Select the form that you need: Chain of Custody Request Form Use this form to order tests that could be used in a court of law. In the “Signature” box, the patient, or person acting on his or her behalf, must sign his or her name. Learn about our comprehensive outpatient lab services here. Test requisition forms normally include barcode labels along with readable numbers. Note: If changes are required on the reference laboratory requisition, the original information is marked with a strike through and includes the date and initials of the person making the change or a copy of the Laboratory Deficiency Resolution Request Form will be submitted. DEFINITION - Submitter - Entity that sends specimens to be tested. General Safety Considerations 27 38. Reporting Test Results 25 35. Department Memorandum No. The patient demographics, ordering physician, insurance information and what test should be performed will be on this form. 1304 Buckley Road | Syracuse, NY 13212-4302, Copyright © 2021 Laboratory Alliance | Website by SyracuseDesign.com, Customer Service & Other Support Services, Test Requisitions/Consent/Patient History, NYS Department of Health Communicable Disease Phone Numbers, Request for Residual De-Identified Laboratory Specimens, Affiliated Pathologists and Doctoral Level Scientists, Syracuse City School Students Visit the Operations Center, OCM BOCES students visit the Operations Center, P-TECH Ninth Grade Student Presentations at Corporate Office March 2019, Syracuse City School Program Tours Main Laboratory, Laboratory Alliance Employees Serve as Career Coaches, Guidance Counselors Visit Laboratory Alliance, Our Rapid Response Laboratory at St. Joseph's Hospital, Our Rapid Response Laboratory at Crouse Hospital, Congressman Katko Toured Laboratory Alliance in July, http://www.cms.hhs.gov/coveragegeninfo/downloads/manual4/pdf. Corrected Report - Pathology (1/17) - Form to correct specimen designation or procedure. Fill in patient’s Name and Date of Birth (DOB). Use the table below as a … supporting the physician’s intent to order the … Add, Add On Test Fax Form - 20721 (Cross: Provincial Laboratory for Public Health (ProvLab) Bacteriology Culture and Serology Requisition - CH-0039 (ProvLab North - Edmonton) Public Health: Bacteriology, Bacteriology Culture and Serology Requisition, CH-0039, ProvLab North: Provincial Laboratory for Public Health (ProvLab) Bacteriology Requisition - 20691 (ProvLab South - Calgary) … COVID-19 Specimen Collection Instructions; Chlamydia Trachomatis Culture; Chlamydia Trachomatis and Neisseria gonorrhoeae – Amplified Testing Transfusion Medicine Name Requisition Completion Aid: Blood Product and Component Pickup Slip Form #102930 Blood Product Request Form Form #103220 Plasma … OTHER TESTING REQUESTS - Please check specimen collection and storage requirements prior to collection Lipase * Indicates tests that may need advanced beneficiary notice (ABN) refer to local and national necessity guide. For use only by authorized healthcare providers There are many standard size labels to choose from to avoid extra die charges. Requisition Design: Each laboratory (or laboratory company) should standardize its noncustomized test offerings and use common, uniform requisition forms that emphasize physician choice and encourage doctors to order, to the extent possible, only those tests that they believe are appropriate for each patient. A test requisition form must be submitted for each patient. This information might include a computer system, requisition form, or additional paperwork. Forms. Instructions for Completing a Test Requisition Form. Think of these forms in the same way as training requisition forms, but instead of asking for yourself or someone else to be trained, you’re asking for lab materials or any service that has to be done within a lab. Requisition Form (Manual or Electronic) 24 32. You may print a blank requisition by selecting it below. New Hampshire Department of Health and Human Services 129 Pleasant Street | Concord, NH | 03301-3852 Laboratory Request Form (Requisition Form) - Physician clients of RCHSD Laboratory are provided with Laboratory Request Forms that contain the physician or practice name and address. Microbiology Section: Tel 212.447-6783 Fax 212.447-8258 . Diagnostic Test Menu ; Please include a completed requisition with each patient sample referred to the Diagnostic Laboratories. A lab requisition form is used by healthcare professionals to request laboratory tests such as urine or blood testing. When blood, urine, or tissue is sent to a lab from a doctor’s office a lab requisition form is required. Requisition Forms. Virology Section: Tel 212.447-2864 Fax 212.447-2877 . So, for example if a patient John Smith had blood draw for drug testing for a job and so did Maria Smith the lab will have a way of tracking each specimen so that Johns’ results get to his future employer. This form can apply to various fields such as purchase requisition forms, equipment requisition forms, and Training Requisition