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Request for Testing Services Forms
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Most samples or specimens submitted to the laboratory for testing require that a completed Request for Analytical Services form be sent with each individual specimen.
Test request forms with pre-populated customer address information can be
ordered singly or along with testing supplies by clicking the "Order from the Lab" link to
the left, and then clicking the relevant supply ordering link. |
Form Number |
Important Notes |
250-A |
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250-B |
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270-71 |
Public health testing (with patient history), used for all patient testing, including used by the Infertility Prevention Program
(IPP) CT/GC testing. Available to county health, epidemiologists and healthcare only.
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272 |
Bird and animal testing.Available to county health, epidemiologists,
healthcare and veterinarians only. |
273 |
Insect and mosquito testing. Available to county health only. |
Newborn Screening |
Available to hospitals, birthing centers, midwives and pediatrician's offices only. |
Toxicology |
Available to law enforcement agencies only. |
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