Payments | Laboratory Assist

What is the LaboratoryAssist Program ?

LaboratoryAssist is a free resource that gives uninsured individuals access to affordable laboratory testing.

Laboratories and draw locations across the United States participate in the program to offers quick, high quality and affordable diagnostic lab testing for patients having to pay for testing out of pocket.

Nationwide Access To Diagnostic Lab Tests

2100 Valley View Ln #490, Farmers Branch TX 75234 | Phone: 1-888-996-0650 | Fax: 1-855-345-5222

Payment Amount
Payment Amount*
Donation
Donation Amount*
Your donations provide lab tests for low income individuals via the Get Healthy Grant.
- $0
- $2
- $5
- $10
- $20
Total
$0.00

Patient Information
Patient ID
Patient Name*
First Last
Email*
A transaction receipt will be sent to this email address.

Payment Information
Total Amount
$0.00
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please ensure that the street address and zip code match exactly to the card statement.
Payload*
Device Detection Code
Result_Data
I authorize LaboratoryAssist to debit my card in the amount entered above and agree to LaboratoryAssist's Terms Of Use
Signature*
Name
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All-inclusive Rates Nationwide
$6	CBC Complete Blood Count
$7	CMP Comp Metabolic Panel
$7	Renal Function Renal Function Panel
$7	Lipid Panel w or w/o reflex
$7	Blood Draw Per visit

What is the LaboratoryAssist Program ?

Payment Amount

Donation

Patient Information

Payment Information