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Submit Specimens

If you are an existing Miraca Life Sciences client and need a requisition to accompany a specimen you are sending to our lab, please complete the form below and fax to 866.688.3280.

Dermatopathology Requisition (Download PDF)
Podiatric Pathology Requisition (Download PDF)

If this is your first time ordering from Miraca, please contact Dermatopathology Client Services to set up your client profile.

Miraca is one of a few select laboratories that perform Melanoma FISH testing. For more information, download Melanoma FISH Test Notification (Download PDF)