Supply Request

Thank you for choosing our lab services for your PCR testing needs. Please provide the requested information below, and our team will promptly process your request and arrange for the delivery of the necessary supplies.

Should you have any questions or require further assistance, please do not hesitate to contact Kelsey Leffew at 865-293-6264 or Kelsey@MolSol.org

We appreciate your trust in our services and look forward to assisting you with your testing needs.

Important: Requests submitted after 3:00 PM EST are subject to be shipped the following day.

Agency/Facility Name

Recipient Name

First Name

Last Name

Recipient Phone

(###)

###

####

Recipient Email

Shipping Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

UTI+ Cup Kits

Urine Cup and Vacutainer for UA/UTI

E-Swab Kits

UTI Diaper Swab and Wound+

GI+ Swab Kits

Fecal - Viral, Parasitic, and Bacterial

Respiratory Swab Kits

Additional Information