_3D8FAFDE72AADA8BB6C92FA688866858" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Noncompete Agreements [Member]</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_NoncompeteAgreementsMember" xlink:label="loc_us-gaap_NoncompeteAgreementsMember_3D8FAFDE72AADA8BB6C92FA688866858" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_NoncompeteAgreementsMember_3D8FAFDE72AADA8BB6C92FA688866858" xlink:to="lab_us-gaap_NoncompeteAgreementsMember_3D8FAFDE72AADA8BB6C92FA688866858" xlink:type="arc" />
    <link:label id="lab_iclr_TechnologyAssetsMember_FADCC5F985926631309E2FA6888684B2_terseLabel_en-US" xlink:label="lab_iclr_TechnologyAssetsMember_FADCC5F985926631309E2FA6888684B2" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Technology asset acquired</link:label>
    <link:label id="lab_iclr_TechnologyAssetsMember_FADCC5F985926631309E2FA6888684B2_label_en-US" xlink:label="lab_iclr_TechnologyAssetsMember_FADCC5F985926631309E2FA6888684B2" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Technology Assets [Member]</link:label>
    <link:label id="lab_iclr_TechnologyAssetsMember_FADCC5F985926631309E2FA6888684B2_documentation_en-US" xlink:label="lab_iclr_TechnologyAssetsMember_FADCC5F985926631309E2FA6888684B2" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Technology Assets [Member]</link:label>
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    <link:label id="lab_us-gaap_TradeNamesMember_79075E54D12CEB2B9F162FA688868FD8_terseLabel_en-US" xlink:label="lab_us-gaap_TradeNamesMember_79075E54D12CEB2B9F162FA688868FD8" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Trade names acquired</link:label>
    <link:label id="lab_us-gaap_TradeNamesMember_79075E54D12CEB2B9F162FA688868FD8_label_en-US" xlink:label="lab_us-gaap_TradeNamesMember_79075E54D12CEB2B9F162FA688868FD8" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Trade Names [Member]</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_TradeNamesMember" xlink:label="loc_us-gaap_TradeNamesMember_79075E54D12CEB2B9F162FA688868FD8" xlink:type="locator" />
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    <link:label id="lab_us-gaap_AssetsAbstract_8F8EDD6D54619515FBB92B3C07CC4471_terseLabel_en-US" xlink:label="lab_us-gaap_AssetsAbstract_8F8EDD6D54619515FBB92B3C07CC4471" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">ASSETS</link:label>
    <link:label id="lab_us-gaap_AssetsAbstract_8F8EDD6D54619515FBB92B3C07CC4471_label_en-US" xlink:label="lab_us-gaap_AssetsAbstract_8F8EDD6D54619515FBB92B3C07CC4471" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Assets [Abstract]</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_AssetsAbstract" xlink:label="loc_us-gaap_AssetsAbstract_8F8EDD6D54619515FBB92B3C07CC4471" xlink:type="locator" />
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    <link:label id="lab_us-gaap_AssetsCurrentAbstract_775544D32DCCEA34B3FF2B3C07CC5722_terseLabel_en-US" xlink:label="lab_us-gaap_AssetsCurrentAbstract_775544D32DCCEA34B3FF2B3C07CC5722" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Current Assets:</link:label>
    <link:label id="lab_us-gaap_AssetsCurrentAbstract_775544D32DCCEA34B3FF2B3C07CC5722_label_en-US" xlink:label="lab_us-gaap_AssetsCurrentAbstract_775544D32DCCEA34B3FF2B3C07CC5722" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Assets, Current [Abstract]</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_AssetsCurrentAbstract" xlink:label="loc_us-gaap_AssetsCurrentAbstract_775544D32DCCEA34B3FF2B3C07CC5722" xlink:type="locator" />
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    <link:label id="lab_us-gaap_CashAndCashEquivalentsAtCarryingValue_C1F503056D059530374D2B3C07CC6E49_terseLabel_en-US" xlink:label="lab_us-gaap_CashAndCashEquivalentsAtCarryingValue_C1F503056D059530374D2B3C07CC6E49" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Cash and cash equivalents</link:label>
    <link:label id="lab_us-gaap_CashAndCashEquivalentsAtCarryingValue_C1F503056D059530374D2B3C07CC6E49_label_en-US" xlink:label="lab_us-gaap_CashAndCashEquivalentsAtCarryingValue_C1F503056D059530374D2B3C07CC6E49" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Cash and Cash Equivalents, at Carrying Value</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_CashAndCashEquivalentsAtCarryingValue" xlink:label="loc_us-gaap_CashAndCashEquivalentsAtCarryingValue_C1F503056D059530374D2B3C07CC6E49" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_CashAndCashEquivalentsAtCarryingValue_C1F503056D059530374D2B3C07CC6E49" xlink:to="lab_us-gaap_CashAndCashEquivalentsAtCarryingValue_C1F503056D059530374D2B3C07CC6E49" xlink:type="arc" />
    <link:label id="lab_us-gaap_AvailableForSaleSecuritiesDebtSecuritiesCurrent_98AE81E7E06763F639272B3C07CDDD93_terseLabel_en-US" xlink:label="lab_us-gaap_AvailableForSaleSecuritiesDebtSecuritiesCurrent_98AE81E7E06763F639272B3C07CDDD93" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Available for sale investments (Note 3a)</link:label>
    <link:label id="lab_us-gaap_AvailableForSaleSecuritiesDebtSecuritiesCurrent_98AE81E7E06763F639272B3C07CDDD93_label_en-US" xlink:label="lab_us-gaap_AvailableForSaleSecuritiesDebtSecuritiesCurrent_98AE81E7E06763F639272B3C07CDDD93" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Available-for-sale Securities, Debt Securities, Current</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_AvailableForSaleSecuritiesDebtSecuritiesCurrent" xlink:label="loc_us-gaap_AvailableForSaleSecuritiesDebtSecuritiesCurrent_98AE81E7E06763F639272B3C07CDDD93" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_AvailableForSaleSecuritiesDebtSecuritiesCurrent_98AE81E7E06763F639272B3C07CDDD93" xlink:to="lab_us-gaap_AvailableForSaleSecuritiesDebtSecuritiesCurrent_98AE81E7E06763F639272B3C07CDDD93" xlink:type="arc" />
    <link:label id="lab_us-gaap_AccountsReceivableNetCurrent_89DB43316B7C5E0664F22B3C07CD6453_terseLabel_en-US" xlink:label="lab_us-gaap_AccountsReceivableNetCurrent_89DB43316B7C5E0664F22B3C07CD6453" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Accounts receivable, net (Note 17)</link:label>
    <link:label id="lab_us-gaap_AccountsReceivableNetCurrent_89DB43316B7C5E0664F22B3C07CD6453_label_en-US" xlink:label="lab_us-gaap_AccountsReceivableNetCurrent_89DB43316B7C5E0664F22B3C07CD6453" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Accounts Receivable, Net, Current</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_AccountsReceivableNetCurrent" xlink:label="loc_us-gaap_AccountsReceivableNetCurrent_89DB43316B7C5E0664F22B3C07CD6453" xlink:type="locator" />
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    <link:label id="lab_us-gaap_ContractWithCustomerAssetNet_BFCB3D54604622237D612B9805A701A1_terseLabel_en-US" xlink:label="lab_us-gaap_ContractWithCustomerAssetNet_BFCB3D54604622237D612B9805A701A1" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Unbilled revenue (Note 17)</link:label>
    <link:label id="lab_us-gaap_ContractWithCustomerAssetNet_BFCB3D54604622237D612B9805A701A1_label_en-US" xlink:label="lab_us-gaap_ContractWithCustomerAssetNet_BFCB3D54604622237D612B9805A701A1" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Contract with Customer, Asset, Net</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_ContractWithCustomerAssetNet" xlink:label="loc_us-gaap_ContractWithCustomerAssetNet_BFCB3D54604622237D612B9805A701A1" xlink:type="locator" />
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    <link:label id="lab_us-gaap_NontradeReceivablesCurrent_0F05AC006702C9A2A0292B3C07CD6618_terseLabel_en-US" xlink:label="lab_us-gaap_NontradeReceivablesCurrent_0F05AC006702C9A2A0292B3C07CD6618" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Other receivables</link:label>
