Millenova Immunology Laboratories
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Order Supplies

We provide our clients, for no additional fee, the necessary shipping supplies required to ship test samples to our facility. To request supplies, please fill out the form below or call customer service at 1-877-737-7652. Unless, otherwise specified, all supplies will arrive within five business days.

Account Number:
Contact Name:
Company Name:
Mailing Address:
City:
State:
Zip Code:
Telephone:
Fax:
E-mail:
Supplies Requested:
Styrofoam Boxes
Large (to hold 8 tubes) Quantity
Small (to hold 3 tubes) Quantity
FedEx Supplies
Airbills Overnight Priority Quantity
Airbill Pouches Quantity
Diagnostic Bags Quantity
Other
Test Requisition Form (use as a master, copy)
Send supplies using "Standard Delivery" (typically 5 business days)
Additional Information: