Lab Sample Pickup Request Form

Please give 48 hours advance notice for pickup requests using this form. You will immediately receive an automated delivery acknowledgment.  When your pickup is scheduled, we will send you an email confirmation. If you haven't heard back from us and time is running short, please call us at 877.320.7373.


Please note: All orders needed in less than 48 hours must be called in to the office at 877.320.7373. Thank you!


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Sample Pickup Request:
  1. * Denotes a required field.

  2.   (if pickup is a field location)
  3. Yes No
  4. Yes No