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Patient Request for Laboratory Test Results

$5.99

For your convenience Primex Clinical Laboratories offers the ability to securely submit your request for patient results online. Please enter the details of the patient results you would like to request. To proceed with your request, we must receive valid government issued identification that is not expired and clearly legible. Any missing information may result in delayed or non receipt of your results. Please allow up to 14 business days to process your request.

 

Patient Claim Information *

Patient Email *

Mailing Address *

Additional Comments

Terms and Conditions *

Submit Valid Government Issued ID *

SKU: PTRSLT1