Register Your Kit

Before entering your information, take a picture of your 14-digit kit vial number using your phone or mobile device. You vial number is the only way your test results will be associated with you in our system. We can use this picture of your vial number in case anything happens to your results.

Please enter your information below to register your test kit and create your account.

"*" indicates required fields

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Store ID

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Customer Creation Date

Profile Picture

Vial Number*

Please Re-Enter Your Vial Number (for verification)*

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Test Code*

Test Only

Expedite Test Only

Shipment Tracking Number*

First Name*

Last Name*

Email*

Phone*

Create Your Username*

Create Your Password*

Enter Password Confirm Password

Gender

Male

Female

Leave blank if you'd rather not specify.

Date of Birth*

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Report Released

Yes

This field is for validation purposes and should be left unchanged.

Register Your Kit

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