Frozen Laboratory Specimen Order Form

Frozen Laboratory Specimen Order Form
Order frozen laboratory specimens quickly and securely. Please provide your details and select the specimens you wish to order. All required fields are marked.
Full Name
First NameLast Name
Organization or Institution Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Delivery Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Requested Delivery Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Frozen Laboratory Specimen Selection
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Frozen Plasma Sample
Cryopreserved plasma specimen for laboratory research.
$120.00Quantity

Frozen Serum Sample
Frozen serum specimen suitable for various assays.
$110.00Quantity

Frozen Whole Blood Sample
Whole blood specimen stored at subzero temperatures.
$135.00Quantity

Frozen Tissue Section
Sectioned frozen tissue for histological or molecular analysis.
$180.00Quantity

Total
$0.00
Special Instructions or Order Notes
Should be Empty: