Fill this form before dispatching your samples to ClariGenoMic. Our team will confirm and guide you on packaging and dispatch.
Enter the name of the researcher or PI submitting this request.
We'll use this to send your results and invoice.
Select one option below.
Select one or multiple options that apply to your sample.
Other (please specify):
Enter the primer name and target gene for your sequencing run.
Primer Name
Target Gene / Region
Add at least one sample. Click + Add Sample for more.
Select your preferred format and any extra analysis needed.
Preferred Format
Extra Analysis (optional)
Optional — add any notes for our lab team.
Please confirm your details before submitting.
By submitting you confirm all samples are safe to handle and non-hazardous. ClariGenoMic will process as per your selections.
Thank you! Our team will review your details and contact you within 24 hours with sample dispatch instructions and packaging guidelines.