Laboratory Supply Request

NEED TO GET IN TOUCH WITH US FASTER?

Name
First Last
Facility Name
Phone
Address
Street Address Address Line 2 City State ZIP Code
Email*
Kits
All kits include a requisition form, specimen bag, and requested collection device.
RPP Kit (Respiratory)
UTI Kit
Wound Kit
Women’s Health Kit
GI Kit (Gastrointestinal)
STI Kit
Strep Kit
Allergy Kit
Toxicology Supplies
Urine Tox Cups
Oral Swabs
Specimen Bags
Forms & Shipping Supplies
Infectious Disease (Molecular) Requisition Forms
Toxicology Requisition Forms
Return Labels
Shipping Bags
Shipping Boxes
Special Instructions
Email
This field is for validation purposes and should be left unchanged.