    <link:label id="lab_us-gaap_NontradeReceivablesCurrent_0F05AC006702C9A2A0292B3C07CD6618_label_en-US" xlink:label="lab_us-gaap_NontradeReceivablesCurrent_0F05AC006702C9A2A0292B3C07CD6618" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Nontrade Receivables, Current</link:label>
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    <link:label id="lab_us-gaap_PrepaidExpenseAndOtherAssetsCurrent_E5FE4F876E9C5A1BD49A2B3C07CDF916_terseLabel_en-US" xlink:label="lab_us-gaap_PrepaidExpenseAndOtherAssetsCurrent_E5FE4F876E9C5A1BD49A2B3C07CDF916" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Prepayments and other current assets</link:label>
    <link:label id="lab_us-gaap_PrepaidExpenseAndOtherAssetsCurrent_E5FE4F876E9C5A1BD49A2B3C07CDF916_label_en-US" xlink:label="lab_us-gaap_PrepaidExpenseAndOtherAssetsCurrent_E5FE4F876E9C5A1BD49A2B3C07CDF916" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Prepaid Expense and Other Assets, Current</link:label>
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    <link:label id="lab_us-gaap_IncomeTaxesReceivable_BEB0C9FFB0C96CEAD79D2B3C07CDA6B3_label_en-US" xlink:label="lab_us-gaap_IncomeTaxesReceivable_BEB0C9FFB0C96CEAD79D2B3C07CDA6B3" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Income Taxes Receivable, Current</link:label>
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    <link:label id="lab_us-gaap_IncomeTaxesReceivableNoncurrent_2AD6C26CFC2DE1CAFAB72B3C07CF7F00_terseLabel_en-US" xlink:label="lab_us-gaap_IncomeTaxesReceivableNoncurrent_2AD6C26CFC2DE1CAFAB72B3C07CF7F00" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Non-current income taxes receivable (Note 13)</link:label>
    <link:label id="lab_us-gaap_IncomeTaxesReceivableNoncurrent_2AD6C26CFC2DE1CAFAB72B3C07CF7F00_label_en-US" xlink:label="lab_us-gaap_IncomeTaxesReceivableNoncurrent_2AD6C26CFC2DE1CAFAB72B3C07CF7F00" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Income Taxes Receivable, Noncurrent</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_IncomeTaxesReceivableNoncurrent" xlink:label="loc_us-gaap_IncomeTaxesReceivableNoncurrent_2AD6C26CFC2DE1CAFAB72B3C07CF7F00" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_IncomeTaxesReceivableNoncurrent_2AD6C26CFC2DE1CAFAB72B3C07CF7F00" xlink:to="lab_us-gaap_IncomeTaxesReceivableNoncurrent_2AD6C26CFC2DE1CAFAB72B3C07CF7F00" xlink:type="arc" />
    <link:label id="lab_us-gaap_DeferredIncomeTaxAssetsNet_8BA6140A4D3F004D5A8F2B3C07CFBCC3_terseLabel_en-US" xlink:label="lab_us-gaap_DeferredIncomeTaxAssetsNet_8BA6140A4D3F004D5A8F2B3C07CFBCC3" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Non-current deferred tax asset (Note 13)</link:label>
    <link:label id="lab_us-gaap_DeferredIncomeTaxAssetsNet_8BA6140A4D3F004D5A8F2B3C07CFBCC3_label_en-US" xlink:label="lab_us-gaap_DeferredIncomeTaxAssetsNet_8BA6140A4D3F004D5A8F2B3C07CFBCC3" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Deferred Income Tax Assets, Net</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_DeferredIncomeTaxAssetsNet" xlink:label="loc_us-gaap_DeferredIncomeTaxAssetsNet_8BA6140A4D3F004D5A8F2B3C07CFBCC3" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_DeferredIncomeTaxAssetsNet_8BA6140A4D3F004D5A8F2B3C07CFBCC3" xlink:to="lab_us-gaap_DeferredIncomeTaxAssetsNet_8BA6140A4D3F004D5A8F2B3C07CFBCC3" xlink:type="arc" />
    <link:label id="lab_iclr_EquitySecuritiesFVNI_3E57B5EC48EAFDFB21D82B3C07CF732B_terseLabel_en-US" xlink:label="lab_iclr_EquitySecuritiesFVNI_3E57B5EC48EAFDFB21D82B3C07CF732B" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Investments in equity- long term (Note 3b)</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_EquitySecuritiesFVNI" xlink:label="loc_iclr_EquitySecuritiesFVNI_3E57B5EC48EAFDFB21D82B3C07CF732B" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_iclr_EquitySecuritiesFVNI_3E57B5EC48EAFDFB21D82B3C07CF732B" xlink:to="lab_iclr_EquitySecuritiesFVNI_3E57B5EC48EAFDFB21D82B3C07CF732B" xlink:type="arc" />
    <link:label id="lab_us-gaap_FiniteLivedIntangibleAssetsNet_AD5AA3B4B717A8C6D5A22B3C07CF94A3_terseLabel_en-US" xlink:label="lab_us-gaap_FiniteLivedIntangibleAssetsNet_AD5AA3B4B717A8C6D5A22B3C07CF94A3" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Intangible assets (Note 5)</link:label>
    <link:label id="lab_us-gaap_FiniteLivedIntangibleAssetsNet_AD5AA3B4B717A8C6D5A22B3C07CF94A3_label_en-US" xlink:label="lab_us-gaap_FiniteLivedIntangibleAssetsNet_AD5AA3B4B717A8C6D5A22B3C07CF94A3" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Finite-Lived Intangible Assets, Net</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsNet" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsNet_AD5AA3B4B717A8C6D5A22B3C07CF94A3" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsNet_AD5AA3B4B717A8C6D5A22B3C07CF94A3" xlink:to="lab_us-gaap_FiniteLivedIntangibleAssetsNet_AD5AA3B4B717A8C6D5A22B3C07CF94A3" xlink:type="arc" />
    <link:label id="lab_us-gaap_Assets_60E15FFA4F242D4A5B0F2B3C07CFB916_totalLabel_en-US" xlink:label="lab_us-gaap_Assets_60E15FFA4F242D4A5B0F2B3C07CFB916" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xlink:type="resource" xml:lang="en-US">Total Assets</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_Assets" xlink:label="loc_us-gaap_Assets_60E15FFA4F242D4A5B0F2B3C07CFB916" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_Assets_60E15FFA4F242D4A5B0F2B3C07CFB916" xlink:to="lab_us-gaap_Assets_60E15FFA4F242D4A5B0F2B3C07CFB916" xlink:type="arc" />
    <link:label id="lab_us-gaap_LiabilitiesAndStockholdersEquityAbstract_6B8C103F62A3E85AD7FC2B3C07D0309F_terseLabel_en-US" xlink:label="lab_us-gaap_LiabilitiesAndStockholdersEquityAbstract_6B8C103F62A3E85AD7FC2B3C07D0309F" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">LIABILITIES AND SHAREHOLDERS' EQUITY</link:label>
    <link:label id="lab_us-gaap_LiabilitiesAndStockholdersEquityAbstract_6B8C103F62A3E85AD7FC2B3C07D0309F_label_en-US" xlink:label="lab_us-gaap_LiabilitiesAndStockholdersEquityAbstract_6B8C103F62A3E85AD7FC2B3C07D0309F" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Liabilities and Equity [Abstract]</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_LiabilitiesAndStockholdersEquityAbstract" xlink:label="loc_us-gaap_LiabilitiesAndStockholdersEquityAbstract_6B8C103F62A3E85AD7FC2B3C07D0309F" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_LiabilitiesAndStockholdersEquityAbstract_6B8C103F62A3E85AD7FC2B3C07D0309F" xlink:to="lab_us-gaap_LiabilitiesAndStockholdersEquityAbstract_6B8C103F62A3E85AD7FC2B3C07D0309F" xlink:type="arc" />
    <link:label id="lab_us-gaap_LiabilitiesCurrentAbstract_622EA37A2BDF2D3C3EDE2B3C07D0324C_terseLabel_en-US" xlink:label="lab_us-gaap_LiabilitiesCurrentAbstract_622EA37A2BDF2D3C3EDE2B3C07D0324C" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Current Liabilities:</link:label>
    <link:label id="lab_us-gaap_LiabilitiesCurrentAbstract_622EA37A2BDF2D3C3EDE2B3C07D0324C_label_en-US" xlink:label="lab_us-gaap_LiabilitiesCurrentAbstract_622EA37A2BDF2D3C3EDE2B3C07D0324C" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Liabilities, Current [Abstract]</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_LiabilitiesCurrentAbstract" xlink:label="loc_us-gaap_LiabilitiesCurrentAbstract_622EA37A2BDF2D3C3EDE2B3C07D0324C" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_LiabilitiesCurrentAbstract_622EA37A2BDF2D3C3EDE2B3C07D0324C" xlink:to="lab_us-gaap_LiabilitiesCurrentAbstract_622EA37A2BDF2D3C3EDE2B3C07D0324C" xlink:type="arc" />
