Are you requesting a sales team member to set up a demo of Primary for your team or organization?

    Contact Name *
    Email *
    Phone number
    Organization Name *
    Address
    test
    How many COVID-19 tests/vaccines do you plan to administer per week?Less than 500500-1,0001,000-5,000More than 5,000
    Location TypeCommunity drive-throughCommunity walk-upEmployer/worksiteCampus setting (school, college, university)Pop-upHealth care setting (pharmacy, long-term care, clinic, etc.)

    Service TypePCR testingSaliva testingRapid testingAntibody testingFlu vaccineCOVID-19 vaccine

    Other helpful information for us to have.
    I already have a lab partner I want to use.
    I do not have a lab partner and would like Primary to help with lab services.
    I will not be doing lab-based testing.
    I have a CLIA# or CLIA waiver.
    I do not have a CLIA# or CLIA waiver.
    I know which brand of COVID-19 vaccine I will be using.
    I will be using multiple COVID-19 vaccine brands at my location(s).
    Anything else?