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Insurance and Advance Pay Test Form – Complete Version

Requisition Forms for Commercial Insurance or Self-pay Patients
Neurology, Endocrinology, and Nephrology requisition form.

Athena Diagnostics Client Test Requisition

Requisition Forms for Billing Hospitals, Labs, and Clinics.
Athena Diagnostics Client Test Requisition

Blood/Serum Shipping Kit

shipping-containers

Contains collection tube insert, shipping box, and pre-printed pre-paid FedEx® airbill

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Saliva Shipping Kit

shipping-containers

Contains collection tube insert, shipping box, and pre-printed pre-paid FedEx® airbill

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Cold Pack Shipping Kit

shipping-containers

Contains collection tube insert, shipping box, and pre-printed pre-paid FedEx® airbill

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Tau/Aβ Shipping Kit

shipping-containers

Contains collection tube insert, CSF tube 63.614.625 (Sarstedt), shipping box, and pre-printed pre-paid FedEx® airbill

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Lavender top (EDTA)

collection-tubes
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Serum Separator Tubes (SST)

collection-tubes
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CSF tube 63.614.625 (Sarstedt)

collection-tubes
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