    <link:label id="lab_us-gaap_AccountsPayableCurrent_7F73F00A64376D343BC42B3C07D00B4B_terseLabel_en-US" xlink:label="lab_us-gaap_AccountsPayableCurrent_7F73F00A64376D343BC42B3C07D00B4B" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Accounts payable</link:label>
    <link:label id="lab_us-gaap_AccountsPayableCurrent_7F73F00A64376D343BC42B3C07D00B4B_label_en-US" xlink:label="lab_us-gaap_AccountsPayableCurrent_7F73F00A64376D343BC42B3C07D00B4B" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Accounts Payable, Current</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_AccountsPayableCurrent" xlink:label="loc_us-gaap_AccountsPayableCurrent_7F73F00A64376D343BC42B3C07D00B4B" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_AccountsPayableCurrent_7F73F00A64376D343BC42B3C07D00B4B" xlink:to="lab_us-gaap_AccountsPayableCurrent_7F73F00A64376D343BC42B3C07D00B4B" xlink:type="arc" />
    <link:label id="lab_us-gaap_ContractWithCustomerLiabilityCurrent_1F9768176218184881C12B3C07D0D722_terseLabel_en-US" xlink:label="lab_us-gaap_ContractWithCustomerLiabilityCurrent_1F9768176218184881C12B3C07D0D722" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Payments on account (Note 17)</link:label>
    <link:label id="lab_us-gaap_ContractWithCustomerLiabilityCurrent_1F9768176218184881C12B3C07D0D722_label_en-US" xlink:label="lab_us-gaap_ContractWithCustomerLiabilityCurrent_1F9768176218184881C12B3C07D0D722" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Contract with Customer, Liability, Current</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_ContractWithCustomerLiabilityCurrent" xlink:label="loc_us-gaap_ContractWithCustomerLiabilityCurrent_1F9768176218184881C12B3C07D0D722" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_ContractWithCustomerLiabilityCurrent_1F9768176218184881C12B3C07D0D722" xlink:to="lab_us-gaap_ContractWithCustomerLiabilityCurrent_1F9768176218184881C12B3C07D0D722" xlink:type="arc" />
    <link:label id="lab_us-gaap_OtherLiabilitiesCurrent_B5EF9287C41822C025062B3C07D097CF_terseLabel_en-US" xlink:label="lab_us-gaap_OtherLiabilitiesCurrent_B5EF9287C41822C025062B3C07D097CF" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Other liabilities (Note 7)</link:label>
    <link:label id="lab_us-gaap_OtherLiabilitiesCurrent_B5EF9287C41822C025062B3C07D097CF_label_en-US" xlink:label="lab_us-gaap_OtherLiabilitiesCurrent_B5EF9287C41822C025062B3C07D097CF" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Other Liabilities, Current</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_OtherLiabilitiesCurrent" xlink:label="loc_us-gaap_OtherLiabilitiesCurrent_B5EF9287C41822C025062B3C07D097CF" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_OtherLiabilitiesCurrent_B5EF9287C41822C025062B3C07D097CF" xlink:to="lab_us-gaap_OtherLiabilitiesCurrent_B5EF9287C41822C025062B3C07D097CF" xlink:type="arc" />
    <link:label id="lab_us-gaap_AccruedIncomeTaxesCurrent_BDA0C8AC5994C05847F62B3C07D1D208_terseLabel_en-US" xlink:label="lab_us-gaap_AccruedIncomeTaxesCurrent_BDA0C8AC5994C05847F62B3C07D1D208" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Income taxes payable (Note 13)</link:label>
    <link:label id="lab_us-gaap_AccruedIncomeTaxesCurrent_BDA0C8AC5994C05847F62B3C07D1D208_label_en-US" xlink:label="lab_us-gaap_AccruedIncomeTaxesCurrent_BDA0C8AC5994C05847F62B3C07D1D208" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Accrued Income Taxes, Current</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_AccruedIncomeTaxesCurrent" xlink:label="loc_us-gaap_AccruedIncomeTaxesCurrent_BDA0C8AC5994C05847F62B3C07D1D208" xlink:type="locator" />
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    <link:label id="lab_us-gaap_LiabilitiesCurrent_71768E9F16765B2D60C72B3C07D1AFDE_totalLabel_en-US" xlink:label="lab_us-gaap_LiabilitiesCurrent_71768E9F16765B2D60C72B3C07D1AFDE" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xlink:type="resource" xml:lang="en-US">Total current liabilities</link:label>
    <link:label id="lab_us-gaap_LiabilitiesCurrent_71768E9F16765B2D60C72B3C07D1AFDE_label_en-US" xlink:label="lab_us-gaap_LiabilitiesCurrent_71768E9F16765B2D60C72B3C07D1AFDE" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Liabilities, Current</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_LiabilitiesCurrent" xlink:label="loc_us-gaap_LiabilitiesCurrent_71768E9F16765B2D60C72B3C07D1AFDE" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_LiabilitiesCurrent_71768E9F16765B2D60C72B3C07D1AFDE" xlink:to="lab_us-gaap_LiabilitiesCurrent_71768E9F16765B2D60C72B3C07D1AFDE" xlink:type="arc" />
    <link:label id="lab_us-gaap_LiabilitiesNoncurrentAbstract_F06B1FBF008111A0FF7D2B3C07D1F82F_terseLabel_en-US" xlink:label="lab_us-gaap_LiabilitiesNoncurrentAbstract_F06B1FBF008111A0FF7D2B3C07D1F82F" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Other Liabilities:</link:label>
    <link:label id="lab_us-gaap_LiabilitiesNoncurrentAbstract_F06B1FBF008111A0FF7D2B3C07D1F82F_label_en-US" xlink:label="lab_us-gaap_LiabilitiesNoncurrentAbstract_F06B1FBF008111A0FF7D2B3C07D1F82F" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Liabilities, Noncurrent [Abstract]</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_LiabilitiesNoncurrentAbstract" xlink:label="loc_us-gaap_LiabilitiesNoncurrentAbstract_F06B1FBF008111A0FF7D2B3C07D1F82F" xlink:type="locator" />
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    <link:label id="lab_us-gaap_LongTermLineOfCredit_E0119CE1121D059AF29F2B3C07D154E0_verboseLabel_en-US" xlink:label="lab_us-gaap_LongTermLineOfCredit_E0119CE1121D059AF29F2B3C07D154E0" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:type="resource" xml:lang="en-US">Non-current bank credit lines and loan facilities (Note 22)</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_LongTermLineOfCredit" xlink:label="loc_us-gaap_LongTermLineOfCredit_E0119CE1121D059AF29F2B3C07D154E0" xlink:type="locator" />
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    <link:label id="lab_us-gaap_OtherLiabilitiesNoncurrent_91BB66A2F14DC71B01BB2B3C07D25E0B_label_en-US" xlink:label="lab_us-gaap_OtherLiabilitiesNoncurrent_91BB66A2F14DC71B01BB2B3C07D25E0B" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Other Liabilities, Noncurrent</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_OtherLiabilitiesNoncurrent" xlink:label="loc_us-gaap_OtherLiabilitiesNoncurrent_91BB66A2F14DC71B01BB2B3C07D25E0B" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_OtherLiabilitiesNoncurrent_91BB66A2F14DC71B01BB2B3C07D25E0B" xlink:to="lab_us-gaap_OtherLiabilitiesNoncurrent_91BB66A2F14DC71B01BB2B3C07D25E0B" xlink:type="arc" />
    <link:label id="lab_iclr_CapitalGovernmentGrantsNoncurrent_5CE84A3B6D8381412C2D2B3C07D28304_verboseLabel_en-US" xlink:label="lab_iclr_CapitalGovernmentGrantsNoncurrent_5CE84A3B6D8381412C2D2B3C07D28304" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:type="resource" xml:lang="en-US">Non-current government grants (Note 11)</link:label>
    <link:label id="lab_iclr_CapitalGovernmentGrantsNoncurrent_5CE84A3B6D8381412C2D2B3C07D28304_label_en-US" xlink:label="lab_iclr_CapitalGovernmentGrantsNoncurrent_5CE84A3B6D8381412C2D2B3C07D28304" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Capital Government Grants Noncurrent</link:label>
    <link:label id="lab_iclr_CapitalGovernmentGrantsNoncurrent_5CE84A3B6D8381412C2D2B3C07D28304_documentation_en-US" xlink:label="lab_iclr_CapitalGovernmentGrantsNoncurrent_5CE84A3B6D8381412C2D2B3C07D28304" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Noncurrent capital government grants, which are amortized and recognized in earnings over the grant period.</link:label>
