HOW TO ORDER

To receive your CDPATH test kits, please complete the fields below and select download.

All information is required unless otherwise indicated.

Name of person requesting supplies

First Name

Last Name

Name of ordering provider

First Name

Last Name

NPI Number

Name of Facility

Shipping Address

Shipping Address 2 (Optional)

City

State

ZIP Code

Phone Number of Ordering Provider

Email Address of Ordering Provider (Optional)

Number of Kits Requested

Select “Download” and email this form to contactclientservices@prometheuslabs.com or print and fax it to 1-877-816-40191-877-816-4019.

Prometheus Laboratories will ship the test kit(s) to your practice.

Complete the test requisition form (also included in the kit) and give it to your patient along with the test kit.

Your patient will need to bring the test kit and requisition form to a participating location for their blood draw.

Results are faxed or mailed to your office approximately 7 business days from the date the blood sample was received at Prometheus for testing.