Good news! There are providers in your state who can handle your request. Based on your request and location, we need to pre-authorize payment of $107.85.
Complete the form below to submit your request. All fields are required.
Enter your Zip Code or city to see a list of available Quest Diagnostics lab locations in your area.
Thank you for submitting your request. We are pre-authorizing payment. The pre-authorization will show as a pending charge that will only settle if a medical provider approves your lab order request. Your payment information is not saved after you click Submit.
Total Fees: $
Thank you for trusting Push Health with your health needs.
Total Fees: $107.85
Total fees include the lab order, all lab fees, and a copy of the results. By clicking "Submit Request", you indicate that you, as the patient or legal guardian of the patient, agree:
Please review carefully. Errors cause delays.
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