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Laboratory Services Request Submission Form


Need Contract Laboratory Services for your Laboratory? Simply complete the form below. Your Laboratory Service Request will be posted anonymously in our Incoming Laboratory Services Requests Database. If laboratory service providers can meet your needs, they will send us a response to forward to you. If you wish to remain anonymous, simply indicate "Confidential" in the requirements section and we'll send you the laboratory service provider's contact information. Your confidentialty will be maintained. Generally, Service Providers that meet your requirements are found within 24-48 hours. If you require assistance, please email or call Toll-Free 24/7 1-855-377-6821.

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