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How to Order & Ship

Follow this guide to order your testing and identify appropriate sample collection and shipping measures.

Order a test

Ordering a Test in 4 Steps

1

Online Ordering Portal

Browse our online test catalogue on CentoPortal and select a test.

2

Consent

Fill out your sender information, patient, and billing data, then sign the consent

3

Specimen Collection

Collect the required amount of samples, preferably using CentoCard

4

Sending

Send your sample to CENTOGENE

Please note: Clearly mark your sample with unique identifier(s), last and first name, and DOB.

Specimen Requirements

Our laboratory can accept a wide range of biological specimens, which is dependent on the type of analysis. The following material types are accepted per analysis category. Please note that high quality specimens are required to avoid significant degradation which may result in failed or incorrect analyses.

If samples are visibly damaged, they may be rejected. For prenatal and other time-sensitive specimen, please feel free to notify us and contact us for any questions.

This category refers to our CentoXome (WES) and CentoGenome (WGS) products. For prenatal sample requirements, please refer to Prenatal & Products of Conception Testing. Specimen requirements for MOx products are listed under Multiomic Testing (MOx).

Accepted MaterialQuantity
CentoCard (preferred)1 filter card (10 complete blood spots)
EDTA Blood≥ 1 ml
Buccal swab1 ORAcollect kit
Saliva1 ORAgene kit
Ready-to-use DNA (extracted DNA)≥ 1 µg
Tissue sample≥ 20 mg

  CentoGenome Ultra-Fast specimen requirements

Accepted MaterialQuantity
CentoCard1 filter card (10 complete blood spots)

This category refers to the products CentoMetabolic MOx, as well as CentoXome and CentoGenome MOx 1.0 and 2.0.

Accepted MaterialQuantity
CentoCard (preferred)1 filter card (10 complete blood spots)
EDTA Blood≥ 2 ml

Exceptions: Please note for MOx 2.0 products (including RNA-seq) CentoCard is required. To ensure proper analysis, the card needs to arrive at CENTOGENE within 7 days or less after sample preparation. For more information on CentoCard handling, please visit CentoCard.

An overview of our panel products can be found here.

Accepted MaterialQuantity
CentoCard (preferred)1 filter card (10 complete blood spots)
EDTA Blood≥ 1 ml
Buccal swab1 ORAcollect kit
Saliva1 ORAgene kit
Ready-to-use DNA (extracted DNA)≥ 1 µg

Exceptions: For Solid tumor panel and BRCA1/2 somatic testing, we can only accept FFPE material or tissue*. For Myeloid tumor panel, we can only accept bone marrow aspirate or blood. The preferred material types for Ataxia repeat expansion panel & Ataxia/Spastic paraplegia comprehensive panel are CentoCard, EDTA blood, or ready-to-use DNA. When the latter are not available, a quantity of 3 samples of saliva or buccal swab are required.

* To obtain accurate and reliable results tumor cell content (e.g. histological assessment) needs to be provided along with the sample sent for somatic testing. If the tumor cell percentage is not provided the lack of histological information for the sample can negatively impact the interpretation of NGS data with regards to sensitivity and specificity of the test. If the tumor cell percentage of the sample sent for somatic testing is below 30 % the quality and accuracy of the somatic variant calling cannot be guaranteed.

This category refers to the product CentoArray. See the section Prenatal & Products of Conception Testing for material requirements for the product CentoArray Prenatal and CentoArray POC.

Accepted MaterialQuantity
CentoCard (preferred)1 filter card (10 complete blood spots)
EDTA Blood≥ 1 ml
Buccal swab1 ORAcollect kit
Saliva1 ORAgene kit
Ready-to-use DNA (extracted DNA)≥ 1 µg

This category lists the accepted material for single gene analysis using the methods Sanger sequencing, NGS, MLPA, qPCR, and repeat expansion analysis. These requirements also apply to targeted variant testing. Please note that saliva samples are not accepted for qPCR or repeat expansion analyses.

Accepted MaterialQuantity
CentoCard (preferred)1 filter card (10 complete blood spots)
EDTA Blood≥ 1 ml
Buccal swab1 ORAcollect kit
Saliva1 ORAgene kit
Ready-to-use DNA (extracted DNA)≥ 1 µg

Exceptions: For IKBKG gene analysis, we only accept EDTA blood or CentoCard.

This category lists the material accepted for enzyme activity testing and metabolic biomarker measurement. An overview of our biochemical portfolio can be found here.

