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(888) 80-QALAB or (888) 807-2522

Completion of this form verifies that you agree to Trelfa Labs’ Terms and Conditions.

Parent company / company responsible for payment.
Doing Business As / alternate business name.
This person will have access to test results in your Client Portal account unless you instruct us to remove them.
This person will have access to test results in your Client Portal account. Please note that invoices can only be sent to two email accounts in your company file.
Your local Board of Health inspector will have access to your test results via the Client Portal.
You must notify the lab of any changes in your sampling schedule. Failure to provide samples for scheduled pickups are subject to a $30 minimum fee.
You must notify the lab of any changes in your sampling schedule. Failure to provide samples for scheduled pickups are subject to a $30 minimum fee.
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