Become a DLO client

By partnering with DLO, you receive the best of both worlds.

Local lab benefits

Invested in the local community
Local customer service and IT support
Ability to quickly adapt to marketplace changes
Employs local residents
Strong relationships with visible sales reps
Unique product offerings
Partnerships with local health systems

National lab benefits

Comprehensive test menu
State-of-the-art technology and resources
Financial stability
Nationwide clinical consultation expertise
Cost efficiencies of volume testing
24/7/365 customer support
National payor relationships
Strong research and development pipeline

Complete the form below to allow DLO to address your needs and expedite the set up of your account. Once you've submitted the form, a Sales Associate will be in contact with you.

Clinic/Facility Name

Established Clinic or New Clinic?

If new clinic, anticipated opening date

Contact Name

Address

City

State

ZIP

Country

Billing Address (if different from above)

Clinic/Office Phone

After Hours Phone Number (if different from Daytime Phone Number)

Fax Number

Confirm email

Website

Additional Office Contact Information - Name/Phone/Email (Optional)

Specialty

Type of practice

Overall Practice Description

(please choose applicable type or select "other")

Business Hours of Operation (Please list days and hours of operations)

Who will billing be charged to? (to select multiple options, press the "Shift" key and select all options applicable)

Are you a member of a Group Purchasing Organization (GPO)?

If you are a member of a GPO, please list their name.

Will you need a lock box? (If your facility does not have accommodations for a lock box, please let us know in the comment section.)

How often will courier service be needed?

Where will draws be performed? (If selecting multiple locations, please press the Shift key while making selections)

Provider Name(s) and NPI Number (Please provide all names of providers (not facility) and their 10-digit NPI number (example: First Name, Last Name, NPI Number))

Would you like to receive faxed reports/results?

What kind of reports will be needed?

If you want or require a client billing option with special pricing, how would you like your invoice sorted?

How did you hear about DLO? (If you select "Sales Representative" or "Other," please indicate in the comments your Sales Representative's name or how you heard about DLO)

Additional Info

If you select "Sales Representative" or "Other," please indicate in the comments your Sales Representative's name or how you heard about DLO.

Comments/Questions

Local lab benefits

National lab benefits

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