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Patient / Home Draw Request

Request a home draw, ask about laboratory testing, or get in touch with our patient-services team. We will follow up within one business day.

Patient Name*Date of BirthPhone NumberEmail Address*

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Ordering Provider NamePreferred Date / Time

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Important: Do not submit urgent medical concerns through this form. If you are experiencing a medical emergency, call 911.

Your information is used only to respond to your inquiry.

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+734-715-5566

info@acculabdx.com

29430 Ford rd, Suite D1 Garden City, MI 48135

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Submissions are reviewed by our client-services team and answered within one business day.

AccuLabDX | Accurate. Fast. Reliable Diagnostics.

Clinical Laboratory Testing | Pathology & Histology | Molecular Diagnostics | Mobile Phlebotomy | Provider Support

29430 Ford rd, Suite D1, Garden City, MI 48135 | Phone: 734-715-5566 | Fax: 734-715-5565

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