Discover Labs Services

Please fill out the entire form. Questions? Email: contact@discoverlabs.com or call: (323) 747-7509

Business & Primary Contact - Step 1 of 4

Business and Primary Contact Information

Please provide the general business information. This is where the testing supplies will be sent.
Name of clinic
Please input the address of the business.

Primary Business Contact

The primary clinic contact is responsible for dealing with all administrative issues, including: insurance information collection, full service testing scheduling, results reporting, etc.
Phone number of Primary Business Contact
Email address of Primary Business Contact

Physician Contacts

Please enter the names and emails of the physicians at the clinic.