SalivaDirect: Lab authorization request form

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SalivaDirect received Emergency Use Authorization (EUA) from the Food and Drug Administration (FDA) on August 15th, 2020, for the detection of nucleic acid from SARS-CoV-2 only.

The SalivaDirect EUA is for a Laboratory Developed Test, but we have the right to designate other labs.

Only high complexity CLIA-certified labs in the United States can become designated to run SalivaDirect. Please fill out this form if you would like to receive more information on how to become a designated lab. Only one lab site may apply at a time.

Lab Name *

Please record your lab name exactly as it shows on official documents. Only one lab site can apply at a time

Contact Name *

Please provide the name of the individual who will be the primary contact person for all SalivaDirect communications moving forward. If this person changes please notify SalivaDirect.

Primary Email *

Please provide the email of the individual who will be the primary contact person for all SalivaDirect communications moving forward. If this person changes please notify SalivaDirect.

Primary Job Title *

Please provide the job title of the individual who will be the primary contact person for all SalivaDirect communications moving forward. If this person changes please notify SalivaDirect.

Primary Phone *

Please provide the phone number of the individual who will be the primary contact person for all SalivaDirect communications moving forward. If this person changes please notify SalivaDirect.

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