Requisition Form

To submit a clinical requisition form, please download and complete the below document, and submit the completed form via email/mail.

Download Requisition Form

Specimen Collection and Turnaround Time

FLT3, NPM1, CEBPa

  • 1-3 mls BMA in EDTA, or 5-7 mls PB in EDTA, or FFPE unstained slides/tissue.
  • Turnaround time: 2-5 business days

BCR/ABL1

  • 5-7 mls PB in EDTA.  Samples must be received within 48 hours.
  • Turnaround Time: 2-3 business days

ABL Kinase Mutational Analysis

  • 1-3 mls BMA in EDTA, or 5-7 mls PB in EDTA.  Samples must be received within 48 hours of draw.
  • Turnaround Time: 3-5 business days
Jill Harrell and Catherine Spurgeon looking at computer screen.