We Offer Easy and Affordable Lab Testing, for All Your Medical and Persona Needs. No Doctor Order Needed. Fast & Reliable Results. Save Time and Money. Insurance and Self-pay Accepted. In & Out In 15 Minutes. Walk-ins Welcome, No Wait. Get Your Results by Email. Convenient Location, Easy Access. Order Your Own Lab Tests On-line. Monthly Specials. Guaranteed Lowest Prices.

Are you a Physician or other HealthCARE providers interested in our services, please fill up the FOLLOWING Registration Form, and we will get back to you SHORTLY.

Practice Name

Specialty/Type

Phone

(###)

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FAX

(###)

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Point of Contact Name

First Name

Last Name

Phone

(###)

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Subject

Preferred Contact Method

REPORT DELIVERY METHOD

Portal (You will be given access to our portal)

Fax

SPECIMEN PICK UP DAYS

M-F

Pickup Time (Opening Time)

Hour

Minute

Second

Pick up (Closing Time)

Hour

Minute

Second

ORDERING PHYSICIAN #1 (NAME)

ORDERING PHYSICIAN #1 (CREDENTIAL)

ORDERING PHYSICIAN #1 (NPI)

We Look Forward To Seeing You

You will receive a confirmation when your paperwork has been accepted.