Health Professional Order Inquiry

To place your Breath Test Collection Kit order, please complete all the information fields below. A CDI Customer Service Representative will reach out to you to verify your ordering information and address any questions you may have.

Online ordering through this web-portal is available to customers in the United States, United Kingdom, Ireland, Iceland, Finland, Netherlands, Luxemburg, Lichtenstein, Malta, Cyprus, and Bulgaria. For customers outside of these territories please contact CDI’s Customer Service Department at 1-888-258-5966 or via email at CustomerService@CommDx.com.



BREATH TEST COLLECTION KIT: (indicate quantity)



ORDERING PHYSICIAN'S INFORMATION:



SHIPPING INFORMATION: (cannot ship to PO Box)



HOW WOULD YOU LIKE TO RECEIVE RESULTS: