Mirum Kit Order Form

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.

Kits are being sent to

Kit Selection

If your patient has had a bone marrow transplant or recent blood transfusion, the above kit types may not be recommended. Please contact us for further details, referencing SP102.

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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