New Test Order

Selected Tests

Medical Record Number Client Order Number

Last Name First Name Middle Name Suffix

Date of Birth

Gender

Address Line 1 Address Line 2 City State or Province Postal Code Country Phone Number

Physician Name Phone Number

Collection Date and Time
at :
Time Zone: (GMT+00:00) UTC

Select the temperature at which you intend to transport each specimen.

C2729 – Serum

Report Notes Enter up to 125 characters to include on the test results report. Comments Enter information to send to Mayo Clinic Laboratories.

Send notifications to the following email addresses when results are available: