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Lab Services Registration Form

Please complete the form below to register for Lab Services from Express Diagnostics.

Are you currently drug testing?:

Are you currently using instant tests?:

How many instant tests used per month?:

Are you using laboratory services?:

How many laboratory tests per month?:

Which laboratory services are you using?
(Ctrl-click [Windows] or Command-click [Mac] for multiple selections):

What are you currently testing for?:

What are you interested in testing for?:

DrugCheck Distributor: