Kit Order Form

  • Clinical Testing kits are provided as a courtesy.
  • There is no charge when ordering kits.
  • Kits will include pre-paid return postage.
  • Kit requests may take up to 1 week for delivery.

Kit Selection

If your patient has had a bone marrow transplant or recent blood transfusion, the above kit type may not be recommended. Please contact us for further details, referencing SP104.

Kits are being sent to

Contact and Shipping Information

* - Denotes a required field. We can accept a P.O. Box address only for one or two kit orders.

PROVIDER INFO

SHIPPING INFO

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