Specimen Collection Kit Order Form

(US Customers Only)

Please complete the form to request specimen collection kits. All fields are required unless otherwise indicated.


A Single Specimen Collection Kit includes one of each of the following: Test Requisition Form (TRF), cc form, insulated container, gel pack, biohazard bag with absorbent pad, Serum Separator Tube (SST), FedEx Clinical Pak with a prepaid return shipping label, and an instruction manual per shipment.


One single kit shipment may include up to six (6) SSTs, with each SST & TRF individually packaged in a biohazard bag.


Kit orders may take up to 10 working days to be delivered, depending on location and shipping conditions.


Important! Specimen stability is 72 hours from date of collection.

Schedule your sample shipments between Monday and Thursday.

DO NOT ship on Fridays to avoid unforeseen delays and the risk of compromising specimen integrity.

 
 
 

4-digit number

 
 
 
 

5-digit number

 

Residential or Commercial

 
Phone
 
 

Maximum of 10 kits per order

 

For any extra supplies to be included, please provide a brief description and justification for each item.

 
 
 
 

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.