Please ensure that all clinical materials are collected with the highest level of attention. In particular, a sterile environment has to be maintained when sampling amniotic fluid or chorionic villi. For fetal samples, the presence of blood and/or maternal material should be minimized to ensure the best quality results. Tissues should be preserved in saline. Please note that FFPE or fixed tissues will not be accepted.

Accepted MaterialQuantity
Amniotic fluid2x ≥ 10 ml
Chorionic villi2x ≥ 10 cleaned villi
Cultured cells (fibroblasts, chorionic villi cells, amniotic cells)1 flask, min. 25 cm2, 80–90% confluent
Cord blood≥ 1 ml
Ready-to-use DNA (extracted DNA)≥ 1 ug
Additional Material for Products of Conception/Pregnancy Loss (POC)
Biopsy material≥ 20mg
Tissue sample≥ 20 mg
Maternal Contamination Marker (MCC)
EDTA blood≥ 1 ml
CentoCard1 filter card
Ready-to-use DNA (extracted DNA)≥ 1 µg

Non-Invasive Prenatal Testing (NIPT) requires maternal blood for fetal cell-free DNA extraction. For more product details please visit: CentoNIPT

Accepted MaterialQuantity
Maternal blood10 ml blood in cell-free DNA BCT CE STRECK tubes

Information Required for Successful Testing

Clinical Anamnesis

To ensure the highest-quality interpretation of genetic data, we require detailed clinical information about the patient and ideally also family members.

Several studies have shown that high quality clinical information improves diagnostic yield (Bertoli-Avella et al. 2020, PMID: 32860008; Köhler et al. 2019).

Sample Labeling

For unique identification, the sample material must be labeled with:

  • Unique identifier and/or patient’s full name
  • Patient’s date of birth

Accompanying Requisition Form

To process your sample without additional clarification, we need the following information:

  • Payment option – Please find payment options and required forms here.
  • Contact details of ordering physician/healthcare provider
  • Contact details of report recipient
  • Contact details of invoice recipient if differing from report recipient
  • Patient demographics
  • Clinical and family history information of patient
  • Test(s) requested
  • Signed, completed consent form

Specimen Condition and Shipment

All clinical materials should be collected with approved methods to avoid contamination and cross contamination. A sterile environment must be maintained, particularly when collecting samples of fibroblasts, amniotic fluid or chorionic villi. The table below lists detailed information about sample preparation and transport.

Samples should be sent to:
CENTOGENE GmbH
Am Strande 7
18055 Rostock
GERMANY

Important Information

For all countries except Germany, we require a written and signed statement including the complete address and name of the person or institution that will cover the cost of analysis. For time-sensitive specimen or any questions regarding CENTOGENE’s recommendations for sample preparation, please contact us.

Quantity: 2x ≥ 10 ml
Shipment: Ambient temperature
Transport stability: 24 hours

Amniotic fluid should be sent in a sterile conical tube overnight. Please use parafilm to safe sealed the falcon tubes. Care must be taken to ensure that the sample does not freeze. For time-sensitive specimen, please feel free to notify us via e-mail at customer.support@centogene.com

Quantity: 1 ml
Shipment: Ambient temperature
Transport stability: 4 days

Bone marrow aspirate should be collected in EDTA tubes. Care must be taken to ensure that the sample does not freeze.

Quantity: ≥ 20 mg
Shipment: Ambient temperature (4–30°C for a short period of time)
Transport stability: 4 days

To enable cultivation of biopsy material, the best practice is to ship the material in fetal bovine or calf serum. In addition, biopsy material can also be preserved in saline solution with high level of glucose. To increase the probability of the highest quality results, minimize the presence of blood and/or maternal material in samples of pregnancy loss.

Quantity: ≥ 1 swab
Accepted buccal swab types: ORAcollect kit (i.e., OCR-100, or OCD-100)
Shipment: Ambient temperature via regular mail
Transport stability: 4 days

Donors should not eat, drink, smoke or chew gum for 30 minutes before collecting oral sample to ensure high sample quality and avoid sample contamination.

Exceptions: 3 swabs are required for Ataxia comprehensive panel, Ataxia repeat expansion panel, CentoNephro Plus, and PKD1 Sanger sequencing.

Quantity: 1 flask, min 25 cm2, 80–90% confluent
Cell types: Fibroblasts, chorionic villi cells, amniotic fluid cells
Shipment: Ambient temperature
Transport stability: 4 days

Prepare the cells in 25 ml flasks that are completely filled with fetal bovine medium or calf serum transport medium. For transport stability it is crucial to avoid excessive cell growth. To ensure slow proliferation and avoid cell apoptosis, we recommend that the sample be shipped in medium containing 2% serum for no more than 4 days. Securely seal the flask with parafilm and ship at ambient temperature. Care must be taken to ensure that the sample does not freeze.

