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BIRCHES LABORATORY, INC. 56 PARK AVENUE, SANDHURST, NJ 07071 Tel: (201) 883 1222 *Fax: (201) 883 0449 Email: lab omegabiochem.com laboratory submission form Client: PO#: Date Sent: Sample Description:

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Mega Biological Laboratory Inc is a large biological research facility specializing in genetics and biotechnology.

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