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PHOTO GALLERY
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HOME
ABOUT US
About Company
Our Team
Board of Trustees
SERVICES
Routine Laboratory Test Services
Blood Bank Services
Research Collaborations
CONTACT US
APPOINTMENT
Back-To-School
Covid-19
Covid -19 individual Test
Corporate/Group Test
Food Handlers Test
Individual Test(s)
Pre-employment
PHOTO GALLERY
FAQ
To book a sample collection appointment,
Fill the form below.
Booking Appointment Form
Title
*
Choose Title
Sir
Mr.
Mrs.
Miss.
First Name
*
First
Other Names
Surname
*
Last
Date of Birth
*
Phone Number
*
Email
*
Gender
*
Select Gender
Male
Female
Street Address
Town/City
*
State
Select a State
Abia
Adamawa
Akwa Ibom
Anambra
Bauchi
Bayelsa
Benue
Borno
Cross River
Delta
Ebonyi
Edo
Ekiti
Enugu
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Niger
Ondo
Osun
Oyo
Plateau
Rivers
Sokoto
Taraba
Yobe
FCT
Appointment Booking
Clinical Indication
Refering Doctor
Occupation
Select as appropriate
Civil Servant
Businessman/Woman
New Option
Other
Occupation
End Section
A Minor Accompaning?
Do you have a Minor Accompanying?
*
Yes
No
End Section
Child Information
Name of Child
Select Child's Gender?
Select Gender
Male
Female
Relationship to Minor
PLEASE SELECT
Father
Mother
Uncle
Aunt
Do you give your consent to test on minor?
Yes
No
Other
Other
End Section
Next
Select your preferred mode of sample collection
*
Walk-in
VIP
Mobile Phlebotomy
Walk-in
Select Appointment Date
*
Available time slot for Walk-in
*
10am
11am
12pm
1pm
2pm
3pm
4pm
5pm
Section Buttons
Mobile Phlebotomy
Select Appointment Date
*
Available time slot for Mobile Phlebotomi
*
10am
12pm
2pm
4pm
6pm
Charges will apply at time of service delivery
Section Buttons
VIP
Select Appointment Date
*
Available time slot for VIP
*
10am
12pm
2pm
4pm
6pm
Charges will apply at time of service delivery
Section Buttons
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