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Get the free Name and address of the lab where the test was performed

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1. Name and address of the lab where the test was performed. Tests may be run in a physician office lab, a lab located in a clinic or hospital, and/or samples may be sent to a reference laboratory
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Start by writing your full legal name in the "Name" field. Make sure to use your first name, middle name (if applicable), and last name. Avoid using any nicknames or aliases in this section.
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Name and address of refers to the information about an individual or entity's name and physical location.
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