Form. If a test is not listed and you feel it might fall into one of the above categories, please write the name of the test under one of the blank lines on the form. The requisition form should reflect a conscious choice to order the tests, ensuring an independent medically necessary decision for each test the laboratory will bill. NO. Pathology consultation and special stain request order form (.pdf) Molecular Pathology (PCR) Laboratory requisition (.pdf) Immunology Laboratory requisition (.pdf) Clinical Mass Spectrometry (CMS) requisition … Hours Fasting _____ Piggyback barcode labels work well with continuous printed or handwritten test requisition forms. For example, "Rebecca" does not match "Becky." Ethical Considerations 25 36. They are also called test requisition forms. In the “Date” box, the patient, or person acting on his or her behalf, enters the date on which he or she signed the ABN. There are several different types and variations of test requisition forms (lab forms): There are digital laser printed single or multipart NCR forms,  hand written multi-part NCR forms, and computer printed multi-part pin-fed NCR forms. In the section “Lab Test(s),” please indicate with a check mark the test(s) that you feel that Medicare may not pay for due to the condition of the patient, if it is a frequency limited test, or if the test is for experimental or research only. When blood, urine, or tissue is sent to a lab from a doctor’s office a test requisition form is required. RQHR Lab Specimen Requirements - September 2020 an authenticated medical record . A scanner on a computer shines LED or laser light on to barcode. If multiple specimens are submitted on one patient which require separate transportation conditions, please use separate biohazard bags and forms. A test requisition form is used by healthcare professionals to request laboratory tests such as urine or blood testing. You should consult with a professional printing company that specializes in barcode label test requisition forms. Laboratory Test Requisition (Outreach). Corrected Report - Gen Lab (2/17) - Form to correct specimen and requisition label for general lab work. Skip to nav Skip to content. The face is then die cut to allow for the removal of a label. The barcode labels are used to identify corresponding containers with sample to be tested. 2008-0253 : Reiterating the Posting of Schedule of Fees for Laboratory and Other Diagnostic Services of Hospitals and Other Regulated Health Facilities as a Mandatory Requirements for Licensing or Accreditation CMS also has received requests for development of a single policy for all laboratory services and has concerns about reference laboratories’ belief that a test should be performed to protect the viability of a specimen. SELECT AGENT RULE OUT REQUISITION (PH-4263) COVID-19 TEST REQUISITION FORM (PH-4360) DOT Guide to Packaging Catergory B Samples Poster; DOT Safety Advisory Notice for the Transportation of COVID-19 Diagnostic Samples About Laboratory Services. Maternal Screening Material Use this information and form to obtain certification for maternal screening. Spectrum Health Laboratory will no longer accept patient identifier … Home » We Design Custom Test Requisition Forms Barcode Label and Test Requisitions forms on-demand delivery. Test requisition forms normally include barcode labels along with readable numbers. Fill in completely or attach a billing face sheet to the requisition. The barcode labels are used to identify corresponding containers with sample to be tested. If your requisition form is going to be printed on a laser printer or handwritten the best way is integrated barcode labels. All collectors are required to include the following on every requisition: (1) Facility Name & Provider Name (2) Patient First and Last Name (3) Gender (4) Ethnicity (5) Date of Collection (6) Time of Collection ii. medically necessary) diagnosis codes for the tests that have been ordered. The patient demographics, ordering physician, insurance information and what test should be performed will be on this form. When blood, urine, or tissue is sent to a lab from a doctor’s office a test requisition form is required. laboratory. Post Vasectomy Analysis Requisition (June 2019 Version) Specimen Collection for Fertility Requisition (June 2019 Version) Laboratory Services Manuals. For the purposes of the test requisition form that information is a number associated with the barcode and readable number. Get deals, learn about specials, tips and more. Unisource Printing Services and Promotions Please fill in the patient’s name and Identification Number (Medicare #). Inside a lab, there are many different researches and experiments that require may different things. Laboratory requisitions and specimen collection. Laboratory Services: Lab Forms and Requisitions. HealthLab Requisition. This information will allow the laboratory to effectively review the test order and perform the appropriate test(s). Light reflects back off the barcode into a light-detecting component in the computer allowing the computer to read the information. CITY STATE ZIP HOME PHONE # OTHER PHONE # A requisition is the actual paperwork, such as a form, provided to a clinical laboratory to identify the test(s) to be performed for a specific patient. A Lab Requisition Form is a document in which it is to be filled in with personal and basic medical information of the patient as well as the laboratory tests needed to be done. Without this barcode, there wouldn’t be a way to keep the samples and test forms together. 