Synovasure Provider Enrollment – CD Laboratories

CD Laboratories Provider Enrollment

Interested in submitting synovial fluid specimens to CD Laboratories for the Synovasure Comprehensive Infection Panels and/or Synovasure RISC Panel? Complete the below form and our Customer Service team will set up a your new account. Please allow for 3 business days for account setup.

Need more time? Download our Synovasure Enrollment Form and send it back to [email protected] when you are ready.

Account Type

Physician Account (Specimen submitted from physician's clinic) Clinical Laboratory (Specimen sent from institutional clinical lab/reference lab)

Provider/Clinical Laboratory Name

NPI (required for Physician account only)

Practice (required for Physician account only)

Ship To Address

Bill To Address

Phone

Results Fax Number

Results Email

Would you like to enroll any satellite locations?

Yes No

If Yes, please provide Address, Phone and Fax below

Are you a current Zimmer Biomet customer?

Yes No (if no, please complete the Zimmer Biomet Customer Account Request)