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ORDER FORM
PLEASE ALLOW A MINIMUM 2 WEEKS LEAD TIME FOR ALL ORDERS
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Medical & Clinical Consortium |
13740 East Nelson Avenue |
City of Industry, CA 91746-2048 |
Tel:626-934-9364 |
Toll Free: 877.622.8378 |
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Note: If you do not find the combination you are looking for, please contact the Office. FORM |
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| *REQUIRED |
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| ***You will be notified when your your order is received. Your Credit Card information will be attained at that time. |
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| SHIP TO: SHIP VIA CARRIER: (Distributors must fill-in to ship to your customer via UPS, FEDEX, etc.) |
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*For Special Orders, Extra Lead-Time is Required and Minimum Quantities Apply.
| Ca-Dip |
Ca-Dip & Dip Cards Choose Ca-Dip or Dip Card Item Number |
Ca-Dip  |
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Min. Qty |
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Assay |
Qty Ord |
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2301 |
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50 |
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COC ,THC |
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2302 |
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50 |
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M-AMP, THC |
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3301 |
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50 |
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COC ,THC, M-AMP |
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3303 |
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50 |
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COC, THC, OPI |
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3303 |
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50 |
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COC, THC, AMP |
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4301 |
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50 |
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M-AMP, COC, THC, OPI |
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5301 |
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50 |
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COC, AMP, M-AMP, THC, OPI |
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5302 |
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50 |
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COC, M-AMP, THC, OPI, PCP |
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5303 |
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50 |
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COC, AMP, THC, OPI, PCP |
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50 |
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COC, AMP, M-AMP, THC, OPI, PCP |
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50 |
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COC,AMP,M-AMP,THC,OPI,PCP,BAR,BZO |
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50 |
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COC,AMP,M-AMP,THC,MTD,OPI,PCP,BAR,BZO |
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50 |
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COC,AMP,M-AMP,THC,MTD,OPI,PCP,BAR,BZO,MDMA |
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| Dip Card Tests |
Choose Dip Card Tests Item Number |
Dip Cards  |
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Min. Qty |
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Assay |
Qty Ord |
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2101 |
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50 |
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COC ,THC |
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2102 |
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50 |
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M-AMP, THC |
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3101 |
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50 |
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COC ,THC, M-AMP |
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3102 |
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50 |
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COC, THC, OPI |
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3103 |
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50 |
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COC, THC, AMP |
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4101 |
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50 |
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M-AMP, COC, THC, OPI |
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5101 |
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50 |
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COC, AMP, M-AMP, THC, OPI |
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5102 |
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50 |
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COC, M-AMP, THC, OPI, PCP |
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5103 |
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50 |
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COC, AMP, THC, OPI, PCP |
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6101 |
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50 |
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COC, AMP, M-AMP, THC, OPI, PCP |
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8101 |
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50 |
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COC,AMP,M-AMP,THC,OPI,PCP,BAR,BZO |
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9102 |
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50 |
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COC,AMP,M-AMP,THC,MTD,OPI,PCP,BAR,BZO |
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10101 |
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50 |
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COC,AMP,M-AMP,THC,MTD,OPI,PCP,BAR,BZO,MDMA |
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| Lab Ready Cup - All in one device |
Lab Ready Cup Choose Item Number |
Lab Ready Cup  |
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Min. Qty |
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Qty Ord |
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5701 |
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50 |
5 Panel - AMP, COC, THC, M-AMP, OPI |
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5702 |
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50 |
5 Panel - COC, THC, M-AMP, OPI, PCP |
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5703 |
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50 |
5 Panel - AMP, COC, THC, OPI, PCP |
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5704 |
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50 |
5 Panel - AMP, BAR, BZO, COC, THC |
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6701 |
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50 |
6 Panel - AMP, COC, THC, M-AMP, OPI, PCP |
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7701 |
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50 |
7 Panel - BAR, BZO, COC, THC, M-AMP, OPI, PCP |
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8701 |
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50 |
8 Panel - AMP, BAR, BZO, COC, THC, M-AMP, OPI, PCP |
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