"*" indicates required fields Requestor Name*Requestor Email* Requestor Phone*Country*United StatesProvider Name*Location Name*Product*ID NOWID NOW Serial #*How many addresses would you like to add to the ID NOW Locator?* 1 Location Multiple Locations Address*Address Line 2City*State*ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYZip*Phone*Address Geolocation (optional)LatitudeLongitudeAn Abbott employee will be in touch within 24 hours to collect your locations information.SKU* ID NOW Influenza A & B 2 427-000 ID NOW Strep A 2 734-000 ID NOW RSV 435-000 ID NOW COVID-19 190-000 Link to logo to use on the locator* Hours of OperationMonday* Opened Closed From* Hours : Minutes AM PM AM/PM Till* Hours : Minutes AM PM AM/PM Tuesday* Opened Closed From* Hours : Minutes AM PM AM/PM Till* Hours : Minutes AM PM AM/PM Wednesday* Opened Closed From* Hours : Minutes AM PM AM/PM Till* Hours : Minutes AM PM AM/PM Thursday* Opened Closed From* Hours : Minutes AM PM AM/PM Till* Hours : Minutes AM PM AM/PM Friday* Opened Closed From* Hours : Minutes AM PM AM/PM Till* Hours : Minutes AM PM AM/PM Saturday* Opened Closed From* Hours : Minutes AM PM AM/PM Till* Hours : Minutes AM PM AM/PM Sunday* Opened Closed From* Hours : Minutes AM PM AM/PM Till* Hours : Minutes AM PM AM/PM By clicking this box, you acknowledge and agree that (1) the information provided in this form is accurate and complete and (2) there may be rules and regulations concerning advertising and promotion applicable to your testing location and you have confirmed your participation in this initiative is compliant with those rules and regulations. You also certify that you are an authorized representative of the above provider and have the authority to make the request for this location to be added. If your information related to the type of ID NOW tests available or ability to prescribe ID NOW tests at your location changes, you will update your Abbott account contact promptly of such change. In the event that Abbott discovers a discrepancy in the information provided, Abbott may, among other actions, remove your location from the ID NOW Locator Page.* I consent