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Submit Specimens

If you are an existing Miraca Life Sciences client who has recently submitted specimens and need to send additional information, please complete the form below and fax to 866.688.3280.

GI Pathology Requisition (Download PDF)

If this is your first time ordering from us, please contact GI Pathology Client Services to set up your client profile.

For all other surgical pathology requisitions, please complete the following form and fax to the appropriate lab listed at the bottom of page 1.

General Surgery Pathology Requisition (Download PDF)

We use a cutting-edge immunohistochemistry (IHC) testing protocol that aids in the diagnosis of Lynch Syndrome by identifying MMR proteins. For further information download MMR IHC Notification (Download PDF).