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Diagnostic Laboratory Partner Registration Form Section 1 — Laboratory Information
Registered Office Address

Section - 2 Contact Person

Section 3 — Registration & Verification

NABL Accreditation

Section 4 — Laboratory Services What services do you offer?

Checkboxes

Section 5 — Declaration

I hereby confirm that the information provided above is accurate and that the laboratory is authorised to provide the diagnostic services listed on the SurgiBid platform. I understand that SurgiBid may verify the information and documents submitted before activating the laboratory profile.
Consent