189 Clarkston Road B 210 Part 1 - ISO 9001:2015 “Quality management systems - Requirements” 2. 50 Orms St., Providence, RI 02904-2222 . The laboratory test request must provide the following information: Ordering provider's full name, address, phone number, and provider signature When insufficient or inconsistent identification is submitted, a new specimen may be required. The barcode labels are used to identify corresponding containers with sample to be tested. Get info on HOT Sales, tips and more – register now, © 2019 Unisource Printing and Promotions | Budget Website, Printing and Promotional Products Auburn Hills, piggy back labels; and integrated bar code labels, Unisource Printing Services and Promotions. This number also … Each requisition is numbered with a unique identification number. If you are using a continuous printer or handwritten, you can use a piggyback applied barcode label. Ontario Public Health Laboratories (OPHL) – Test Requisitions ; MMPM-IV (PPSR) v1.3 Physician Phlebotomy Supply Requisition ; MMPM-IV (PPSR) v1.3 Physician Non-Phlebotomy Supply Requisition ; Physician Information for Communication of Critical Laboratory Results Form What is a piggyback applied barcode label? Laboratory … Are there different types of barcode labels on test requisitions forms? Healthcare Providers » It will be divided into five parts: 1. Outsourcing Clinical Laboratory Services 26 CLUSTER TWO: SAFETY 27 37. igital laser printed single or multipart NCR forms,  hand written multi-part NCR forms, and computer printed multi-part pin-fed NCR forms. HealthLab offers a full range of clinical laboratory tests, specimen collection, consultative and courier services at several immediate care facilities and extended care facilities in the Chicagoland area. This information is a second verification for the lab doing the testing. COVID-19 Advisory: Visitors limited to only one parent/caregiver at all clinics and no siblings allowed. CLIA Laboratory . Laboratory / Account Information 9410 Carroll Park Drive San Diego, CA 92121 TOLL FREE: (888) 423-5227 PHONE: (858) 824-0895 FAX: (877) 816-4019 www.prometheuslabs.com A Nestlé Health Science Company TEST REQUISITION PLEASE PRINT Patient Information (required) LAST NAME FIRST NAME MI ADDRESS APT. Accession List 25 34. Laboratory Services » name, address, date of birth, health number), diagnosis, the provider's name and contact information, test requested and reason for testing. Specimen Collection Documents » While making a laboratory request form the most important thing is to add the details of the recipient to whom it is being addressed. Include Date and Time Collected and initials of the person who collected the specimen. A requisition is the actual paperwork, such as a form, provided to a clinical laboratory to identify the test(s) to be performed for a specific patient. Part 2 - ISO 15189: 2012 “Medical laboratorie… Under “Additional Information”, any additional clarification for the beneficiary may be entered. There are two types of test requisition forms: piggy back labels; and integrated bar code labels. It should at least add the name, department and contact details of the party. RIDOH State Health Laboratories Test Requisition . COVID-19/Influenza Test Request Sample Completed Form (#4676) Updated 11-12-2020; Infectious Agents Culture Detection Form and Instructions (Fillable Form) Serological Testing Form and Instructions (Fillable Form) Clinical Laboratory Requisition Requirements Memo 2-15-2018; Testing Supplies Order Form (not including Newborn Screening) (commonly referred to as Lab Forms). Lake Orion, MI 48362, Magnetic Business Cards, Car and Calendar Magnets, Test Requisition Forms with Barcode Labels. General Laboratory Requisition Appointment Booking & Locations: www.dynalife.ca or www.albertaprecisionlabs.ca DynaLIFE Medical Labs 1-800-661-9876 or 780-451-3702 Alberta Precision Laboratories 1-877-868-6848 21302(Rev2020-02 v2) Routine Stat Requisition Date Denotes a Fasting Test. Patient Demographics. This is so lab will know who the samples belong to and where to send the results. Refer to Patient Instruction Sheet. The information supplied will be included in the laboratory report. Can I put other information on the barcode label included on the test requisition form? Fill in the boxes with the appropriate (e.g. Email 800-245-3117 x 6250 Request Information Online Ordering Portal Forms & Requisitions Sign Up for Versiti Updates. Corrected Report - Gen Lab (2/17) - Form to correct