COVID Testing Resource Request
This form has been updated! Please use this form to request PCR COVID testing supplies and/or PPE from the state lab. Once your request is received, it will typically be filled within 5-7 business days. If you need supplies urgently, please contact the lab at

If you are a residential care facility, please work with your newly assigned lab to order supplies.
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Email *
Onsite Contact Name *
Name of primary contact for this request
Onsite Contact Phone *
Phone of primary contact for this request
Preferred contact method
Your County *
Facility or site name *
Facility Address (cannot be a PO box) *
Site Name and address please - this helps our courier find you!
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Zip Code
Do you need Testing Supplies or just PPE? *
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