VirginiaLifeScience.com

Facilities Questionnaire

Looking for biotech space? Need wet lab facilities? Remodeling an existing facility? Tell us what you want and we can help you locate available facilities in Virginia and provide you information about what's available now and what's coming in the future.

Company/Org:

Contact Name:

Address:

City:	State: Zip Code:

Phone

E-mail:

Year Estab.	No. Empoyees

What is the PRIMARY industry sector of your company/organization? (please check ONE only)

Biotechnology

Pharmaceutical

Medical Device

Non-Profit Research

(please specify)

How much space do you need (total sq. ft.):

Lab Space (total sq. ft.):

Office Space (total sq. ft.):

Do you need Clean Rooms:

Yes

No

Clean Room Space (total sq. ft.):

Clean Room Level (CGMP Validated, FDA level, etc.):

Other facility needs:

Construction Time Frame:

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for the life science industry in the state of Virginia.