To order tests, please select one of the requisitions below to download and complete.

Ordering Instructions:
*Please be sure to fill out the following information in the top left box: Doctor name, address, phone and fax.
**Please check: Doctor/client (for client bill ONLY) or insurance (please attach demographics)
***For Patient information, minimum requirements: Name, Date of Birth, and Date of Service

**If the Requistion(s) are not complete, your specimen WILL BE HELD AND NOT PROCESSED unitl we are able to collect the missing information from your office staff.**

Once completed, be sure to sign the requisition and send it to our lab with your specimens. If you have any questions, be sure to give us a call at 310-267-2680. Thank you!

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