Microbiologics offers Custom Solutions to laboratories in need of preserving environmental isolates.
All fields are required except where noted
International Distributors Only : Please enter the End Customer Contact Information below. Enter your Distributor ID number for the Account ID #. In the Special Instructions, enter your Distributor Company Name & Contact Information.
Address Line 2
Microbiologics Account ID#International Distributors must include their Account ID#
Define Concentration Required
Is the specific application for this microorganism preparation for quality control?
If the application is not quality control, please specify the intended use:
Requested completion Date:
Indicate Biosafety Level
Microorganism name as you want it to appear for labeling purposes
Your Item number to be used for ordering.If not indicated, Microbiologics will assign.
Passage # of culture being submitted. If left blank, passage 0 will be assumed.
Preferred Medium Include Brand & Catalog Number
Preferred Incubation Temperature
Preferred Incubation Time
Preferred Incubation Atmosphere
Alternate Medium *Check if applicable
Alternate Medium *List all other Media product will be tested on – if applicable Include Brand & Catalog Number
Alternate Growth Condtions *List other Growth conditions, if applicable
How often do you plan on ordering this strain?
Customer’s specific strains have not been obtained, nor have they been delivered, produced or manufactured from biological materials originally obtained from the American Type Culture Collection (“ATCC”). ‐OR‐ Customer’s specific strains originated from biological materials obtained from ATCC and customer has obtained a written commercial use license (“License Agreement”) from ATCC that authorizes it to engage a Third Party for contract manufacturing services. Microbiologics does not perform validations or shelf life testing on Custom Solutions products; this allows us to provide you with product in a shorter timeframe.
I acknowledge Microbiologics will have use of this strain unless otherwise indicated.