Provider Feedback Form

At Clinical Diagnostic Laboratory, your experience matters. We’re committed to “Redefining Diagnostics and Advancing Care.”  We pride ourselves on delivering accurate, timely, and dependable diagnostic services—and we want to hear how we’re doing. As a provider, please take a moment to share your feedback with us. Your insights help us improve and continue to serve you better.
Thank you for trusting us with your patients’ diagnostic needs.
feedback@clinicaldiagnosticlaboratory.com

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Name (Optional)

Role *Select RoleProviderPatientOffice StaffOther

Date Of Services *

Rate Your Experience (1 = Poor, 5 = Excellent): *

• Poor
• Good
• Very Good
• Great
• Excellent

Turnaround TimeSelect Turnaround Timemin= 1max= 5

Clinical Sales Representative *

What can we improve? *

Overall Satisfaction *

• Poor
• Good
• Very Good
• Great
• Excellent

Organization/Practice Name *

Email (Optional)

Service Used *Select Service UsedRoutine & Specialty Lab TestingMolecular (PCR) TestingRoutine Microbiology TestingPathology ServicesToxicologyCoagulation Studies ImmunoassayOther

Accuracy of Results *

• Poor
• Fair
• Good
• Very High
• Excellent

Customer Service

Ease of Ordering/Communication *

What did we do well? *

Additional Comments

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