BioCentra Diagnostics, A state of art medical laboratory for all your needs

Select Location

Location

Demographic Information

First name*

Middle name

Last Name*

Email*

Gender*

Date of Birth*

Mobile Phone*

Address*

City*

State*

Zip*

Driver’s License/SSN/Passport Number*

Driver’s License/SSN/Passport*

*Upload image

Insurance information

Health Insurance*

Insurance Company*

Member ID*

Insurance card front side*

*Upload insurance card front image

Others

Appointment

Appointment Date*

Available Times*

HIPPA Notice of Privacy Practices