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Biological Samples Request Form

Personal Details

Name *
Company *
Email Address *

Biological Sample Details

Tissue type (Indicate tissue and disease) *
Number of samples *
Sample Type (Ex: FF or FFPE) *
Patient Inclusion (including but not limited to age, ethnicity, gender, disease) *
Patient Exclusion (including but not limited to age, ethnicity, gender, disease) *
Post Mortem Interval (if applicable for FF samples) *
Collection Specification *
Clinical Data *
Specific/Other Requirements
Delivery Needed by

* Required Fields

Usage Statement: Our products are intended for research use only and not to be used for any other purpose, which included but is not limited to, unauthorized commercial uses, in vitro diagnostic uses, ex vivo or in vivo therapeutic uses or any type of consumption or application to humans.

Cells

• Primary Cells
• Immortalized Primary Cells
• Tumor Cells
• Reporter Cell Lines
• Drug Discovery Cell Lines
• Stem Cells

Tissue Procurement

• Custom prospective collection of normal and diseased samples
• Normal, diseased, and paired archived samples

Please use the enquiry form on this page to request further information.