Lab Sample Pickup Request Form

48 hours advance notice is required for courier pickup requests.

If your request window is shorter than 48 hours, please note that we may not be able to accommodate your request. Call us at 603-436-2001 with questions. 


Once you hit the SEND button below, you will receive an automated delivery acknowledgment. 


When your pickup is scheduled, we will send you an email confirmation.


If you do not receive a scheduling confirmation email, please call us at 603-436-2001.



Please note:

48 hours advance notice is required for sample pickup requests.

Leave this field empty
Sample Pickup Request:
  1. * Denotes a required field.

  2.   (if pickup is a field location)
  3. Yes No
  4. Yes No
  5. Please hit the SEND button ONCE, and wait a moment for a confirmation.

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