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1-800-978-9805

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LAB PORTAL

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  • ABOUT

    • WHO WE ARE
    • CAREER OPPORTUNITIES
    • CLINICAL RELEVANCE
    • COMPANY OVERVIEW
    • CONTACT HEADQUARTERS
    • DRIVE THRU OPTIONS
    • OUR LAB
    • PRESS
    • TESTIMONIALS

  • LOCATIONS

    • Arlington, TX
    • Dallas, TX
    • Dallas College North Lake Campus
    • Fair Park, TX
    • Grand Prairie, TX
    • Houston, TX
    • Irving, TX
    • Justin TX
    • Mansfield TX
    • McKinney TX
    • Mesquite TX
    • Richland College
    • Samuell Grand Aquatic Center Dallas, TX
    • Sugar Land, TX
    • TCC Northeast Campus
    • TCC Northwest Campus
    • TCC South Campus
    • TCC Southeast Campus
    • TCC Trinity River Campus
    • The Colony, TX
    • Thurgood Marshall Recreation Center
    • Trinity View Park
    • Waco, TX

  • PRODUCTS

    • COVID-19
    • COVID PLUS
    • PHARMACOGENOMIC (PGx) TESTING
    • URINARY TRACT INFECTIONS
    • COVID-19 VACCINATIONS

  • RESOURCES

    • FORMS TO PRINT
    • FAQ'S

  • BLOG

  • More

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    Forms to Print

    GeneIQ_Requistion_Form_16 Final[2].pdf
    REQUISITION FORM ( with insurance )
    Click Icon to Download & Print Form
    GeneIQ_Requistion_Form_17_No_Insurance f
    REQUISITION FORM ( without insurance )
    Click Icon to Download & Print Form
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    1-800-978-9805

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    972-942-0110

    ​

     

    info@geneiqlab.com
     

    Corporate Headquarters:  5151 BELT LINE RD STE 715, DALLAS, TEXAS 75254

     

    Laboratory:  3716 STANDRIDGE DR. THE COLONY, TX 75056

    ​

    CLIA #45D2181504

    ​

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