Quantimetrix Online Order Form

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Online Order Form

Please fill out this order form as completely as possible.If you have any questions or concerns, call: 800.624.8380 (Monday - Friday 6:30 a.m. to 4:30 p.m. PST).

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Attn:
Company
Address
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Phone
Fax


QTY	ITEM NO.	PRODUCT	SIZE
	1470-01	Dip&Spin Combination Urinalysis Control Set	4x120 mL
	1440-01	Dipper Urine Dipstick Control Set	6x15 mL
	1442-61	Dipper Urine Dipstick Control, Level 2	6x15 mL
	1440-02	Dropper Urine Dipstick Control Set	4x25 mL
	1440-04	Dropper Plus POC Urine Dipstick Control Set	10x5 mL
	1481-41	QuanTscopics Urine Microscopics Control, Level 1	4x120 mL
	1482-41	QuanTscopics Urine Microscopics Control, Level 2	4x120 mL


QTY	ITEM NO.	PRODUCT	SIZE
	1011-61	Cardiasure, Level 1	6x3 mL
	1012-61	Cardiasure, Level 2	6x3 mL
	1013-61	Cardiasure, Level 3	6x3 mL
	1010-02	Cardiasure Set, Levels 1,2,3	6x3 mL
	1431-31	Human Urine Control, Level 1	3x10 mL
	1432-31	Human Urine Control, Level 2	3x10 mL
	1431-32	Human Urine Control, Level 1	3x25 mL
	1432-32	Human Urine Control, Level 2	3x25 mL
	1451-31	Spinal Fluid Control, Level 1	3x3 mL
	1452-31	Spinal Fluid Control, Level 2	3x3 mL
	1451-101	Spinal Fluid Control, Level 1	10x3 mL
	1452-101	Spinal Fluid Control, Level 2	10x3 mL


QTY	ITEM NO.	PRODUCT	SIZE
	1130-01	GlycoHemosure HbA1c Control, 2 level set	4x2 mL


QTY	ITEM NO.	PRODUCT	SIZE
	1311-31	Ammonia/Alcohol Control - Low, Level 1	3x5 mL
	1312-31	Ammonia/Alcohol Control - Mid, Level 2	3x5 mL
	1313-31	Ammonia/Alcohol Control - High, Level 3	3x5 mL
	1331-31	Bilirubin Control, Pediatric - Low, Level 1	3x3 mL
	1332-31	Bilirubin Control, Pediatric - High, Level 2	3x3 mL
	1491-31	Drugs of Abuse Urine Screen Control, Level 1 Negative	3x5 mL
	1492-31	Drugs of Abuse Urine Screen Control, Level 2 Below Cutoff	3x5 mL
	1493-31	Drugs of Abuse Urine Screen Control, Level 3/300- Opiates 300	3x5 mL
	1494-31	Drugs of Abuse Urine Screen Control, Level 3/2000 - Opiates 2000	3x5 mL
	1250-01	Microbumin Microalbumin Control Set	10x7 mL
	1461-31	Spinalscopics Spinal Fluid Cell Count Control, Level 1	3x3 mL
	1462-31	Spinalscopics Spinal Fluid Cell Count Control, Level 2	3x3 mL
	1190-01	Sweat Control Set	9x3 mL


QTY	ITEM NO.	PRODUCT	SIZE
	48-9150	Lipoprint LDL or HDL System (110V)	n/a
	48-9152	Lipoprint LDL or HDL System (230V)	n/a
	48-7002	Lipoprint LDL Kit	100 tests
	48-9002	Lipoprint HDL Kit - for research use only	100 tests
	48-9519	Lipoprint System Buffer	4x16.5 g
	48-7060	Liposure Control, Level 1	4x0.5 mL


QTY	ITEM NO.	PRODUCT	SIZE
	2210-02	QuanTtest Red Total Protein Assay System, Kit	200 tests
	5210-12	QuanTtest Red Pyrogallol Red Reagent	1x250 mL
	3410-02	QuanTtest Red Protein Standard Set, Levels 2,3,4,5	4x30 mL

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Upon receipt of this order we will fax you a confirmation with pricing information.