Labcorp and its Specialty Testing Group, a fully integrated portfolio of specialty and esoteric testing laboratories.

Test Requisitions

Test Requisition Instructions

Complete the test requisition with all requested information. Ensure all required fields are filled out and information submitted is accurate.

  • Client: account #, name, department, address, ordering physician, phone #, physician/authorized signature
  • Patient: name, gender, DOB, address
  • Billing: insurance company name, policy #, group # (attach face sheet and copy of insurance card)
  • Specimen: hospital status when sample collected, specimen ID #s, body site, collection date and time
  • Clinical: ICD-CM, clinical indication (attach clinical history and pathology reports), clinical status
  • Tests/Services: select tests to be performed

Send a signed, printed copy of the test requisition with your specimens. Please ensure that all information on the test requisition matches the information on the specimens sent (i.e. blocks, slides, tubes).