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The Canadian National
Inherited Bleeding Disorder
Genotyping Laboratory
Department of Pathology and Molecular Medicine Queen's University
REQUISITION FORMS
Please note that incomplete requisition forms will result in a delay of sample testing.
NIBDGL employees are not bilingual. Please write in English if possible.
Instructions for sample collection and shipment are included with the requisition forms.
Completed requisitions must sent with patient sample to the following address:
Attn: Gina Jones/Samira Kheitan
Department of Pathology and Molecular Medicine, Queen's University
Richardson Laboratory, Room 201
88 Stuart St., Kingston, Ontario K7L 3N6
Tel: 613-533-3187
Fax: 343-344-2733* new number
SAMPLE SHIPMENT
ENGLISH
FRENCH
SAMPLE
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