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    <link:label id="lab_iclr_TradeNameandBrandsMember_B1F258C3E0A2A21490BB2CAA4A8095E7_terseLabel_en-US" xlink:label="lab_iclr_TradeNameandBrandsMember_B1F258C3E0A2A21490BB2CAA4A8095E7" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Trade names/ brands acquired</link:label>
    <link:label id="lab_iclr_TradeNameandBrandsMember_B1F258C3E0A2A21490BB2CAA4A8095E7_label_en-US" xlink:label="lab_iclr_TradeNameandBrandsMember_B1F258C3E0A2A21490BB2CAA4A8095E7" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Trade Name and Brands [Member]</link:label>
    <link:label id="lab_iclr_TradeNameandBrandsMember_B1F258C3E0A2A21490BB2CAA4A8095E7_documentation_en-US" xlink:label="lab_iclr_TradeNameandBrandsMember_B1F258C3E0A2A21490BB2CAA4A8095E7" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Trade Name and Brands [Member]</link:label>
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    <link:label id="lab_iclr_MapiintangibleassetMember_D042151724F07159121A2CAA4A812F9F_terseLabel_en-US" xlink:label="lab_iclr_MapiintangibleassetMember_D042151724F07159121A2CAA4A812F9F" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Mapi intangible asset</link:label>
    <link:label id="lab_iclr_MapiintangibleassetMember_D042151724F07159121A2CAA4A812F9F_label_en-US" xlink:label="lab_iclr_MapiintangibleassetMember_D042151724F07159121A2CAA4A812F9F" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Mapi intangible asset [Member]</link:label>
    <link:label id="lab_iclr_MapiintangibleassetMember_D042151724F07159121A2CAA4A812F9F_documentation_en-US" xlink:label="lab_iclr_MapiintangibleassetMember_D042151724F07159121A2CAA4A812F9F" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Mapi intangible asset [Member]</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_MapiintangibleassetMember" xlink:label="loc_iclr_MapiintangibleassetMember_D042151724F07159121A2CAA4A812F9F" xlink:type="locator" />
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    <link:label id="lab_us-gaap_AcquiredFiniteLivedIntangibleAssetsLineItems_E598D21727631C2CFB2F2CAA4A81FBD2_label_en-US" xlink:label="lab_us-gaap_AcquiredFiniteLivedIntangibleAssetsLineItems_E598D21727631C2CFB2F2CAA4A81FBD2" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Acquired Finite-Lived Intangible Assets [Line Items]</link:label>
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    <link:label id="lab_us-gaap_FiniteLivedIntangibleAssetsNetAbstract_52BB1E24CB7E138883982CAA4A819257_label_en-US" xlink:label="lab_us-gaap_FiniteLivedIntangibleAssetsNetAbstract_52BB1E24CB7E138883982CAA4A819257" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Finite-Lived Intangible Assets, Net [Abstract]</link:label>
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    <link:label id="lab_iclr_FiniteLivedIntangibleAssetsForeignExchangeMovement_14E82CBF7493767DBCD22CAA4A81D4EE_terseLabel_en-US" xlink:label="lab_iclr_FiniteLivedIntangibleAssetsForeignExchangeMovement_14E82CBF7493767DBCD22CAA4A81D4EE" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Foreign exchange movement</link:label>
    <link:label id="lab_iclr_FiniteLivedIntangibleAssetsForeignExchangeMovement_14E82CBF7493767DBCD22CAA4A81D4EE_label_en-US" xlink:label="lab_iclr_FiniteLivedIntangibleAssetsForeignExchangeMovement_14E82CBF7493767DBCD22CAA4A81D4EE" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Finite Lived Intangible Assets Foreign Exchange Movement</link:label>
    <link:label id="lab_iclr_FiniteLivedIntangibleAssetsForeignExchangeMovement_14E82CBF7493767DBCD22CAA4A81D4EE_documentation_en-US" xlink:label="lab_iclr_FiniteLivedIntangibleAssetsForeignExchangeMovement_14E82CBF7493767DBCD22CAA4A81D4EE" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Finite Lived Intangible Assets Foreign Exchange Movement</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_FiniteLivedIntangibleAssetsForeignExchangeMovement" xlink:label="loc_iclr_FiniteLivedIntangibleAssetsForeignExchangeMovement_14E82CBF7493767DBCD22CAA4A81D4EE" xlink:type="locator" />
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    <link:label id="lab_iclr_FiniteLivedIntangibleAssetsAccumulatedAmortizationsForeignExchangeMovement_E1D6CC19A85A9EB0CD2A2CAA4A82FAED_negatedLabel_en-US" xlink:label="lab_iclr_FiniteLivedIntangibleAssetsAccumulatedAmortizationsForeignExchangeMovement_E1D6CC19A85A9EB0CD2A2CAA4A82FAED" xlink:role="http://www.xbrl.org/2009/role/negatedLabel" xlink:type="resource" xml:lang="en-US">Foreign exchange movement</link:label>
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    <link:label id="lab_iclr_FiniteLivedIntangibleAssetsAccumulatedAmortizationsForeignExchangeMovement_E1D6CC19A85A9EB0CD2A2CAA4A82FAED_documentation_en-US" xlink:label="lab_iclr_FiniteLivedIntangibleAssetsAccumulatedAmortizationsForeignExchangeMovement_E1D6CC19A85A9EB0CD2A2CAA4A82FAED" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Finite Lived Intangible Assets Accumulated Amortizations Foreign Exchange Movement</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_FiniteLivedIntangibleAssetsAccumulatedAmortizationsForeignExchangeMovement" xlink:label="loc_iclr_FiniteLivedIntangibleAssetsAccumulatedAmortizationsForeignExchangeMovement_E1D6CC19A85A9EB0CD2A2CAA4A82FAED" xlink:type="locator" />
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    <link:label id="lab_us-gaap_FiniteLivedIntangibleAssetsNet_FC18D441730DF7CCABE12CAA4A829E0A_totalLabel_en-US" xlink:label="lab_us-gaap_FiniteLivedIntangibleAssetsNet_FC18D441730DF7CCABE12CAA4A829E0A" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xlink:type="resource" xml:lang="en-US">Net book value</link:label>
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    <link:label id="lab_us-gaap_Land_006DEA84B9B0BB3C53ED0D235BACFD4F_terseLabel_en-US" xlink:label="lab_us-gaap_Land_006DEA84B9B0BB3C53ED0D235BACFD4F" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Land</link:label>
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    <link:label id="lab_us-gaap_BuildingsAndImprovementsGross_B9848FD4EDEAB0B6F5150D235BAC6EC7_terseLabel_en-US" xlink:label="lab_us-gaap_BuildingsAndImprovementsGross_B9848FD4EDEAB0B6F5150D235BAC6EC7" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Building</link:label>
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    <link:label id="lab_us-gaap_CapitalizedComputerSoftwareGross_3D4F3612A73AE8222CFD0D235BAD9182_terseLabel_en-US" xlink:label="lab_us-gaap_CapitalizedComputerSoftwareGross_3D4F3612A73AE8222CFD0D235BAD9182" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Computer equipment and software</link:label>
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    <link:label id="lab_us-gaap_FurnitureAndFixturesGross_0006E883D1B667FAC61D0D235BADBE2A_terseLabel_en-US" xlink:label="lab_us-gaap_FurnitureAndFixturesGross_0006E883D1B667FAC61D0D235BADBE2A" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Office furniture and fixtures</link:label>
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    <link:label id="lab_iclr_Range3Member_4EEC0235A84A68752A0B0D235AE383F1_documentation_en-US" xlink:label="lab_iclr_Range3Member_4EEC0235A84A68752A0B0D235AE383F1" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Range 3 [Member]</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_Range3Member" xlink:label="loc_iclr_Range3Member_4EEC0235A84A68752A0B0D235AE383F1" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_iclr_Range3Member_4EEC0235A84A68752A0B0D235AE383F1" xlink:to="lab_iclr_Range3Member_4EEC0235A84A68752A0B0D235AE383F1" xlink:type="arc" />
