Lifera OmicsClinical Genomics Laboratory

Genomic Data Reanalysis Request

Access is restricted to registered requesting physicians and laboratory staff. If you do not have an account, contact the laboratory to be registered.

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Lifera OmicsClinical Genomics Laboratory

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Open your authenticator app and enter the 6-digit code for your account.

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Lifera OmicsClinical Genomics Laboratory
Form no.
LO-F-GR-01
Revision
1.0
Reference SOP
Genomic Data Reanalysis v1.0

Genomic Data Reanalysis Request

Sections 1–6 are completed by the requesting physician. Section 7 is completed by the laboratory on receipt.

Complete all mandatory fields marked * and attach the previous genomic report. A separate form is required for each index patient.
* Mandatory
Confidential — patient identifiable information