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TB006PD2101
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TB006PD2101
Email
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Where can we send the test results to?
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Study ID
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Domain Abbreviation
Site ID
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Subject Identifier
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Enter the Subject Identifiers (Example 101-001)
Specimen ID
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Please enter the Sample Barcode number. Entering this Sample ID Barcode is the only way to get your results.
Sample Collection Date
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Please enter the sample collection date.
MM slash DD slash YYYY
Visit
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Enter Screening or Unscheduled
Visit Number
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Lab Test Name
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Reported Test Result
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Date Transmission to ICON