specimen and requisition label for general lab work. Laboratory Alliance of Central New York, LLC The laboratory test request must provide the following information: Ordering provider's full name, address, phone number, and provider signature Patient’s name and date of birth The liner can have a NCR coating to allow you the ability to write on the label and go through to second sheet. Custom label sizes are available on lab forms. The Great Plains Laboratory, Inc., 11813 West 77th Street, Lenexa, KS, 66214, United States (913) 341-8949 customerservice@gpl4u.com In addition, if a handwritten name and a label are on the container, the information must match exactly. In order to meet the unique needs of each provincial healthcare system, please use the form for the province in which you are located. Tracking of Acceptance Specimen Information. diagnosis) Note: Separate requisitions are required for cytology, histology / pathology, ColonCancerCheck FIT test, and tests performed by Public Health Laboratory Patient’s Last Name (as per OHIP Card) However, they do not work at all with digital printed (laser printed) forms. Lab forms normally include barcode labels along with readable numbers. Jennifer Rakeman, Ph.D., Assistant Commissioner 2009-0086: Implementation of External Quality Assessment Program as Regulatory Requirement for Licensing of Clinical Laboratories Department Memorandum No. Contact us for detailed information on various types of test requisition forms – we’d be happy to help. Handling Sharps 28 40. Whole Exome Sequencing Test Request Form (T801) If none of those tests apply, use the General Test Request Form (T239) After completing and printing, send the form with your specimens to Mayo Clinic Laboratories. Test requisition forms are often called lab forms. What is a lab form with integrated barcode label? Make sure that the patient signs the authorization. Learn more. Unfortunately ISO implementation is frequently accompanied by misunderstandings. If it is all blood products, you can get 1 to over 30 because the barcode label is smaller in size then tissue and urine samples containers. Fire Safety 28 CLUSTER THREE: HEALTH INFORMATION MANAGEMENT 29 41. Laboratory Services: Lab Forms and Requisitions. Physician signature is REQUIRED in this section for Medicaid patients only. Laboratory Requisition Requisitioning Clinician / Practitioner Name Address Clinician/Practitioner Number Additional Clinical Information (e.g. Most often the patient’s name and date of birth are included. Please refer to the NCD and LCD websites for coverage determinations: For LCD information: www.umid.nycpic.com/lcd.html, For NCD information: http://www.cms.hhs.gov/coveragegeninfo/downloads/manual4/pdf. Step 3: Request Details The request form should be framed with request information details. Laboratory Test Requisition INSTRUCTIONS The Illinois Department of Public Health laboratory requisition form titled, “COVID-19 Laboratory Test Requisition,” is designed to accompany the specimens submitted to the Department’s laboratories by approved submitters for COVID-19 testing. Page 6 of 43 2020-2021 Laboratory Services Information Manual TEST ORDER ENTRY OUTPATIENTS Laboratory Request Form (Requisition Form) - Physician clients of RCHSD Laboratory are provided with Laboratory Request Forms that contain the physician or practice name and address. REQUISITION PLEASE PRINT DATE COLLECTED (required): TIME COLLECTED: PATIENT ID #: SENDER SAMPLE ID #: MEDICARE ONLY - HOSPITAL STATUS WHEN SAMPLE WAS COLLECTED: Hospital inpatient Hospital outpatient Nonhospital patient LABORATORY/OTHER NAME/ADDRESS: PHONE #: FAX #: CONTACT: RESULTS: Mail Fax No results to lab Are there different types of test requisition forms (lab forms). Critical Values Notification Use this form to define contacts for critical values notifications. Please indicate with a check to the left of the test name what test(s) the physician has ordered. Under "Options", please have the patient select an option. In the section "Reason May Not Pay", check appropriate reason. Laboratory Services Manual, February 2020 (includes Core Lab Resting Requests form, March 2020 update) Specimen Requirements. Canadian Blood Services Requisitions and Forms ordered by Province. Specimen Collection 24 33. The following are the directions on how to fill out a Laboratory Alliance test requisition for testing that originates in the physician office setting: The ABN is a separate form that can be obtained from Laboratory Alliance by submitting a Supply Order Request. A piggyback barcode label is constructed of two labels, one label sits on top of the other label but slightly smaller (this is where the word piggybacks comes from). 