Service Providers | Clinical Trials Queensland

Enter the name of the Service Provider - Organisation Name

Main Service Category

Enter the contact name of the Service Provider - (Title, First Name, Last Name)

Contact person email address

Contact person phone number

Your Service Provider web site address

Building/Floor/Room/Suite

Street number and name

Additional address information

City

State

Postcode

Country

GPS location of your site - GPS Location 1

GPS location of your site - GPS Location 2

Life Sciences Queensland (LSQ) Member

Please provide a short, Plain English description of your service for marketing purposes.

Any other areas of expertise?

Has your Service been audited?

If your Service has been audited, please select all relevant types.

Please provide additional information not captured in other sections of the Facility Profile that you feel is important for Sponsors to know about your Facility. Please reference the section name, if applicable.

Do you agree to the information you have provided to be published on the Queensland Clinical Trials Portal? www.clinicaltrialsqld.com.au