organization type *

Official Address *

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specimen types

contact name
phone number
to email address
cc email address
sample receipt notification *
report contact *
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