Forms & Instructions for Genomic and Molecular Testing
All orders for UH patients should be placed electronically using the EMR. For testing requests originating outside of the UH system, please download and fill out the paper requisition and contact the laboratory with any questions.
Cytogenetics and Molecular Genetics Testing Menus & Requisitions
Oncology Testing Menus & Requisitions
- Cytogenetics: Hematology/Oncology Testing Menu
- Targeted Oncology: Solid and Hematopoietic Tumors Testing Menu
- Hematology/Oncology Requisition
- Solid Tumors Requisition (For use outside the UH system)
Shipping Instructions and Addresses
When sending samples to the Cytogenetics and Molecular Genetics Laboratories:
- Enclose the appropriate test requisition with sample. All information must be completed before sample can be processed.
- Each sample must be clearly labeled with at least the patient's name and birth date.
- All samples should be wrapped, cushioned against breakage and sealed in a plastic bag before placement in the shipping container.
- All samples should be sent at room temperature.
- Do not allow to freeze.
- Samples should be sent by overnight carrier to arrive Monday through Friday.
- We do not accept deliveries on Saturdays or U.S. holidays.
- Shipment via express or overnight carrier is recommended.
- Please contact our laboratory by phone, 216-983-1134 with the tracking number on the day of shipment.
When sending samples to the UH Translational Laboratory:
- Enclose or fax a completed UHTL testing requisition. All information must be completed before the sample can be processed.
- Samples must be clearly labeled with at least two patient identifiers
- Slides and paraffin blocks may be sent at room temperature. For other sample types, please contact the laboratory for instructions.
- Samples should be sent by overnight carrier to arrive Monday through Friday. Samples are not received on weekends or U.S. holidays.
For Cytogenetics and Molecular Genetics, ship samples to:
Center for Human Genetics Laboratory
10524 Euclid Ave, Sixth Floor
Cleveland, OH 44106
Phone: 216-983-1134 | Fax: 216-983-1144
Please call the Cytogenetics and Molecular Genetics Laboratories at 216-983-1134 to arrange for local sample pick up.
For UH Translational Laboratory, ship samples to:
University Hospitals Cleveland Medical Center
Department of Anatomic Pathology
11100 Euclid Ave, Rm 225
Cleveland, Ohio 44106
Phone: 216-983-1803 | Fax: 216-844-3227
Other Services
Send out testing coordination and cell culture services: for more information please contact the Cytogenetics and Molecular Genetics Laboratories at 216-983-1134.
Contact Us
Contact the Cytogenetics and Molecular Genetics Laboratories at 216-983-1134 or the UH Translational Lab at 216-910-4009 with questions or for more information.