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All you need is your smartphone, tablet or computer. Sign up today. This is a code that the submitter furnishes to help them identify which satellite office submits a specimen and to help the submitter identify where the lab report belongs, if the submitter has a primary mailing address with satellite offices. Indicate the name, telephone number, and fax number of the person who collected the specimen to contact in case the laboratory needs additional information about the specimen. Complete all patient information including last name, first name, middle initial, address, city, state, zip code, telephone number, country of origin, race, ethnicity, date of birth DOB , age, sex, social security number SSN , pregnant, date of collection, time of collection, collected by, medical record number, ICD diagnosis code, and previous DSHS specimen lab number.
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These fields must be completed. You may use a pre-printed patient label. Please tell us whether the age is in days, months, or years. If date of birth is not provided, specimen may be rejected. Pregnant: Please indicate if female patient is pregnant by marking either Yes, No, or Unknown. For providers. For brokers. About us.
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