Online Order - Virology Institute Online Order Note: All fields marked with * are required. Practice/Institution * E-Mail * Street & House Number * ZIP Code & City * Collection Systems Product Quantity Unit HPV-PCR (1 Pkg. = 50 pieces) Pieces Package PCR Swab (1 Pkg. = 50 pieces) Pieces Package Culture for Mycoplasma / Ureaplasma (Gel swab) Pieces Chlamydia / Gonorrhea Swab Yellow for urine (1 Pkg. = 50 pieces) Pieces Package Chlamydia / Gonorrhea Swab Orange (thick swab) for rectal, throat (1 Pkg. = 50 pieces) Pieces Package Chlamydia / Gonorrhea Swab Purple (thin swab) for vaginal, urethral (1 Pkg. = 50 pieces) Pieces Package Stool Container Pieces Other Items Product Quantity Unit Request Forms (1 Pkg. = 250 pieces) Pieces Package Shipping Bags Pieces Additional Comments Yes, I accept the privacy policy and agree to the processing of my personal data. * Submit Order Kundeninformationen Bestelldetails E-Mail Submit
