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Empire City Laboratories Sample Requisition

Updated over 10 months ago

❗️The instructions you will follow depend on where you are collecting your sample.


Empire Draw Center

📄 Your requisition form will be emailed to you. It is also available in your Rupa patient portal.

You must bring this form with you to your blood draw at an Empire draw center. You may print your form or show it on your mobile device.


Other Phlebotomy Clinic or Mobile Phlebotomist

How to Complete Your Requisition

How Your Completed Requisition Should Look

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