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).

Customer No. *
Customer Name *
Contact Name *
PO Number *
Phone*
Fax*
Email *
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Attn:
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Address
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Attn:
Company
Address
City
State
Zip
Phone
Fax



QTY
ITEM NO.

 PRODUCT

SIZE

1470-01
DipandSpin Combination Urinalysis Control Set

4x120 mL

1440-01
The Dipper Urine Dipstick Control Set

6x15 mL

1442-61
The Dipper Urine Dipstick Control, Level 2

6x15 mL

1440-02 
The Dropper Urine Dipstick Control Set

4x25 mL

1440-04
The 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

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

1380-01

Synovialscopics Synovial Fluid Cell Count Control Set

2x1.5 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




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

Quantimetrix