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18003635915 PlaceLabelHereCLIA×23D1054909CAP×7195469kSORTTESTREQUISITIONMonFri8a5pEST 301MichiganStreetNESuite×580 Granddads,MI49503 www.Immucor.com/DX ImmucorDX Immune.comPATIENTINFORMATIONANDACKNOWLEDGEMENT

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