Sample Submission

Bionique Testing Laboratories offers traditional testing mycoplasma services, as well as Real-time PCR testing services. Please select from the sample submission tabs below and include a printed copy of your completed form with each sample submission.

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Client Information

(Please note: Test Results will only be emailed to the recipients entered in this section.)

Billing Information

Sample Information

BTL ID # (in-house use only) Sample Designation
This designation will appear on all testing reports
Sample Type Sample Volume (mL) Date Sampled (mm/dd/yyyy) Test/Cat. No.
Add Row

Shipping Information

BioSafety Level (BSL) of samples:
(Please note: Samples exceeding BSL 2 are NOT accepted. Contact us before sending known human pathogens. Certain agents such as retroviruses may not be accepted.)
Shipping condition:
Does the sample contain antibiotics?

Special Instructions (additional surcharge may be applied)

Select one:
Select appropriate options and/or custom options in field below:

Additional Reports Requested (additional surcharge may be applied)

Authorization

I authorize Bionique Testing Laboratories Inc. to perform mycoplasma testing services on my sample(s) as per the details provided above, and in accordance with Bionique's Terms and Conditions.

Sample Notification

Clients must notify Bionique two business days prior to shipping samples to facilitate timely testing by completing & submitting this form. A copy of sample submission form must also accompany your sample.

Reserve Samples

cGMP requirements specified in 21 CFR Subpart 1 - Laboratory Controls, Section 211.170 - Reserve Samples states that a sufficient amount of reserve sample submitted for testing shall be retained.
(Please note: Upon hitting submit, you will be directed to a link to open a pdf of your sample submission form. Please print and include with your sample shipment.)

In-house Use Only

Client Information

Applies to M-1500, and M-1500Q
(Please note: Test Results will only be emailed to the recipients entered in this section.)

Billing Information

Sample Information

BTL ID # (in-house use only) Sample Designation
This designation will appear on all testing reports
Sample Type Sample Volume (mL, minimum 1.2) Date Sampled (mm/dd/yyyy) Test/Cat. No.
Add Row
*Bionique requires that clients qualify all sample types/matrices for suitability in this assay. If any sample type has not been previously qualified, or if any component has changed since last qualified, be sure to add an M-1500Q line item to your order for that test article and submit sufficient volume to support two tests. Our PCR Testing Department is available to answer your questions at 518-891-2356.

Shipping Information

BioSafety Level (BSL) of samples:
(Please note: Samples exceeding BSL 2 are NOT accepted. Contact us before sending known human pathogens. Certain agents such as retroviruses may not be accepted.)
Shipping condition:
Does the sample contain antibiotics?

Special Instructions (additional surcharge may be applied)

Select one:
Select appropriate options and/or custom options in field below:

Authorization

I authorize Bionique Testing Laboratories Inc. to perform mycoplasma testing services on my sample(s) as per the details provided above, and in accordance with Bionique's Terms and Conditions.

Sample Notification

Clients must notify Bionique two business days prior to shipping samples to facilitate timely testing by completing & submitting this form. A copy of sample submission form must also accompany your sample.

Reserve Samples

cGMP requirements specified in 21 CFR Subpart 1 - Laboratory Controls, Section 211.170 - Reserve Samples states that a sufficient amount of reserve sample submitted for testing shall be retained.
(Please note: Upon hitting submit, you will be directed to a link to open a pdf of your sample submission form. Please print and include with your sample shipment.)

In-house Use Only