Laboratory Services Division - Packing Slip Order Form
This order form enables our
large volume customers
to order muliple packing slips.
If you are not a large volume customer, please access our website to print packing slips on an as-needed basis by clicking here:
Laboratory Services Division Homepage
** Mailing Information Section **
Name
Company Name
Ship to:
Street Address
City
State
Zip Code
Customer ID Number (if known)
The following information is for LSD internal use only and allows us to contact you with regard to your order. This information is not shared with any organization external to the CDPHE.
Contact Phone Number
Contact E-mail address
(Order summary receipt will be sent to the e-mail address provided above.)
** Packing Slip Order Section **
Type of packing slip needed:
Standard packing slips (Use for all laboratory testing except Newborn Screening)
Newborn Screening packing slips
Number of packing slips needed:
Indicates Response Required