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Laboratory RequisitionPractice Name:CLINICAL LABORATORIES Phone: 513.636.7355 Fax: 513.636.3918Address:www.cincinnatichildrens.org/labsPATIENT INFORMATION Patient Name (Last, First):, Date of Birth:Address:Phone:
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dta1284 - test menu is a form used to report information about tests conducted by a laboratory.
All laboratories conducting tests are required to file dta1284 - test menu.
dta1284 - test menu must be filled out electronically with the required information about the tests conducted.
The purpose of dta1284 - test menu is to provide transparency and access to information about the tests offered by a laboratory.
The information reported on dta1284 - test menu includes test names, codes, prices, and descriptions.
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