Provider Application

Already reviewed the program details? Submit your application below. Need the overview (benefits, eligibility, FAQ)? Visit the Providers page.

Before you start

Eligibility

Clinics, gyms, and research facilities (research use only)

Approval

Typically 1–2 business days after document review

Support

This application is for **providers** only. For general purchasing, please use the retail catalog.

Apply now

Complete the form below. We’ll notify you by email when your account is approved.

Register

Email address *

A link to set a new password will be sent to your email address.

User Type *

First Name *

Last Name *

Phone Number *

Email *

Street Address *

Address Line 2

Town / City *

State *

Postcode / ZIP *

Company Name *

Industry Type *

Website

NPI *

Terms and Conditions *

I agree to the Terms & Conditions

Sales Representative ID (optional)

Your personal data will be used to support your experience throughout this website, to manage access to your account, and for other purposes described in our privacy policy.

Provider Application

Before you start

Apply now

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Premier Bio Labs provides research-grade peptides for laboratory use only.