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If you'd like to arrange a free consultation, or would simply like to know more about our services — please use the form below. A member of our team is notified when you make an inquiry, and we strive to respond within 1-2 business days.

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General Inquiry

Type of Business
Enter in confidence! Your information is kept private at all times and never shared with any third party.
Company
Name*
Email address*
Phone*
Reach me by:
Short Description about your Business
	Physician Office Lab
	Reference Laboratory
	Reference Laboratory
	Hospital Lab
Name of Owners*
Business Address*
CLIA Category
	High Complexity
	Moderate Complexity
	CLIA Waived
	Don't Know Yet
Have you applied for CLIA?
	Yes
	No
	I don't Know
If Yes, Please enter your CLIA ID Number
Upload your CLIA certificate, if available
Have you applied for COLA?
	Yes
	No
	I don't Know
If you have applied for COLA, enter COLA ID number
Do you have a lab director?
	Yes
	No, I need a Lab Director
	No, But I will find my own Lab Director
If Yes, Please list name of Lab Director and contact email.
What testing will be performed? *
	COVID-19 PCR molecular
	COVID 19 MOD Complexity- Rapids
	Urine Drug Testing- LC/MS
	Urine Drug Screens Immunoassay
	General Blood Testing Lab
List Any Instruments You have on site, or are looking to Purchase*

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Get in touch with our team today

General Inquiry

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IQ Lab Consulting

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