Lancaster Labs Sample Submission Guide
Thank you for choosing Lancaster Laboratories. In order to provide you with the highest quality testing, we have created this document to help you fill out our
Pharmaceutical/Biopharmaceutical Analysis Request Form (PARF). This document will guide you through the PARF section by section, noting what each section
is for, and how to complete it. We hope this will help you as you undertake this essential step in the testing process.
Please use one PARF per quote and material.
To ensure efficient sample entry, please send a PDF of this PARF to your Pharmaceutical Client Services Representative prior to shipping out sample.
Also, include a hard copy with your sample submission.
If additional assistance is needed, you may contact Pharmaceutical Client Services at 717-656-2300.
Pharmaceutical/Biopharmaceutical Analysis Request Form
Date:
Contact at Lancaster Labs:
SHIP TO:
Lancaster Labs (US): Attn Sample Administration
2425 New Holland Pike, Lancaster PA 17601
Lancaster Labs (Europe): Attn Sample Intake
Clogherane, Dungarvan Co. Waterford, Ireland
Lancaster Labs (Midwest): Attn Sample
Administration, 6859 Quality Way, Portage, MI 49002
1. Header Information – Please supply date of submission and your Pharmaceutical Client Services Representative contact. Please also check the location
to receive your samples. The shipping address for each location is also listed.
Please Complete the following:
# of Samples:
Billing Information:
Company:
Reporting Information:
Company:
Account #:
Contact:
Contact:
PO #:
Address:
Address:
Email:
Email:
Quotation #:
2. Account Information – Please provide:
o The total # of samples you are submitting on this PARF for testing. Note that the total number of samples sent could differ from the total number of
samples being tested.
o Your Lancaster Labs account number. This can be found on your quote or obtained from your Client Service Representative.
o PO (purchase order) number that can be applied to the testing (Please ensure that the PO amount is sufficient to cover the price of testing requested
including any surcharges or optional testing services.) If your company requires a PO # to invoice, Lancaster Laboratories requires a signed copy of
the PO before testing will be initiated.
o If you received a price quote from Lancaster Labs, please include the Quote number in the applicable field, and provide a copy of the signed quotation.
(A quote number begins with “NQ” followed by 5 digits). If you need a price quote, please contact Lancaster Labs at 717-656-2300.
3. Billing Information - In order to send the invoice to the correct party, please provide the Billing contact information.
4. Reporting Information – In order to send the C of A (Certificate of Analysis) to the correct party, please provide Reporting contact information. Be sure to
include an email address.
If requesting sample return after testing
and reporting has been completed, please
complete required information:
FedEx Acct No: ___________________
Contact:
Address:
Phone #:
__________________________
Hazardous:
Please provide MSDS
Blood Pathogen:
BSL2
Controlled Substance:
Class
Please provide C of A for All Raw Materials
5. Sample Return- Please provide contact information and FedEx account number if you would like your sample returned to you after testing. If we do not
receive this information, the sample will be properly discarded at no additional cost after the C of A has been reported (15 days for water samples, 30 days
for all other samples).
6. Special Handling Information – Indicate if sample is hazardous, a Blood Pathogen, BSL2, or a Controlled Substance. Please provide an MSDS for all
samples if possible.
Sample Storage Conditions
Test/Method Reference
7.
Frozen
(Liq. Nit.)
Frozen
(-70C)
Frozen
(-20C)
Lot #
Refrigerated
Sample Description
(As you require it to appear
on your Final Report)
Room Temp
(X Required Condition)
Sample Information – Please provide:
o Sample description, including lot #, container #, product titles, etc. (as you wish it to appear on your Final Report)
o To ensure that your sample is stored properly, please check the storage conditions that are required for your sample.
o For accurate testing, please list the names of the individual tests that you would like performed (include Compendia, Monograph, method number, etc).
Note: If a compendia test has a prerequisite test (e.g. Loss on Drying, Water, etc.), the prerequisite test will be performed, at your cost, unless a value
is provided.
Submitted by
Date
Received at Lab by
Date/Time
Call to confirm current turnaround time. If RUSH results are
needed, call in advance of submission for prior approval.
Please provide method references for chemical assays.
8. Closing Information – Please sign and date the PARF prior to including it with the shipment of the sample.
9. RUSH testing must be preauthorized by the laboratory PRIOR to receipt of sample. Please contact your Pharmaceutical Client Service Representative to
arrange rush testing.
Example of completed PARF
SHIP TO:
Lancaster Labs (US): Attn Sample Administration
X 2425 New Holland Pike, Lancaster PA 17601
Lancaster Labs (Europe): Attn Sample Intake
Clogherane, Dungarvan Co. Waterford, Ireland
Lancaster Labs (Midwest): Attn Sample
Administration, 6859 Quality Way, Portage, MI 49002
Pharmaceutical/Biopharmaceutical Analysis Request Form
Date:
Today’s Date
Contact at Lancaster Labs:
Please complete the following:
# of Samples: 2
Your Lancaster Labs
Account #
Account #:
PO #:
Your Purchase Order #
Quotation #:
NQ-#####
Client Service
Representative
Billing Information:
Company: ABC Pharma
Reporting Information:
Company: ABC Pharma
Contact:
Jane Doe
Contact:
John Doe
Address:
Street
Address:
Street
City, State, Zip Code
City, State, Zip Code
Email:
janedoe@abcpharma.com
Email:
If requesting sample return after testing
Contact:
NA
Hazardous:
and reporting has been completed, please
Address:
NA
Blood Pathogen:
NA
Controlled Substance:
NA
Please provide C of A for All Raw Materials
complete required information:
FedEx Acct #:
NA
Phone #:
Sample Storage Conditions
Sodium Chloride Lot ##### , 1-50g
container
#####
X
Sodium Chloride Lot #####, 1-20g
container
#####
X
Your Signature Here
Submitted by
Date of Submission
Date
Received at Lab by
Date/Time
BSL2
Class:
X
LL-0493
Yeast and
Mold
EP Full
Monograph
USP
Sodium
Frozen
(Liq. Nit.)
Frozen
(-70C)
Frozen
(-20C)
Refrigerated
Lot #
Room Temp
Sample Description
(Please provide MSDS)
Test/Method Reference
(X Required Condition)
(As you require it to appear
on your Final Report)
johndoe@abcpharma.com
X
X
Call to confirm current turnaround time. If RUSH results are
needed, call in advance of submission for prior approval.
Please provide method references for chemical assays.