    <link:label id="lab_iclr_Range4Member_118C0843D774FD50A0D90D235AE30C8B_terseLabel_en-US" xlink:label="lab_iclr_Range4Member_118C0843D774FD50A0D90D235AE30C8B" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Range 4</link:label>
    <link:label id="lab_iclr_Range4Member_118C0843D774FD50A0D90D235AE30C8B_label_en-US" xlink:label="lab_iclr_Range4Member_118C0843D774FD50A0D90D235AE30C8B" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Range 4 [Member]</link:label>
    <link:label id="lab_iclr_Range4Member_118C0843D774FD50A0D90D235AE30C8B_documentation_en-US" xlink:label="lab_iclr_Range4Member_118C0843D774FD50A0D90D235AE30C8B" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Range 4 [Member]</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_Range4Member" xlink:label="loc_iclr_Range4Member_118C0843D774FD50A0D90D235AE30C8B" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_iclr_Range4Member_118C0843D774FD50A0D90D235AE30C8B" xlink:to="lab_iclr_Range4Member_118C0843D774FD50A0D90D235AE30C8B" xlink:type="arc" />
    <link:label id="lab_iclr_Range5Member_FA542C559CCA30C4EA1F0D235AE36506_terseLabel_en-US" xlink:label="lab_iclr_Range5Member_FA542C559CCA30C4EA1F0D235AE36506" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Range 5</link:label>
    <link:label id="lab_iclr_Range5Member_FA542C559CCA30C4EA1F0D235AE36506_label_en-US" xlink:label="lab_iclr_Range5Member_FA542C559CCA30C4EA1F0D235AE36506" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Range 5 [Member]</link:label>
    <link:label id="lab_iclr_Range5Member_FA542C559CCA30C4EA1F0D235AE36506_documentation_en-US" xlink:label="lab_iclr_Range5Member_FA542C559CCA30C4EA1F0D235AE36506" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Range 5 [Member]</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_Range5Member" xlink:label="loc_iclr_Range5Member_FA542C559CCA30C4EA1F0D235AE36506" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_iclr_Range5Member_FA542C559CCA30C4EA1F0D235AE36506" xlink:to="lab_iclr_Range5Member_FA542C559CCA30C4EA1F0D235AE36506" xlink:type="arc" />
    <link:label id="lab_iclr_Range6Member_E8C693D7CA8F834AF30A0D235AE3AE3C_terseLabel_en-US" xlink:label="lab_iclr_Range6Member_E8C693D7CA8F834AF30A0D235AE3AE3C" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Range 6</link:label>
    <link:label id="lab_iclr_Range6Member_E8C693D7CA8F834AF30A0D235AE3AE3C_label_en-US" xlink:label="lab_iclr_Range6Member_E8C693D7CA8F834AF30A0D235AE3AE3C" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Range 6 [Member]</link:label>
    <link:label id="lab_iclr_Range6Member_E8C693D7CA8F834AF30A0D235AE3AE3C_documentation_en-US" xlink:label="lab_iclr_Range6Member_E8C693D7CA8F834AF30A0D235AE3AE3C" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Range 6 [Member]</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_Range6Member" xlink:label="loc_iclr_Range6Member_E8C693D7CA8F834AF30A0D235AE3AE3C" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_iclr_Range6Member_E8C693D7CA8F834AF30A0D235AE3AE3C" xlink:to="lab_iclr_Range6Member_E8C693D7CA8F834AF30A0D235AE3AE3C" xlink:type="arc" />
    <link:label id="lab_iclr_Range7Member_9EDE57084EDADEBE44B50D235AE342F5_terseLabel_en-US" xlink:label="lab_iclr_Range7Member_9EDE57084EDADEBE44B50D235AE342F5" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Range 7</link:label>
    <link:label id="lab_iclr_Range7Member_9EDE57084EDADEBE44B50D235AE342F5_label_en-US" xlink:label="lab_iclr_Range7Member_9EDE57084EDADEBE44B50D235AE342F5" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Range 7 [Member]</link:label>
    <link:label id="lab_iclr_Range7Member_9EDE57084EDADEBE44B50D235AE342F5_documentation_en-US" xlink:label="lab_iclr_Range7Member_9EDE57084EDADEBE44B50D235AE342F5" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Range 7 [Member]</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_Range7Member" xlink:label="loc_iclr_Range7Member_9EDE57084EDADEBE44B50D235AE342F5" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_iclr_Range7Member_9EDE57084EDADEBE44B50D235AE342F5" xlink:to="lab_iclr_Range7Member_9EDE57084EDADEBE44B50D235AE342F5" xlink:type="arc" />
    <link:label id="lab_iclr_Range8Member_C6319BB32767C58729CA0D235AE35F28_terseLabel_en-US" xlink:label="lab_iclr_Range8Member_C6319BB32767C58729CA0D235AE35F28" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Range 8</link:label>
    <link:label id="lab_iclr_Range8Member_C6319BB32767C58729CA0D235AE35F28_label_en-US" xlink:label="lab_iclr_Range8Member_C6319BB32767C58729CA0D235AE35F28" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Range 8 [Member]</link:label>
    <link:label id="lab_iclr_Range8Member_C6319BB32767C58729CA0D235AE35F28_documentation_en-US" xlink:label="lab_iclr_Range8Member_C6319BB32767C58729CA0D235AE35F28" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Range 8 [Member]</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_Range8Member" xlink:label="loc_iclr_Range8Member_C6319BB32767C58729CA0D235AE35F28" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_iclr_Range8Member_C6319BB32767C58729CA0D235AE35F28" xlink:to="lab_iclr_Range8Member_C6319BB32767C58729CA0D235AE35F28" xlink:type="arc" />
    <link:label id="lab_iclr_Range9Member_AE34B07342F60B01DAA80D235AE4FC22_terseLabel_en-US" xlink:label="lab_iclr_Range9Member_AE34B07342F60B01DAA80D235AE4FC22" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Range 9</link:label>
    <link:label id="lab_iclr_Range9Member_AE34B07342F60B01DAA80D235AE4FC22_label_en-US" xlink:label="lab_iclr_Range9Member_AE34B07342F60B01DAA80D235AE4FC22" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Range 9 [Member]</link:label>
    <link:label id="lab_iclr_Range9Member_AE34B07342F60B01DAA80D235AE4FC22_documentation_en-US" xlink:label="lab_iclr_Range9Member_AE34B07342F60B01DAA80D235AE4FC22" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Range 9 [Member]</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_Range9Member" xlink:label="loc_iclr_Range9Member_AE34B07342F60B01DAA80D235AE4FC22" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_iclr_Range9Member_AE34B07342F60B01DAA80D235AE4FC22" xlink:to="lab_iclr_Range9Member_AE34B07342F60B01DAA80D235AE4FC22" xlink:type="arc" />
    <link:label id="lab_iclr_Range10Member_F6A8FF6C1756D048871C0D235AE4385A_terseLabel_en-US" xlink:label="lab_iclr_Range10Member_F6A8FF6C1756D048871C0D235AE4385A" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Range 10</link:label>
    <link:label id="lab_iclr_Range10Member_F6A8FF6C1756D048871C0D235AE4385A_label_en-US" xlink:label="lab_iclr_Range10Member_F6A8FF6C1756D048871C0D235AE4385A" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Range 10 [Member]</link:label>
    <link:label id="lab_iclr_Range10Member_F6A8FF6C1756D048871C0D235AE4385A_documentation_en-US" xlink:label="lab_iclr_Range10Member_F6A8FF6C1756D048871C0D235AE4385A" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Range 10 [Member]</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_Range10Member" xlink:label="loc_iclr_Range10Member_F6A8FF6C1756D048871C0D235AE4385A" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_iclr_Range10Member_F6A8FF6C1756D048871C0D235AE4385A" xlink:to="lab_iclr_Range10Member_F6A8FF6C1756D048871C0D235AE4385A" xlink:type="arc" />
    <link:label id="lab_iclr_Range11Member_20B7D8F6210841A9AE840D235AE4DE6E_terseLabel_en-US" xlink:label="lab_iclr_Range11Member_20B7D8F6210841A9AE840D235AE4DE6E" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Range 11</link:label>
