Cell Line Quality Control Services

Cell Line Authentication Service Request

Request human STR profiling and mycoplasma testing for externally submitted human cell-line samples.

Human STR profiling

Mycoplasma testing

Clear QC documentation

CLIA #21D2251432 | CAP #9549314 | Maryland Laboratory Permit #3314

Service Request Form

Required fields are marked with an asterisk. Do not submit patient names or direct patient identifiers.

Important: Do not include patient names, medical record numbers, dates of birth, or other direct patient identifiers. Submit only research or manufacturing cell-line materials that meet the laboratory’s sample acceptance requirements.

1. Customer Information

Provide the primary contact responsible for the submission.

Organization

Department

Contact name

Telephone

Customer or account number

Billing address

Purchase order number

Quote number

2. Requested Services

Select at least one submission service. Services may also be assigned separately to each sample.

Human STR profiling Mycoplasma testing

Requested turnaround

Report format

Additional report recipients

3. Sample Information

Add one sample record for each cell line or submitted material.

4. Shipping and Sample Handling

Planned shipment date

Carrier

Tracking number

Shipping condition

Return remaining material

Disposition after testing

Shipping or handling notes

5. Customer Authorization

The submitting customer must review and accept the statements below.

I certify that the information provided is accurate and that the submitted materials are authorized for testing. I certify that the submission contains no direct patient identifiers. I have disclosed all known biological hazards, infectious agents, recombinant materials, and special handling requirements.

Authorized name

Title

Date

Electronic signature

6. Laboratory Use Only

Accession number

Date received

Received by

Condition on receipt

Temperature on receipt

Sample acceptance

Laboratory notes

Submission does not authorize work or create a purchase obligation. B&B Bio will provide a quotation and scope for approval before work begins.

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Cell Line Authentication Service Request

Service Request Form

1. Customer Information

2. Requested Services

3. Sample Information

4. Shipping and Sample Handling

5. Customer Authorization

6. Laboratory Use Only

Sample

Human STR Profiling Details

Mycoplasma Testing Details