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Revised 3/14/2013 POC & POL PCP Request Please complete, & Fax to 3033274109 or Email client services forensiclaboratories.com POC & POL Predefined Custom Profile Request Specimen Type: Urine Agency/Client

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Revised 3142013 refers to an updated version of form 3142013.

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Entities or individuals specified by the regulatory authority are required to file revised 3142013.

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The purpose of revised 3142013 is to gather specific information for regulatory compliance or reporting purposes.

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