New Customers

Welcome to DB Diagnostics, where we empower your clinic or pharmacy with unparalleled procurement solutions. Sign up today and experience the difference of efficient, effective, and affordable healthcare supplies tailored just for you.

Why DB Diagnostics

Leverage our significant buying power, guaranteeing cost-effective solutions for your healthcare and laboratory needs. Our services extend beyond procurement, offering custom reporting, accurate inventory tracking, and prompt product deliveries. Every product we offer adheres to the highest standards and regulations, ensuring your peace of mind.

Cost Savings

Our buying power enables us to provide
tests and services at lower costs than
the market average.

Quality Control

We ensure that the products we provide meet the necessary standards and regulations.

Tailored Services

We provide you with custom reporting,
inventory tracking, and on-time product delivery.

In-House Distribution

We control and expedite the shipping
process to cater to you.

Create your account

Are you in need of diagnostic products or Rx products? Please provide your information below.

Diagnostic Customer (NEW)

Form for New Diagnostic Customers

"*" indicates required fields

Diagnostic Customer Application

Your Information

First Name*

Last Name*

Title*

Business Name*

Billing Address

Street Address Address Line 2 City State ZIP Code

Shipping

Shipping Address Same as Billing

Shipping Address*

Street Address Address Line 2 City State ZIP Code

Contact

Email*

Enter Email Confirm Email

Phone*

How did you hear about us?*

CLIA Waived Testing

Do you plan on purchasing CLIA WAIVED TESTS?*

Yes

CLIA ID*

CLIA Certificate

Max. file size: 2 MB.

Account Login

Username*

Password*

Enter Password Confirm Password

Strength indicator

Questions about your application?
Email orders@dbdiagnostics.com or call 1-833-281-0369.

Already have an account or applying again? Log in to My Account first, then return here to submit your RX application. My Account

RX Customer (NEW)

"*" indicates required fields

Rx Customer Application

Your Information

First Name*

Last Name*

Title*

Business Name*

Billing Address

Billing Address*

Street Address Address Line 2 City State ZIP Code

Shipping

Shipping Address Same as Billing

Shipping Address*

Street Address Address Line 2 City State ZIP Code

Contact

Email*

Enter Email Confirm Email

Phone*

How did you hear about us?*

Licenses

Pharmacy License Number (State Board of Pharmacy)*

Pharmacy License Expiration Date*

DEA License Number*

DEA License Expiration Date*

GLN Number*

Pharmacy

Pharmacy Type*

Type of Business

Date Established*

Pharmacy Permit

Accepted file types: pdf, jpg, jpeg, png, doc, docx, Max. file size: 2 MB.

How Long has the Pharmacy been in business?

Anticipated Monthly Purchases

Do you own other pharmacies?*

Yes

Additional Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Additional pharmacies (2 onwards)

Account Login

Username*

Password*

Enter Password Confirm Password

Strength indicator

Questions about your application?
Email orders@dbdiagnostics.com or call 1-833-281-0369.