Quantity: 1 CentoCard contains 10 filled blood spots, each filled with ~ 50 µl blood (EDTA blood preferred)
Shipment: Ambient temperature via regular mail
Storage: ≤ 25°C, keep dry and away from sunlight.

MOx 2.0 analyses require the card to be received within 7 days after card preparation.
Ensure preparation on a clean and dry surface, accurate drying time is curial to ensure best quality and avoid sample contamination. For more details, please visit: CentoCard.

Exceptions: 2 full cards are required for Ataxia comprehensive panel, Ataxia repeat expansion panel, CentoNephro Plus, and PKD1 Sanger sequencing.

Quantity: 2x ≥ 10 cleaned villi
Shipment: Ambient temperature overnight
Transport stability: 24 hours

Prepare the shipment in a sterile conical tube with RPMI medium with fetal bovine medium or calf serum. Please use parafilm to safe seal the falcon tube. Make sure the sample doesn’t freeze. For time-sensitive specimens, please notify us via e-mail at customer.support@centogene.com.

Quantity: ≥ 1 ml
Shipment: Ambient temperature

Cord blood in EDTA tubes is stable for up to 4 days during transport.

Quantity: ≥ 1 ml
Shipment: Ambient temperature

EDTA blood is stable for up to 4 days during transport.

Quantity: 1 FFPE tissue block or ≥ 10 FFPE tissue sections (10 µm thickness) on uncharged, additive‑free slides, plus one control slide with a clearly marked tumor‑enriched area.

*Multiple sections: If submitting more than one FFPE tissue section, please indicate whether all sections originate from the same FFPE block and whether the tumor percentage is consistent across sections.

Shipment: Ambient temperature

We recommend using paraffin Paraplast Bulk. The fixation period is very important and critical, Formol 10% for 12–24 hours (maximal) at pH 7.

Quantity: ≥ 1 µg
Shipment: Ambient temperature via regular mail

For DNA samples we recommend extraction with Qiagen kits, elution in water or AE buffer in a minimum volume of 20 µl. 260/280 ratio between 1.6–2.1 and a concentration of > 10 ng/µl determined by fluorescent dye quantification.

Quantity: ≥ 1 collection set
Shipment: Ambient temperature via regular mail

Accepted sets: ORAgene kit (i.e., OG-610, OG-675, OG-610, ON-600, OG-500, OG-510, ON-500, or OG-575)

Donor should not eat, drink, smoke or chew gum for 30 minutes before collecting oral sample to ensure high sample quality and avoid contamination.

Exceptions: 3 collection sets are required for Ataxia comprehensive panel, Ataxia repeat expansion panel, CentoNephro Plus, and PKD1 Sanger sequencing.

Quantity: Sample size ≥ 20 mg
Shipment: Ambient temperature in a minimum of 35 ml of RPMI transport medium with fetal bovine medium or calf serum.

Temperature should not fall below +4°C to avoid damage to the cells.

CentoPortal

Designed to Assist You at Every Step of Processing Your Patients’ Samples

CENTOGENE’s Logistics Service

Simplifying International Shipping of Biological Samples

Shipping biological samples across international borders can be a daunting and complex task. At CENTOGENE, we understand the importance of timely and reliable transportation of biological samples to enable a diagnosis and accelerate treatment options.

To help ease the stress of booking the pick-up of biological samples from your institution to CENTOGENE, we have launched a new logistics service.1 Our logistics service is designed to simplify the entire process – making your life easier.

To get started, simply fill in the information form below to send us your request and take advantage of this service. Once we receive your request, our team will generate an account for you to use. You will then receive a follow-up email containing a link and all relevant information to help you get started.

Only 4 Steps After Submitting to Our Logistic Service

1. DHL Login

2. Shipment details

3. Book a shipment

4. Pickup

We Are Here to Guide

Our global network of customer support and experts guiding you every step of the way.

Send us a messageRegional Support

Disclaimer

1. To ensure the quality of your products during transportation, it is important that the packaging used has no negative impact and provides sufficient protection against external factors. The packaging should allow for easy identification of its contents and their origin. Please note that CENTOGENE will not be held liable for any loss or damage resulting from improper packaging. We recommend following DHL’s guidelines on shipping and delivery and choosing packaging configurations accordingly.

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