PGx Supply Request

PGx Supply Request
Please allow 2-3 shipping days.

Any Questions?

Email: Supplies@ildp.com | Phone: 513-866-7922

Thank you!
Facility Name
Address

Street Address

CityState

Zip Code
Submitted By
Email
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Pharmacogenomic Testing
PGx Swab Kit
Includes: Swabs, Bio Bags, Order Sheets & Additional Information
Packing Materials
UPS Paks with Labels
Includes: UPS Paks Pre-Labeled
Notes:
Should be Empty: