Equipment Repair Instrumentation Service is provided for the following College of Medicine departments: Biochemistry & Molecular BiologyNeurobiology & Developmental SciencesPhysiology & BiophysicsMicrobiology and ImmunologyPharmacology & Toxicology Request for Instrument Service Name(Required) First Last Email(Required) Enter Email Confirm Email Phone(Required)Please provide the best number to reach you during work hours.Principal Investigator Name Please provide the name of the P.I./Faculty member who is responsible for the instrument. List “None” if a name is not applicable.Department(Required) Biochemistry & Molecular Biology Neurobiology & Developmental Science Physiology & Biophysics Microbiology and Immunology Pharmacology & Toxicology Other Which department is responsible for the instrument?Other Department If you selected “Other” above, please enter the department name here.Room Number(Required) Room number where the instrument is located.Instrument Type(Required) Please provide the instrument type. (e.g. Centrifuge, HPLC, Shaker, Microscope, etc.)Make(Required) Instrument Make (e.g. Beckman, Fisher Scientific, Eppendorf, etc.)Model(Required) Instrument Model (e.g. Optima TLX, 5430R, LS531, etc.)Serial Number Instrument Serial NumberUAMS Tag Number Description of Problem(Required)Please let us know the issues you are experiencing with the instrumentation and any additional related comments.