Submit Specimens

If you're an existing Miraca Life Sciences client and would like to order Miraca Life Sciences testing, please download and complete the appropriate form below.

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

Dermatopathology
Dermatopathology Requisition (Download PDF)
Podiatric Pathology Requisition (Download PDF)
Get directions and additional information

GI Pathology
GI Pathology Requisition (Download PDF)
Get directions and additional information

Hematopathology
Hematology/Oncology Requisition (Download PDF)
Get directions and additional information

Urologic Pathology
Urologic Pathology Requisition (Download PDF)
Get directions and additional information

General Pathology
General Pathology Requisition (Download PDF)


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Miraca has been extremely helpful to our office with Meaningful Use. It is such a complex task to undertake, and having knowledgeable people from Miraca to assist with each stage, work flow, and administration is invaluable. You guys have saved us countless hours. Everyone we’ve encountered from Miraca from the beginning like yourself [Rick Ludwico], and now with Joy [Rios], and Amy [Schmid] have been terrific. We count on you guys, and you have guided us throughout the whole process, making it so much easier than it would be otherwise!.
— Pam Kefer, Office Manager
Wallach Derma Center, Danville, Calif.


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Learn about Miraca's unmatched quality. We provide our clients with access to the highest quality AP services.

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