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Of Health Services 3851 Rosecrans St. San Diego CA 92110 619 692-8500 fax 619 692-8558 C. Peter Ph. D. Chief Information required in order to test specimens. QUANTIFERON REQUEST FORM Patient Name Last First Middle Initial Clinical Information TB Diagnosis Contact to TB Case Other Address City State Zip Code Telephone Date of birth Sex M F Specimen Collected Whole Blood with Submitter name address and phone anticoagulant. QuantiFERON-TB Gold Validation at the San Diego County Public Health...

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What is quantiferon tb form san?

Quantiferon TB form San is a medical form used to test for tuberculosis infection in individuals.

Who is required to file quantiferon tb form san?

Healthcare providers or medical professionals who perform the Quantiferon TB test are required to file the form.

How to fill out quantiferon tb form san?

To fill out the Quantiferon TB form San, you need to provide personal information of the patient, details of the test, and interpretation of the results.

What is the purpose of quantiferon tb form san?

The purpose of the Quantiferon TB form San is to record and document the results of the tuberculosis test for medical records and further analysis.

What information must be reported on quantiferon tb form san?

The Quantiferon TB form San requires the reporting of patient's personal information, details of the test (such as date, healthcare provider, specimen ID), and the interpretation of the test results.

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