Covid-19 PCR Lab Test Appointment POC

Covid-19 PCR Lab Test Appointment
Test Ordered:*

Covid19 PCR (1 covid swab) test #2261
Location:*

Point of Care Pharmacy 333 Forsgate Drive,Jamesburg, NJ 08831732-641-2664
Appointment*
Personal Information
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Date of Birth (DOB)

MonthDayYear
Gender*

MaleFemaleOther
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Drivers License/State Issued ID or Any Proof of Address

Cancelof
Reason for testing (select one):*

Covid-19 Exposure
By writing your name below. You hereby confirm that the information you have given above is true, and that you will comply with the terms and conditions outlined above. You also agree that date of submission will be the date of your consent. *

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Note: Due to the government's declaration of the end of the COVID-19 pandemic, we regret to inform you that insurance providers will no longer cover the cost of COVID-19 testing.

Pay Now:

COVID-19 PCRCOVID-19 PCR Emergency Test

$75 Quantity

Total

$0.00

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Covid-19 PCR Lab Test Appointment