Order Supplies - Cleveland HeartLab, Inc.

To order testing supplies from Cleveland HeartLab, please complete the form below and click submit. If you have special instructions, please enter them in the box at the end of the form. Please be sure to include your e-mail address and an e-mail confirming your order will be sent to you. You will receive your order in 4-7 business days. If you have questions please contact our Client Supply team at 949.728.4561.

Physician & Practice Information (* required info)

Is this your first time ordering from us?
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Order Placed By *
Physician's name *
Client ID
Practice name *
Address of practice *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *
Email *
Phone *
Fax

Available Kits

Insulated Return Service Kit

Kit Includes: 1 Small Styrofoam Box
1 Small Ice Pack

Choose FedEx or UPS for Shipping

1 FedEx Lab Pak Bag and 1 FedEx Shipping Label

Return Service Kit Quantity

Shipping Supplies

Small Styrofoam Box Quantity
Regular Ice Pack Quantity
Biohazard Bag Quantity
Medium Styrofoam Box Quantity
Medium Ice Pack Quantity
FedEx Laboratory Pak Quantity
FedEx Shipping Labels Quantity

Special Instructions

Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Verification

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