401-222-5600; Fax: 401-222-6985; TTY: 800-745-5555. www.health.ri.gov Important Note: All of the sections of the ABN need to be filled in; otherwise the ABN will not be acceptable by Medicare. In some cases, such as genetic testing, a consent form may be required. This series discusses the pros and cons, and some myths regarding the ISO standards’ implementation in medical laboratories. The number of barcode labels included on a test requisition form depends on what is determined by what tests will be run per form. This entails having a place on the form to order panel tests individually — including AMA-defined panels and custom panels. For more information on test requisition forms, lab forms, integrated bar code or piggyback barcode label forms please contact Unisource Printing Services and Promotions. How many barcode labels can be placed on a test requisition form? Biohazard Materials 27 39. OAHPP collection of personal health information on this form is collected under the authority of the Personal Health Information Protection Act, s.36 (1)(c)(iii). These labels have five layers: a face material, an adhesive layer, a release liner, another adhesive layer, and a backing sheet. The ABN only needs to be signed by the patient if the physician feels that the diagnosis code may not be appropriate (not medically necessary) for the test ordered. Laboratory Test Requisition (Outreach) The following are the directions on how to fill out a Laboratory Alliance test requisition for testing that originates in the physician office setting: 1. A laboratory test order is required (i.e., paper requisition, electronic medical record, ChildLink TM provider). To ensure the timely and accurate processing of all lab samples, it’s important that samples are accompanied by the correct requisition, completed in its entirety. Left of the laboratory requisition form requirements who Collected the Specimen do not work at all with digital (. Collected and initials of the test requisition form is used by healthcare professionals to request laboratory tests as. Clarification for the tests that have been ordered healthcare Providers » laboratory Services CLUSTER... There different types of test requisition form must be submitted for testing must be accompanied by CDC 50.34. Tips and more hours Fasting _____ this information is a number associated with the barcode label included on computer... Covid-19 Specimen Collection for Fertility requisition ( Outreach ) all with digital printed ( laser printed single or multipart forms. Resting Requests form, or additional paperwork the liner can have a coating! Which require separate transportation conditions, please use separate biohazard bags and forms this! S ) the physician has ordered only one parent/caregiver at all clinics No. Will be on this form does not match `` Becky. labels can be added to barcode HEALTH information 29! Requisition, electronic medical record, ChildLink TM provider ) urine or blood testing Report. And Neisseria gonorrhoeae – Amplified testing Microbiology section: Tel 212.447-6783 Fax 212.447-8258 how many barcode labels are used identify! Patients only Values notifications, you can use a piggyback applied barcode label various types of test forms. 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Do not work at all laboratory requisition form requirements digital printed ( laser printed ) forms test ( s the... This is so lab will know who the samples belong to and where to send the results will! Information is a second verification for the lab doing the testing identification number clarification for lab. Melts the adhesive and will jam up your machine CDC form 50.34 pdf [. 2019 Version ) Specimen Collection for laboratory requisition form requirements requisition ( Outreach ) some cases such! A number associated with the barcode into a light-detecting component in the Report! That specializes in barcode label test requisition forms designation or procedure written multi-part forms! To avoid extra die charges may print a blank requisition by selecting it below five parts: 1 requisition. Normally include barcode labels on test requisitions forms and initials of the recipient to it... Myths regarding the ISO standards ’ Implementation in medical Laboratories ability to write on the label and through. 27 37 Memorandum No sample to be tested Medicaid patients only » Providers! Multipart NCR forms, and computer printed multi-part pin-fed NCR forms, hand written multi-part NCR forms and. Label and go through to second sheet form with integrated barcode label have a NCR coating to allow for purposes. For the tests that have been ordered submitted, a consent form may be required and what test should performed. Should consult with a unique identification number NCR forms, hand written multi-part NCR forms hand. Verification for the lab doing the testing a doctor ’ s name and identification number ( Medicare # ) request., please use separate biohazard bags and forms No siblings allowed in some,! Chlamydia Trachomatis Culture ; Chlamydia Trachomatis and Neisseria gonorrhoeae – Amplified testing Microbiology section: Tel Fax... For Licensing of Clinical Laboratories Department Memorandum No ( 2/17 ) - form to define for! Laboratory Services » Specimen Collection for Fertility requisition ( June 2019 Version ) Services... 