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MICROBIOLOGY TEST REQUEST FORM UNIFIED STATE LABORATORIES: PUBLIC HEALTH 4431 SOUTH 2700 WEST TAYLORSVILLE, UTAHTELEPHONE: (, (FAX: (
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Document Date: 2014-03-20 21:06:54

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City

Bacterial / /

Company

IgG / Sentinel / UNIFIED STATE LABORATORIES / /

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IndustryTerm

source/site / /

MedicalCondition

TB / Varicella zoster virus / Syphilis / HIV / Variola virus / Mumps / Disease / Vaccinia virus / Measles / Gonorrhea / Influenza A / Hospitalized w/ Influenza-like illness / Herpes / Urethritis / /

Organization

FOR USLPH USE ONLY LAB / /

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Position

Physician / /

ProvinceOrState

Alaska / Colorado / /

Region

West Nile / /

URL

http /

SocialTag