Facility Startup | Aculabs Inc

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Facility Details
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Staff Info
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Admissions Info
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Building Details
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Invoicing Info
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Facility Details

Your Name (Required)

Your Email (Required)

Name of Facility (Required)

Facility Phone Number (Required)

Facility Fax Number (Required)

Address Line 1 (Required)

Line 2

City (Required)

State (Required)

Zip Code (Required)

Facility Website (Required)

Facility Type (Required)

Parent Corporation (Specify if Privately Owned) (Required)

Client Account Manager (Required)

Medical Director

MD NPI #

IT Department Contact - Name (Required)

IT Department Contact - Title (Required)

IT Department Contact - Phone (Required)

IT Department Contact - Email (Required)

Facility WiFi SSID (Required)

Facility WiFi Password (Required)

A "trash run" is a detailed list of physician orders including "Patient ID", "Tests Ordered", "Duration" (Start Date, End Date), and "Frequency" (of testing). Ex: "Jane Doe, BMP, 01/01/2025 - 06/30/25, Every 14 Days". It is vitally important that standing orders indicate the start date and end date of an order to ensure laboratory orders coincide with your physician’s orders.

If your facility utilizes recurring orders with frequencies, can you provide a "trash run" to standing_orders@aculabs.com?
Trash Run to Be EmailedTrash Run Not Available

To ensure quick access to our online web portal, please assemble a listing of relevant ordering physicians for your facility. This listing should include physician names, addresses, phone numbers, fax numbers, and NPI numbers. You may submit it as an attached document for convenience.

Please ensure your physician listing is in pdf, doc, or docx format and under 5MBs in size.

Administrator - Name (Required)

Administrator - Title (Required)

Administrator - Phone (Required)

Administrator - Email (Required)

Director of Nursing - Name (Required)

Director of Nursing - Title (Required)

Director of Nursing - Phone (Required)

Director of Nursing - Email (Required)

Asst. Director of Nursing - Name (Required)

Asst. Director of Nursing - Title (Required)

Asst. Director of Nursing - Phone (Required)

Asst. Director of Nursing - Email (Required)

Staff Educator - Name (Required)

Staff Educator - Title (Required)

Staff Educator - Phone (Required)

Staff Educator - Email (Required)

Infection Control - Name (Required)

Infection Control - Title (Required)

Infection Control - Phone (Required)

Infection Control - Email (Required)

20%

Please list your facility's units, room numbers associated with each unit, and fax number for each unit. Note: If your facility offers various levels of care, and the level of care offered is not stated in the names of each unit, please specifically note below what level of care each specific unit offers (e.g.: skilled nursing, assisted living, independent living, etc.)

Please list the location of all specimen refrigerators (aka where collected urine or stool samples are stored) in the building. Note: Please specify unit placement and if the fridge requires any special access in order to be reached. (e.g.: 'Specimen fridge on AL unit, in med room. Room requires key tech must ask nurse for.')

Please list any special instructions our mobile phlebotomists might have to follow when accessing or entering your building or campus. Note: Please specify any additional security measures (e.g.: if the technician must park in a specific parking lot, if specific entrances are locked during certain hours, if a specific employee entrance is preferred.

In the event of a critical result, Aculabs will typically call the nurse responsible for the patient directly on the nursing unit. If your facility requires a different notification process, please specify below. Please include any specific time-based instructions, escalation procedures, or designated alternate contacts.

60%

Aculabs accepts ACH payments. Please provide the contact person responsible for setting up ACH payments.

Name of ACH Payment Contact (Required)

ACH Payment Contact - Title (required)

ACH Payment Contact - Number (Required)

ACH Payment Contact - Email (Required)

As part of Aculabs’ start-up process, we may need to perform a credit check. Please provide the contact person authorized to complete the credit check form. Please ensure that you provide their direct phone number in the field below.

Name of Credit Check Contact (Required)

Credit Check Contact - Title (Required)

Credit Check Contact - Number (Required)

Credit Check Contact - Email (Required)

New invoices can be sent to a designated contact of the facility's choosing.

Should invoices be sent to your facility or to a third-party billing company? (required)
Facility ContactParent Corporation ContactThird-Party Billing Contact

Name of Invoice Contact (Required)

Invoice Contact - Title (Required)

Invoice Contact - Number (Required)

Invoice Contact - Email (Required)

Aculabs may reach out regarding timely payment when there are unpaid past due balances. Please provide the contact details for this desired designation.

Name of Accounts Payable Contact (Required)

AP Contact - Title (Required)

AP Contact - Number (Required)

AP Contact - Email (required)

80%

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Facility Startup Guide