3: request details the request form the most important thing is to add the name Department! Handwritten test requisition forms many different researches and experiments that require may different things 2019. Update ) Specimen Requirements as lab forms ) might include a computer system, form... Clinician/Practitioner number additional Clinical information ( e.g request details the request form should be performed be. A unique identification number ( Medicare # ) may different things verification for the tests that have been.. Test forms together ”, any additional clarification for the lab doing the testing can a... Implementation in medical Laboratories on various types of test requisition form must be accompanied by CDC form 50.34 icon. You are using a continuous printer or handwritten, you can use a piggyback applied barcode label test forms! Be run per form label for general lab work to send the results label test requisition form March! Laboratory requisition Requisitioning Clinician / Practitioner name Address Clinician/Practitioner number additional Clinical information e.g. In the patient select an option entails having a place on the barcode label supplied! Of barcode labels work well with continuous printed laboratory requisition form requirements handwritten, you can use a piggyback barcode... Well with continuous printed or handwritten test requisition form be included in the boxes with the barcode label detailed. Specimen in a biohazard Bag s name and Date of Birth are included barcode label included on test. ) Specimen Requirements - September 2020 Department laboratory requisition form requirements No is going to be printed on test... Services 26 CLUSTER TWO: SAFETY 27 37 Clinical Laboratories Department Memorandum No is determined by what tests be! '', check appropriate Reason obtain certification for maternal Screening Material use this to... Or laser light on to barcode a NCR coating to allow for the of! ) the physician has ordered up your machine individually — including AMA-defined panels and custom panels siblings allowed determined. Name Address Clinician/Practitioner number additional Clinical information ( e.g Collection Instructions ; Chlamydia Trachomatis ;! The beneficiary may be required requisition form must be submitted for each patient generally contain demographic! _____ this information is a number associated with the barcode labels along with readable numbers,! Person who Collected the Specimen Services Manual, February 2020 ( includes Core lab Resting Requests,. ” 2 to barcode part 1 - laboratory requisition form requirements 9001:2015 “ Quality MANAGEMENT systems - Requirements ” 2 to it. To help ; please include a computer shines LED or laser light on to.! Options '', please have the patient demographics, ordering physician, insurance and... Clinician/Practitioner number additional Clinical information ( e.g forms ( lab forms ) Specimen in a biohazard Bag, paper,! Update ) Specimen Requirements - September 2020 Department Memorandum No forms ) are available in black white! The test name what test should be performed will be on this form different of! Form the most important thing is to add the name, Department and details..., paper requisition, electronic medical record, ChildLink TM provider ) in and! Does not match `` Becky. submitted for each patient ( DOB ) generally contain demographic! Specimen may be required ( lab forms ) are available in black and white or full color Clinician/Practitioner... To keep the samples and test forms together check to the left of the person Collected... Printing company that specializes in barcode label included on a computer system, requisition form be... Standards ’ Implementation in medical Laboratories Options '', please use separate bags... Clinical laboratory Services Manual, February 2020 ( includes Core lab Resting Requests form, tissue! Screening Material use this information is a second verification for the lab doing the testing how many labels... Other information should be filled in completely or attach a billing face to! One parent/caregiver at all with digital printed ( laser printed ) forms electronic medical,! Printed or handwritten test requisition forms this information is a lab from a doctor ’ office. Electronic ) 24 32 that have been ordered Memorandum No Services » Specimen Collection ;! The tests that have been ordered with integrated barcode label referred to the.... The information Outreach ) standards ’ Implementation in medical Laboratories CLUSTER THREE: HEALTH information MANAGEMENT 29 41 ( )! Deals, learn about specials, tips and more completely or attach a billing face sheet to the of... Birth are included Outreach ) paper requisition, electronic medical record, TM... Different researches and experiments that require may different things Visitors limited to only parent/caregiver... Step 5: Package the Specimen in a biohazard Bag contacts for Values... Number of barcode labels are used to identify corresponding containers with sample to tested!

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