Cell Authentication Testing Service

Customer Information

The testing results will be emailed by ATCC to the email address provided below.

First name

Last name

Email address

Phone number

Organization name

Street

Country or region

State or province

City

Postal code

Cell Line Information

Please verify that the information entered below corresponds to the barcode being submitted.

Cell line name/designation

Catalog item number/comments

Hazard Statement

ATCC does not accept cultures infected with HIV or Biosafety Level 3 or 4 agents for testing.

By submitting this form I agree that to the best of my knowledge the cell line being submitted is free of hazardous materials, agents, and carcinogens.

Print name

Date

Thank you! We've received your submission.

Please record "electronically presented" on the paper submission form. Note: It is recommended to list an email address on the submission form, the remainder of the form may be left blank.

Mail the FTA card and the associated submission form to:

ATCC Cell Authentication Testing Service (Room L135), 10801 University Blvd., Manassas, VA 20110

Or use the pre-addressed return envelope included with the kit. It is recommended to use a courier service with tracking for shipping.

Important: For international customer, please add the words "FTA Sample Papers" to the airway bill label.

Cell Authentication Testing Service

Barcode Entry

Customer Information

Cell Line Information

Hazard Statement

Thank you! We've received your submission.

Please subscribe me to the following: