Section A: Laboratory Identity & Contact Information

Join the SFRD national network as a diagnostic lab partner. Your expertise enables timely, accurate diagnoses for rare disease patients.

As it appears on your registration documents.

The name your lab is publicly known by.

Laboratory Type *

Services being Offered *

Drag and drop your logo, or

PNG, JPG or JPEG (Max 2MB)

Your laboratory's mission or brand tagline.

Registered Office *

Contact Persons & Customer Care

Primary contact person for this partnership.

A dedicated email for all SFRD communication.

Dedicated phone number for the SFRD coordinator.

Social Media Handles

No social media profiles added yet.

Connect with SFRD Official Channels

We encourage all diagnostic partners to follow our official handles for updates, announcements, and joint campaigns.

Section B: Legal Registrations

Please provide your entity's legal registrations, certificates, and compliance clearances.

Sub-Section 1: Entity Details

Ownership Type *

Sub-Section 2: Registrations & Certificates

Check each box to activate the license details and document upload. Mandatory licenses must be checked.

Shop & Establishment License *
State Health Department / DMO *
Biomedical Waste Authorization *
Fire & Safety Compliance *
Pollution Control Board Clearance *
Import/Export License (For International Sample Movement)
CDSCO Drug License

Mandatory if your Entity is Selling, Distributing, or Manufacturing Diagnostic Kits & Reagents.

PCPNDT Act Registration

For Genomics - Mandatory if your Lab conducts Prenatal Diagnostic Techniques and Genetic Screening.

Sub-Section 3: Accreditation

Check each box to activate the accreditation details and document upload. All fields are optional unless checked.

NABL Accreditation
NABH Accreditation
Accreditation Scope
CAP Accreditation(For Genomics)
ISO 22367(Risk Management in Medical Laboratories)
ISO 15189
ISO 9001
ISO 17025
ISO 20387(Biobanking)
CLIA(International)
Radiation Safety Certificate
Medical Physics Compliance
BSL Certification(If applicable)
Sleep Accreditation(If applicable)
Good Clinical Laboratory Practice (GCLP)(Where applicable)

Section C: Infrastructure, Clinical Expertise, Equipment & Technology Readiness, Quality Control

Help us understand your lab's qualifications, services, geographic coverage, and infrastructure.

Sub-Section 1: Service Portfolio

Specialized Diagnostic Services *

Sub-Section: Laboratory Network

Head Laboratory *

Regional Laboratories/s

No regional laboratories added yet.

Collection Centers

No collection centers added yet.

Geographic Coverage *

Select all states/regions from where you can accept samples.

Provide comma-separated 6-digit codes and/or upload a bulk sheet file.

Pickup Availability *

Collection Type *

Emergency Collection *

Sub Section - Infrastructure

Pathology Laboratory Infrastructure *

Select all pathology infrastructure available at your facility.

Microbiology Laboratory Infrastructure *

Select all microbiology infrastructure available at your facility.

Molecular Diagnostic Lab Infrastructure *

Select all molecular diagnostic infrastructure available at your facility.

Radiology Infrastructure *

Select all radiology infrastructure available at your facility.

Cardiology Infrastructure *

Select all cardiology infrastructure available at your facility.

Neurology Infrastructure *

Select all neurology infrastructure available at your facility.

Clinical Genetics Infrastructure *

Select all clinical genetics infrastructure available at your facility.

Sub Section - Clinical Expertise

Pathology Lab - Clinical Expertise & Scientific Personnel *

Select all pathology clinical expertise available at your facility.

Lab Scientific Personnel *

Select all laboratory scientific personnel roles available at your facility.

Microbiology Lab - Clinical Expertise & Scientific Personnel *

Select all microbiology clinical expertise and personnel available at your facility.

Molecular Diagnostic Lab - Clinical Expertise & Scientific Personnel *

Select all molecular diagnostic clinical expertise and personnel available at your facility.

Radiology - Clinical Expertise *

Select all radiology clinical expertise options available at your facility.

Cardiology - Clinical Expertise *

Select all cardiology clinical expertise options available at your facility.

Neurology - Clinical Expertise *

Select all neurology clinical expertise options available at your facility.

Rare Diseases Clinical Expertise *

Select all rare diseases clinical expertise available at your facility.

Sub Section - Equipment & Technology Readiness

Pathology Lab Equipment & Technology Readiness *

Select all pathology lab equipment and technology readiness options available at your facility.

Microbiology Lab Equipment & Technology Readiness *

Select all microbiology lab equipment and technology readiness options available at your facility.

Molecular Diagnostic Lab Equipment & Technology Readiness *

Select all molecular diagnostic lab equipment and technology readiness options available at your facility.

Radiology Equipment & Technology Readiness *

Select all radiology equipment and technology readiness options available at your facility.

Cardiology Lab Equipment & Technology Readiness *

Select all cardiology lab equipment and technology readiness options available at your facility.

Neurology Equipment & Technology Readiness *

Select all neurology equipment and technology readiness options available at your facility.

Clinical Genetics & Cytogenetics, Rare Diseases Equipment & Interpretation Expertise *

Select all genetics equipment and interpretation expertise available at your facility.

Sub Section - Quality Control Programs

Pathology Lab QC Programs, if any *

Select all pathology laboratory quality control programs implemented at your facility.

Microbiology Lab QC Programs *

Select all microbiology laboratory quality control programs implemented at your facility.

Molecular Diagnostic Lab QC Programs, if any *

Select all molecular diagnostic laboratory quality control programs implemented at your facility.

Clinical Genetics & Cytogenetics, RD Diagnostics QC Programs, if any *

Select all genetics and rare disease diagnostics quality control programs implemented at your facility.

Section D: Services Offered

Configure options and upload catalogs for services your laboratory provides.

Sub Section: Catalogue of Services

Provide individual structural file attachments (.csv, .xls, .xlsx) containing Test Code, Test Name, Specimen Type, TAT, Price, Discount, and Remarks for each checked category.

No services have been selected in Section A.

Please navigate back to Section A and select at least one service offered under "Services Offered" to configure catalogues here.

Section E: The SFRD Partnership Framework & Workflow

These commitments ensure a streamlined, patient-first workflow with SFRD.

Specify the discount (percentage) or upload rate card in Section D.

Section F: Operational & Financial Details

This information enables coordinated referrals and the SFRD co-payment workflow.

Patient Coordinator Contact *

Responsible for SFRD patient samples and inquiries.

Technical Integration Contact *

Point of contact for portal access and integrations.

Bank Account Details *

For receiving patient or co-payment disbursements from SFRD.

Section G: Consent & Formal Agreement

Please have an authorized representative complete this final section.

Section E: Facilities

Provide optional details about empanelled insurance, government schemes, CSR programs, patient assistance, and diagnostic discounts.

Insurance Accepted

Supported formats: .pdf, .csv, .xls, .xlsx (Max 5MB)

Government Schemes Supported

Supported formats: .pdf, .csv, .xls, .xlsx (Max 5MB)

CSR Support

Does your laboratory have corporate social responsibility support or programs?

Patient Assistance Programs

Do you offer or participate in any patient assistance programs?

Discounts for Rare Disease Patients

Do you provide special discounts or concessions for rare disease patients?