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Pharmacogenomics LaboratoryHOSPITAL: MAN: MALEFEMALEMedicare No.DOB:Medicaid No. Primary InsurancePhysician: Address: City, State, Zip: Phone/Fax:Date Collected: SAMPLE INFOAffix label hairball to:

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What is sample info?

Sample info is information about a particular sample or specimen that is being collected, analyzed, or studied.

Who is required to file sample info?

Anyone who is collecting or working with samples that require reporting or tracking.

How to fill out sample info?

Sample info can be filled out by providing details about the sample, such as its origin, type, collection date, and any other relevant information.

What is the purpose of sample info?

The purpose of sample info is to keep track of samples, ensure their proper handling and analysis, and maintain a record of their provenance.

What information must be reported on sample info?

Information such as sample type, collection date, location, any treatments applied, and any other relevant details.

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