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
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QTY	ITEM NO.	PRODUCT	SIZE
	1470-01	Dip&Spin Urine Dipstick/Microscopics Control, 2 Level Set	4x120 mL
	1440-01	Dipper Urine Dipstick Control, 2 Level Set	6x15 mL
	1442-61	Dipper Urine Dipstick Control, Level 2	6x15 mL
	1440-02	Dropper Urine Dipstick Control, 2 Level Set	4x25 mL
	1440-04	Dropper Plus POC Urine Dipstick Control, 2 Level 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	Dropper Cardiac Markers Control, Level 1	6x3 mL
	1012-61	Dropper Cardiac Markers Control, Level 2	6x3 mL
	1013-61	Dropper Cardiac Markers Control, Level 3	6x3 mL
	1010-02	Dropper Cardiac Markers Control, 3 level Set	6x3 mL
	1451-31	Dropper Spinal Fluid Control, Level 1	3x3 mL
	1452-31	Dropper Spinal Fluid Control, Level 2	3x3 mL
	1431-31	Dropper Urine Chemistry Control, Level 1	3x10 mL
	1432-31	Dropper Urine Chemistry Control, Level 2	3x10 mL
	1431-32	Dropper Urine Chemistry Control, Level 1	3x25 mL
	1432-32	Dropper Urine Chemistry Control, Level 2	3x25 mL
	1741-101	Total Lipids Control, Level 1	10x2 mL
	1742-101	Total Lipids Control, Level 2	10x2 mL
	1743-101	Total Lipids Control, Level 3	10x2 mL


QTY	ITEM NO.	PRODUCT	SIZE
	1510-01	Dropper A1c Diabetes 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
	1250-01	Microbumin Microalbumin Control, 2 Level 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, 2 Level 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.