Account and Institution Information

The Test Request Form for established accounts does not require patient credit card information.  Complete the form and submit along with the required sample to Coppe Laboratories.  You may request a sample kit, or call the office at 262-574-0701 for a Fed Ex label.

Account Test Request Form

Information about the tests and sample requirements can be found in the table below:

A pdf copy of the sample requirement is here:  Sample Collection Requirements March 2017

For more information about the individual tests see Diagnostic Test Menu/How to Order.