Transcription of Nutritional Analysis Order Form - Medallion Labs
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Nutritional Analysis Order Form - Medallion Labs
9000 Plymouth Avenue North Minneapolis, MN 55427. Phone: Nutritional Analysis Order form Rush Order Standard turnaround time for our assays is 7-9 business days. Date: For a turnaround time of 5 business days, select "Rush Order ". Pricing for RUSH service is double. Submitter Information Billing Information Company Name: Address: Company Name: Address: Contact Name: Title: Contact Name: E-mail: E-mail: Phone: Phone: Signature: Fax: Visa/MasterCard #: Additional Results Recipients Expiration Date: Name: Number: E-mail: Name: Code: E-mail: Sample ID: Check this box for a Nutritional Panel (for an additional fee).
Samples should be collected, prepared and shipped according to proper procedures and accompanied by a Medallion request form for the desired analysis.
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