New Lab Account

Lab Information

Lab name *
CLIA ID *
Format: 12D3456789 Clia Id is already in use. If you believe this is an error please contact AAFP.
CLIA pending
COLA ID
Format: 0012345
Lab Type
State Agency (or region) ID *
State Lab ID

Contact Information

Lab contact phone *
Lab contact fax
Lab contact primary email *
Secondary email(s)
Separate with semicolons

Medical Director Information

As indicated on the CLIA Certificate

First name *
Middle name
Last name *
Director is a member of AAFP

Director's AAFP member ID

Optional

Cancel

Questions?

pt@aafp.org

1 (800) 274-7911

AAFP-PT

AAFP-PT is our resource page for labs and includes:

Program forms
Shipment schedules
Helpful resources
Contact information

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Managing Orders

If you are looking to place a new order or manage existing orders, please visit PT Central.

Visit PT Central

Please note that this is a separate website from AAFP.org and will require you to login.

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