TISSUE REQUEST FORM

Please fill out the form below in as much detail as possible. We will conduct a quick feasibility study and will get back to you with availability, project duration and price within 24 hours.

 

  • Name*
  • Email*
  • Phone
  • Company, Institute
  • Indication (e.g. Lung cancer)
  • Format (e.g. FFPE, Frozen, Frozen Viable)
  • Quantity (e.g. 10 patients)
  • Volume (e.g. 5 ml of Plasma)
  • Inclusion/Exclusion Criteria (e.g. Specific Treatment, Stage, etc..)
  • Application (e.g. IHC, RNA study, DNA study)
  •  

ORDERS : Online

By Email: orders@capitalbiosciences.com

By Fax: 240-363-0739

Technical Inquiries:

Please note: we take all technical inquiries by email. Email your questions to TechSupport and receive a detailed response within 24 hours.

Billing, Sales, Customer Support:                     1-800-475-2812

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