    <link:label id="lab_iclr_Range11Member_20B7D8F6210841A9AE840D235AE4DE6E_label_en-US" xlink:label="lab_iclr_Range11Member_20B7D8F6210841A9AE840D235AE4DE6E" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Range 11 [Member]</link:label>
    <link:label id="lab_iclr_Range11Member_20B7D8F6210841A9AE840D235AE4DE6E_documentation_en-US" xlink:label="lab_iclr_Range11Member_20B7D8F6210841A9AE840D235AE4DE6E" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Range 11 [Member]</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_Range11Member" xlink:label="loc_iclr_Range11Member_20B7D8F6210841A9AE840D235AE4DE6E" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_iclr_Range11Member_20B7D8F6210841A9AE840D235AE4DE6E" xlink:to="lab_iclr_Range11Member_20B7D8F6210841A9AE840D235AE4DE6E" xlink:type="arc" />
    <link:label id="lab_iclr_Range12Member_E8C2ABACF751E1DD58620D235AE40456_terseLabel_en-US" xlink:label="lab_iclr_Range12Member_E8C2ABACF751E1DD58620D235AE40456" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Range 12</link:label>
    <link:label id="lab_iclr_Range12Member_E8C2ABACF751E1DD58620D235AE40456_label_en-US" xlink:label="lab_iclr_Range12Member_E8C2ABACF751E1DD58620D235AE40456" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Range 12 [Member]</link:label>
    <link:label id="lab_iclr_Range12Member_E8C2ABACF751E1DD58620D235AE40456_documentation_en-US" xlink:label="lab_iclr_Range12Member_E8C2ABACF751E1DD58620D235AE40456" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Range 12 [Member]</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_Range12Member" xlink:label="loc_iclr_Range12Member_E8C2ABACF751E1DD58620D235AE40456" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_iclr_Range12Member_E8C2ABACF751E1DD58620D235AE40456" xlink:to="lab_iclr_Range12Member_E8C2ABACF751E1DD58620D235AE40456" xlink:type="arc" />
    <link:label id="lab_iclr_Range13Member_785DBF9531371BBDCA5F0D235AE43F00_terseLabel_en-US" xlink:label="lab_iclr_Range13Member_785DBF9531371BBDCA5F0D235AE43F00" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Range 13</link:label>
    <link:label id="lab_iclr_Range13Member_785DBF9531371BBDCA5F0D235AE43F00_label_en-US" xlink:label="lab_iclr_Range13Member_785DBF9531371BBDCA5F0D235AE43F00" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Range 13 [Member]</link:label>
    <link:label id="lab_iclr_Range13Member_785DBF9531371BBDCA5F0D235AE43F00_documentation_en-US" xlink:label="lab_iclr_Range13Member_785DBF9531371BBDCA5F0D235AE43F00" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Range 13 [Member]</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_Range13Member" xlink:label="loc_iclr_Range13Member_785DBF9531371BBDCA5F0D235AE43F00" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_iclr_Range13Member_785DBF9531371BBDCA5F0D235AE43F00" xlink:to="lab_iclr_Range13Member_785DBF9531371BBDCA5F0D235AE43F00" xlink:type="arc" />
    <link:label id="lab_iclr_Range14Member_1CEB88348C2E012D63BB0D235AE47D6A_terseLabel_en-US" xlink:label="lab_iclr_Range14Member_1CEB88348C2E012D63BB0D235AE47D6A" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Range 14</link:label>
    <link:label id="lab_iclr_Range14Member_1CEB88348C2E012D63BB0D235AE47D6A_label_en-US" xlink:label="lab_iclr_Range14Member_1CEB88348C2E012D63BB0D235AE47D6A" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Range 14 [Member]</link:label>
    <link:label id="lab_iclr_Range14Member_1CEB88348C2E012D63BB0D235AE47D6A_documentation_en-US" xlink:label="lab_iclr_Range14Member_1CEB88348C2E012D63BB0D235AE47D6A" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Range 14 [Member]</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_Range14Member" xlink:label="loc_iclr_Range14Member_1CEB88348C2E012D63BB0D235AE47D6A" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_iclr_Range14Member_1CEB88348C2E012D63BB0D235AE47D6A" xlink:to="lab_iclr_Range14Member_1CEB88348C2E012D63BB0D235AE47D6A" xlink:type="arc" />
    <link:label id="lab_iclr_Range15Member_E9B9C6A6635D840E4F2E0D235AE472D9_terseLabel_en-US" xlink:label="lab_iclr_Range15Member_E9B9C6A6635D840E4F2E0D235AE472D9" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Range 15</link:label>
    <link:label id="lab_iclr_Range15Member_E9B9C6A6635D840E4F2E0D235AE472D9_label_en-US" xlink:label="lab_iclr_Range15Member_E9B9C6A6635D840E4F2E0D235AE472D9" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Range 15 [Member]</link:label>
    <link:label id="lab_iclr_Range15Member_E9B9C6A6635D840E4F2E0D235AE472D9_documentation_en-US" xlink:label="lab_iclr_Range15Member_E9B9C6A6635D840E4F2E0D235AE472D9" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Range 15 [Member]</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_Range15Member" xlink:label="loc_iclr_Range15Member_E9B9C6A6635D840E4F2E0D235AE472D9" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_iclr_Range15Member_E9B9C6A6635D840E4F2E0D235AE472D9" xlink:to="lab_iclr_Range15Member_E9B9C6A6635D840E4F2E0D235AE472D9" xlink:type="arc" />
    <link:label id="lab_iclr_Range16Member_983B3A866A161CC0A3710D235AE54AC8_terseLabel_en-US" xlink:label="lab_iclr_Range16Member_983B3A866A161CC0A3710D235AE54AC8" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Range 16</link:label>
    <link:label id="lab_iclr_Range16Member_983B3A866A161CC0A3710D235AE54AC8_label_en-US" xlink:label="lab_iclr_Range16Member_983B3A866A161CC0A3710D235AE54AC8" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Range 16 [Member]</link:label>
    <link:label id="lab_iclr_Range16Member_983B3A866A161CC0A3710D235AE54AC8_documentation_en-US" xlink:label="lab_iclr_Range16Member_983B3A866A161CC0A3710D235AE54AC8" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Range 16 [Member]</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_Range16Member" xlink:label="loc_iclr_Range16Member_983B3A866A161CC0A3710D235AE54AC8" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_iclr_Range16Member_983B3A866A161CC0A3710D235AE54AC8" xlink:to="lab_iclr_Range16Member_983B3A866A161CC0A3710D235AE54AC8" xlink:type="arc" />
    <link:label id="lab_iclr_Range17Member_10B5852DCB7CF74737220D235AE58742_terseLabel_en-US" xlink:label="lab_iclr_Range17Member_10B5852DCB7CF74737220D235AE58742" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Range 17</link:label>
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    <link:label id="lab_us-gaap_EmployeeRelatedLiabilitiesCurrent_261F59CFC929DE56D29535A1049F0DC7_terseLabel_en-US" xlink:label="lab_us-gaap_EmployeeRelatedLiabilitiesCurrent_261F59CFC929DE56D29535A1049F0DC7" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Personnel related liabilities</link:label>
    <link:label id="lab_us-gaap_EmployeeRelatedLiabilitiesCurrent_261F59CFC929DE56D29535A1049F0DC7_label_en-US" xlink:label="lab_us-gaap_EmployeeRelatedLiabilitiesCurrent_261F59CFC929DE56D29535A1049F0DC7" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Employee-related Liabilities, Current</link:label>
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    <link:label id="lab_us-gaap_OtherSundryLiabilitiesCurrent_17B87EC9C6BB1785855B35A104A2A85F_label_en-US" xlink:label="lab_us-gaap_OtherSundryLiabilitiesCurrent_17B87EC9C6BB1785855B35A104A2A85F" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Other Sundry Liabilities, Current</link:label>
