DSA - Laboratory Fees - Payment Method

Payment Method

* Indicates required field

Your Information

* Lab ID #:

Choose Method Of Payment

Pay with new account

Pay by electronic check *

* Account Type:

Pay by credit card *

Fiserv will charge a 2.99% Convenience Fee for processing payments made with credit cards.
No Convenience Fees are associated with e-check payments.
Please check the “I Agree” box if you understand the statements above.

I Agree*