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THIRD PARTY REQUISITION
SEE REVERSE FOR ADDITIONAL INFORMATION
PROVINCELaboratory Information Center: 4037703600
www.calgarylabservices.com
SHADED AREAS ARE REQUIRED INFORMATIONPERSONAL HEALTH NUMBER
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Medical laboratories - home refer to facilities that provide laboratory testing services from the comfort of a patient's home, allowing for convenient sample collection, analysis, and reporting of medical tests.
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