• Lab Location: 2817 Miller Ranch Road, Unit 317, Pearland, TX 77584
  • Mailing Address: 600 Jefferson Street, Suite 301, Lafayette, LA 70501
  • Phone: 281-240-0974 Fax: 844-604-0145

Forms

(Click to download)

• Provider Account Registration

• Provider Profile Selection

• Supply Request Form

• Patient Consent Form

• Hereditary Cancer Test Requisition Form

• Pharmacogenomics Requisition Form

• TOX Requisition Form