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    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_IncreaseDecreaseInOtherNoncurrentLiabilities" xlink:label="loc_us-gaap_IncreaseDecreaseInOtherNoncurrentLiabilities_DF7943C2A6982AA4083C35A136C45ADE" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_IncreaseDecreaseInOtherNoncurrentLiabilities_DF7943C2A6982AA4083C35A136C45ADE" xlink:to="lab_us-gaap_IncreaseDecreaseInOtherNoncurrentLiabilities_DF7943C2A6982AA4083C35A136C45ADE" xlink:type="arc" />
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    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_IncreaseDecreaseInAccountsPayable" xlink:label="loc_us-gaap_IncreaseDecreaseInAccountsPayable_AD597613BB75D08D33DD35A136C4A821" xlink:type="locator" />
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    <link:label id="lab_us-gaap_NetCashProvidedByUsedInOperatingActivities_D356180F1D36DE4840A935A136C45B5D_label_en-US" xlink:label="lab_us-gaap_NetCashProvidedByUsedInOperatingActivities_D356180F1D36DE4840A935A136C45B5D" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Net Cash Provided by (Used in) Operating Activities</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_NetCashProvidedByUsedInOperatingActivities" xlink:label="loc_us-gaap_NetCashProvidedByUsedInOperatingActivities_D356180F1D36DE4840A935A136C45B5D" xlink:type="locator" />
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    <link:label id="lab_us-gaap_NetCashProvidedByUsedInInvestingActivitiesAbstract_5A8AB9C62477BFCF0E2135A136C4A466_terseLabel_en-US" xlink:label="lab_us-gaap_NetCashProvidedByUsedInInvestingActivitiesAbstract_5A8AB9C62477BFCF0E2135A136C4A466" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Cash flows from investing activities:</link:label>
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    <link:label id="lab_us-gaap_PaymentsToAcquirePropertyPlantAndEquipment_77E6B62B2CDA23E4467535A136C5AB3E_negatedLabel_en-US" xlink:label="lab_us-gaap_PaymentsToAcquirePropertyPlantAndEquipment_77E6B62B2CDA23E4467535A136C5AB3E" xlink:role="http://www.xbrl.org/2009/role/negatedLabel" xlink:type="resource" xml:lang="en-US">Purchase of property, plant and equipment</link:label>
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    <link:label id="lab_us-gaap_ProceedsFromSaleOfAvailableForSaleSecuritiesDebt_DBB81A848CDE9113026735A136C5486A_terseLabel_en-US" xlink:label="lab_us-gaap_ProceedsFromSaleOfAvailableForSaleSecuritiesDebt_DBB81A848CDE9113026735A136C5486A" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Sale of available for sale investments</link:label>
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    <link:label id="lab_iclr_TopClientMember_BE1DFCA2B1FE304F36582C190B1E65C1_terseLabel_en-US" xlink:label="lab_iclr_TopClientMember_BE1DFCA2B1FE304F36582C190B1E65C1" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Top client</link:label>
    <link:label id="lab_iclr_TopClientMember_BE1DFCA2B1FE304F36582C190B1E65C1_label_en-US" xlink:label="lab_iclr_TopClientMember_BE1DFCA2B1FE304F36582C190B1E65C1" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Top Client [Member]</link:label>
    <link:label id="lab_iclr_TopClientMember_BE1DFCA2B1FE304F36582C190B1E65C1_documentation_en-US" xlink:label="lab_iclr_TopClientMember_BE1DFCA2B1FE304F36582C190B1E65C1" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Top Client [Member]</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_TopClientMember" xlink:label="loc_iclr_TopClientMember_BE1DFCA2B1FE304F36582C190B1E65C1" xlink:type="locator" />
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    <link:label id="lab_iclr_Clients25Member_78858D62E473F4F016BE2C190B1E533C_terseLabel_en-US" xlink:label="lab_iclr_Clients25Member_78858D62E473F4F016BE2C190B1E533C" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Clients 2-5</link:label>
    <link:label id="lab_iclr_Clients25Member_78858D62E473F4F016BE2C190B1E533C_label_en-US" xlink:label="lab_iclr_Clients25Member_78858D62E473F4F016BE2C190B1E533C" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Clients 2-5 [Member]</link:label>
    <link:label id="lab_iclr_Clients25Member_78858D62E473F4F016BE2C190B1E533C_documentation_en-US" xlink:label="lab_iclr_Clients25Member_78858D62E473F4F016BE2C190B1E533C" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Clients 2-5 [Member]</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_Clients25Member" xlink:label="loc_iclr_Clients25Member_78858D62E473F4F016BE2C190B1E533C" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_iclr_Clients25Member_78858D62E473F4F016BE2C190B1E533C" xlink:to="lab_iclr_Clients25Member_78858D62E473F4F016BE2C190B1E533C" xlink:type="arc" />
    <link:label id="lab_iclr_Clients610Member_1D8D64BA71413EB35DC32C190B1E5CF7_terseLabel_en-US" xlink:label="lab_iclr_Clients610Member_1D8D64BA71413EB35DC32C190B1E5CF7" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Clients 6-10</link:label>
    <link:label id="lab_iclr_Clients610Member_1D8D64BA71413EB35DC32C190B1E5CF7_label_en-US" xlink:label="lab_iclr_Clients610Member_1D8D64BA71413EB35DC32C190B1E5CF7" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Clients 6-10 [Member]</link:label>
    <link:label id="lab_iclr_Clients610Member_1D8D64BA71413EB35DC32C190B1E5CF7_documentation_en-US" xlink:label="lab_iclr_Clients610Member_1D8D64BA71413EB35DC32C190B1E5CF7" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Clients 6-10 [Member]</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_Clients610Member" xlink:label="loc_iclr_Clients610Member_1D8D64BA71413EB35DC32C190B1E5CF7" xlink:type="locator" />
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    <link:label id="lab_iclr_Clients1125Member_72351B358F0DD67A32522C190B1F1F7E_terseLabel_en-US" xlink:label="lab_iclr_Clients1125Member_72351B358F0DD67A32522C190B1F1F7E" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Clients 11-25</link:label>
    <link:label id="lab_iclr_Clients1125Member_72351B358F0DD67A32522C190B1F1F7E_label_en-US" xlink:label="lab_iclr_Clients1125Member_72351B358F0DD67A32522C190B1F1F7E" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Clients 11-25 [Member]</link:label>
    <link:label id="lab_iclr_Clients1125Member_72351B358F0DD67A32522C190B1F1F7E_documentation_en-US" xlink:label="lab_iclr_Clients1125Member_72351B358F0DD67A32522C190B1F1F7E" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Clients 11-25 [Member]</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_Clients1125Member" xlink:label="loc_iclr_Clients1125Member_72351B358F0DD67A32522C190B1F1F7E" xlink:type="locator" />
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    <link:label id="lab_iclr_OtherCustomersMember_A7FC1EBC1D123CE4C2542C190B1FB4DC_terseLabel_en-US" xlink:label="lab_iclr_OtherCustomersMember_A7FC1EBC1D123CE4C2542C190B1FB4DC" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Other</link:label>
    <link:label id="lab_iclr_OtherCustomersMember_A7FC1EBC1D123CE4C2542C190B1FB4DC_label_en-US" xlink:label="lab_iclr_OtherCustomersMember_A7FC1EBC1D123CE4C2542C190B1FB4DC" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Other Customers [Member]</link:label>
    <link:label id="lab_iclr_OtherCustomersMember_A7FC1EBC1D123CE4C2542C190B1FB4DC_documentation_en-US" xlink:label="lab_iclr_OtherCustomersMember_A7FC1EBC1D123CE4C2542C190B1FB4DC" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Other Customers [Member]</link:label>
    <link:loc xlink:href="iclr-20181231.xsd#iclr_OtherCustomersMember" xlink:label="loc_iclr_OtherCustomersMember_A7FC1EBC1D123CE4C2542C190B1FB4DC" xlink:type="locator" />
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    <link:label id="lab_us-gaap_RevenueFromContractWithCustomerExcludingAssessedTax_C7201E05A2430D9953AB2C190B1FAB9E_terseLabel_en-US" xlink:label="lab_us-gaap_RevenueFromContractWithCustomerExcludingAssessedTax_C7201E05A2430D9953AB2C190B1FAB9E" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Revenue</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_RevenueFromContractWithCustomerExcludingAssessedTax" xlink:label="loc_us-gaap_RevenueFromContractWithCustomerExcludingAssessedTax_C7201E05A2430D9953AB2C190B1FAB9E" xlink:type="locator" />
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    <link:label id="lab_us-gaap_GoodwillRollForward_14B8B1F0E4F98E0537440D235C15F49E_terseLabel_en-US" xlink:label="lab_us-gaap_GoodwillRollForward_14B8B1F0E4F98E0537440D235C15F49E" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Goodwill [Roll Forward]</link:label>
    <link:label id="lab_us-gaap_GoodwillRollForward_14B8B1F0E4F98E0537440D235C15F49E_label_en-US" xlink:label="lab_us-gaap_GoodwillRollForward_14B8B1F0E4F98E0537440D235C15F49E" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Goodwill [Roll Forward]</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_GoodwillRollForward" xlink:label="loc_us-gaap_GoodwillRollForward_14B8B1F0E4F98E0537440D235C15F49E" xlink:type="locator" />
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    <link:label id="lab_us-gaap_Goodwill_37C7B803EA397C7D2E4A0D235C1521C7_periodStartLabel_en-US" xlink:label="lab_us-gaap_Goodwill_37C7B803EA397C7D2E4A0D235C1521C7" xlink:role="http://www.xbrl.org/2003/role/periodStartLabel" xlink:type="resource" xml:lang="en-US">Opening goodwill</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_Goodwill" xlink:label="loc_us-gaap_Goodwill_37C7B803EA397C7D2E4A0D235C1521C7" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_Goodwill_37C7B803EA397C7D2E4A0D235C1521C7" xlink:to="lab_us-gaap_Goodwill_37C7B803EA397C7D2E4A0D235C1521C7" xlink:type="arc" />
    <link:label id="lab_us-gaap_GoodwillAcquiredDuringPeriod_63867DEB8952CA83DA6F0D235C165D62_terseLabel_en-US" xlink:label="lab_us-gaap_GoodwillAcquiredDuringPeriod_63867DEB8952CA83DA6F0D235C165D62" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Current year acquisitions</link:label>
    <link:label id="lab_us-gaap_GoodwillAcquiredDuringPeriod_63867DEB8952CA83DA6F0D235C165D62_label_en-US" xlink:label="lab_us-gaap_GoodwillAcquiredDuringPeriod_63867DEB8952CA83DA6F0D235C165D62" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Goodwill, Acquired During Period</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_GoodwillAcquiredDuringPeriod" xlink:label="loc_us-gaap_GoodwillAcquiredDuringPeriod_63867DEB8952CA83DA6F0D235C165D62" xlink:type="locator" />
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    <link:label id="lab_us-gaap_GoodwillPurchaseAccountingAdjustments_935AA82E9D70C334AA6D0D235C16FF23_terseLabel_en-US" xlink:label="lab_us-gaap_GoodwillPurchaseAccountingAdjustments_935AA82E9D70C334AA6D0D235C16FF23" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Prior period acquisition (note 4 (a))</link:label>
    <link:label id="lab_us-gaap_GoodwillPurchaseAccountingAdjustments_935AA82E9D70C334AA6D0D235C16FF23_label_en-US" xlink:label="lab_us-gaap_GoodwillPurchaseAccountingAdjustments_935AA82E9D70C334AA6D0D235C16FF23" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Goodwill, Purchase Accounting Adjustments</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_GoodwillPurchaseAccountingAdjustments" xlink:label="loc_us-gaap_GoodwillPurchaseAccountingAdjustments_935AA82E9D70C334AA6D0D235C16FF23" xlink:type="locator" />
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    <link:label id="lab_us-gaap_GoodwillForeignCurrencyTranslationGainLoss_FFAA017260D95D341F810D235C165ADE_label_en-US" xlink:label="lab_us-gaap_GoodwillForeignCurrencyTranslationGainLoss_FFAA017260D95D341F810D235C165ADE" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Goodwill, Foreign Currency Translation Gain (Loss)</link:label>
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    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_Goodwill" xlink:label="loc_us-gaap_Goodwill_D3A6B281161CD53AEDC00D235C16A062" xlink:type="locator" />
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    <link:label id="lab_iclr_DirectCostsOther_D4A1CA4BD48DB34FD6BC2C190A3DF6FF_terseLabel_en-US" xlink:label="lab_iclr_DirectCostsOther_D4A1CA4BD48DB34FD6BC2C190A3DF6FF" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Direct costs</link:label>
    <link:label id="lab_iclr_DirectCostsOther_D4A1CA4BD48DB34FD6BC2C190A3DF6FF_label_en-US" xlink:label="lab_iclr_DirectCostsOther_D4A1CA4BD48DB34FD6BC2C190A3DF6FF" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Direct Costs, Other</link:label>
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    <link:loc xlink:href="iclr-20181231.xsd#iclr_DirectCostsOther" xlink:label="loc_iclr_DirectCostsOther_D4A1CA4BD48DB34FD6BC2C190A3DF6FF" xlink:type="locator" />
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    <link:label id="lab_us-gaap_BilledContractReceivables_BCCFF45DE6F76713D76435A1382855AD_label_en-US" xlink:label="lab_us-gaap_BilledContractReceivables_BCCFF45DE6F76713D76435A1382855AD" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Billed Contracts Receivable</link:label>
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    <link:label id="lab_iclr_ContractsReceivableGross_40360D9C173BB933918335A13828FDDD_totalLabel_en-US" xlink:label="lab_iclr_ContractsReceivableGross_40360D9C173BB933918335A13828FDDD" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xlink:type="resource" xml:lang="en-US">Trade accounts receivable and unbilled revenue</link:label>
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    <link:label id="lab_us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities_5B5E3B1D394EA39C76A02CAA4B830337_terseLabel_en-US" xlink:label="lab_us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities_5B5E3B1D394EA39C76A02CAA4B830337" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Excess tax benefit on exercise of equity compensation</link:label>
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    <link:label id="lab_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePriceRollforward_47C8D13DC14786232E482CAA49B40262_terseLabel_en-US" xlink:label="lab_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePriceRollforward_47C8D13DC14786232E482CAA49B40262" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Weighted Average Exercise Price</link:label>
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    <link:label id="lab_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice_8EFF3E31225514F9FCDC2CAA49B49176_terseLabel_en-US" xlink:label="lab_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice_8EFF3E31225514F9FCDC2CAA49B49176" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Granted (usd per share)</link:label>
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    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2017/elts/us-gaap-2017-01-31.xsd#us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice_8EFF3E31225514F9FCDC2CAA49B49176" xlink:type="locator" />
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    <link:label id="lab_iclr_SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsWeightedAverageGrantDateFairValueAbstract_3F13148563ACCFAA75FC2CAA49B5EFFC_terseLabel_en-US" xlink:label="lab_iclr_SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsWeightedAverageGrantDateFairValueAbstract_3F13148563ACCFAA75FC2CAA49B5EFFC" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Weighted Average Grant Date Fair Value</link:label>
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