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Laboratory Medicine
330 Cedar Street
P.O. Box 208035
New Haven, CT 06520-8035
Tel: 203.688.2446
Fax: 203.688.7340

Research | Research Testing for Clinical Trials | Checklist & Forms

Research Checklist and Forms

Checklist

  • Clinical laboratory checklist

Available forms

  • T-account Billing Request form
  • Form Request for Human Subjects Research
  • Form for Excess Clinical Samples (HIPAA)
  • Form Request for Non Human Research
  • Form Request for Pricing Only
  • Form Request for Phlebotomy Only
  • Print

Research Testing Coordinator

Rita Napierkowski

Address:
Yale-New Haven Hospital 
20 York Street , PS 223
New Haven, CT 06504
Phone: (203) 688-7154
Fax: (203) 688-7340

For copies of CAP or CLIA certificates email the Research Coordinator and provide Fax information.

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  • Updated 07/30/12