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Atlantic Health System Laboratory Services fax number

(908) 522-4881

Laboratory Services

Used for: Submission of patient specimens for laboratory testing using General Laboratory Requisition; lab tests requested and processed by Atlantic Health System Laboratory Services.

Fax destination details

Department
Laboratory Services
Purpose
Submission of patient specimens for laboratory testing using General Laboratory Requisition; lab tests requested and processed by Atlantic Health System Laboratory Services.
Form
General Laboratory Requisition — General Laboratory Requisition
Address
1000 Galloping Hill Road, Suite 107, Union, NJ 07083, United States
Voice phone
908-522-6332

Before you send

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  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Fill out patient identifiers, physician order, date/time; specify tests/panels, specimen source, date collected, and any required clinical information per CLIA standards. The form is used to request laboratory tests and route results to the ordering clinician.

Official form instructions are published as a downloadable file on the organization's website.

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