Laboratory
Test RequestsSubmission Form
IMAGE
SOURCE:CDC PHIL Technician performing Western Blot testing.
Antigens if present will bind and be detected.
Need
to find a Laboratory quickly? Save time searching. Simply,
fill in the request form with your testing needs and requirements
or call us at Toll-Free 1-877-353-0451 or 1-403-770-1992. Your request will be posted
annonymously on our Incoming
Test Requests Database
If you require assistance, please email
Laboratory Testing Request:
Testing
Type: If known, indicate testing type (ie,analytical
chemistry, food, nutritional, toys, bioanalytical,
toxicology, microbiology, nutritional, environmental,
medical device, clinical, product safety, preclinical,
agriculture, mechanical, electrical, materials, physical, consumer products, packaging, non-destructive, transportation, genetics, pharmaceutical)
Testing Urgency
:
Within the next 24 hours
Within the next 2 - 3 days
Within the next 3 - 5 days
Within the next 5 -7 days
Within the next 2 weeks
Within the next month
Within the next 6 months
Within the next year
Select Testing Urgency
Testing Location :
Please
indicate if you have a specific testing location requirement (ie,
you need the testing done in USA, Canada, Europe, Eastern USA, West Coast USA, Asia, UK, California, Ireland, India, etc.)
Testing Description: Please briefly
describe the laboratory testing, analysis, research and development required. If known, please include number of samples.
Testing Requirements: Please specify
any testing requirements needed (ie, FDA, GMP, GLP, UKAS,
BAM, A2LA, AAALAC, EPA, ISTA, CPSC, IEEE, DIN, USP, ASTM, ISO, etc.), if any. Please also indicate whether you
wish your contact information and company to remain
Confidential.
Laboratory Test Requestor Information :
Company or Organization Name:
Requestor Name :
Title:
E-mail Address:
Phone Number:
Address: