Fill this form before dispatching your samples to ClariGenoMic. Our team will confirm and guide you on packaging and dispatch.
Name of the researcher, clinician, or contact person submitting this request.
We will use this to send your results and updates.
Select the service you require.
Other / Specify your requirement:
Select one or multiple that apply.
Other (specify):
Add each sample you are sending, with a short description and quantity. Add suspected organism if known (optional).
Select what analysis you need. Multiple allowed.
Advanced / Custom Requirements
Describe any specific organisms to screen for, comparison groups, or reporting standards needed.
Preferred Output Format
Any additional notes, comparisons, groupings, or special requests for our team.
Please confirm your details before submitting.
By submitting you confirm all samples are safe to handle and non-hazardous.
Thank you! Our team will review your microbiology testing request and contact you within 24 hours with sample dispatch instructions.