Nationwide Access To Diagnostic Lab Tests

Phone: 1-888-531-2030 | Fax: 1-855-345-5222

  • Refer a patient

    For providers only.
    Please use this form to submit an referral for lab tests. LaboratoryAssist will reach out to the patient for scheduling.

  • Lab Tests

  • Test Code (Optional)Test Name 
    Submit Referral
    Please list lab tests. Include test numbers if known
  • Diagnosis

  • Hidden
  • Additional Instructions

  • Ordering Provider

  • Data presented from NPI database. You can update the address on the next page.
  • Please verify that provider data is accurate
  • Hidden
  • If no fax number is provided, provider will need to obtain reports from the patient.