HistoGenetics.com

organization type *

HospitalRegistryLabCord Blood CenterResearchUniversity Others

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department

Official Address *

contact person*

address *

city *

state

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country *

Click to learn about Specimen Requirements

specimen types

frequency

Samples per year (?)

Expected Typing provided(?)

report format (?)

sample receipt confirmation

Turn Around Time *

TAT Type

Gene typing category*

contact name

phone number

to email address

cc email address

sample receipt notification *

*

report contact *

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billing contact*

*

new allele reports

no make reports

extension requests

ShareFile contact (?)

* Note : For Security reasons, all the reports are now published to the secured ShareFile server. Once the reports are ready to release, a download link will be emailed to all the registered report contacts. To download the report, username and password will be required. The provided email address will be used as the username. The password as well as the login link will be emailed to you shortly after the registration completes.

contact name *

email address *

Payment Terms

payment method

payment days

Standing Instruction/Order

Agreed Pricing

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