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Lab Test Requisition

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Test Panels

Anemia Profile (P20) Arthritis Profile (31) B12 + Folate Deficiency (39) Basic Metabolic Profile (11) Comprehensive Metabolic (12) Diabetic Profile (24) Electrolytes (10) Hepatic Function (27) Hepatitis Panel (2254) Lipid Profile (38)

Common Individual Tests

CBC with Differential & Platelets Cholesterol Triglycerides HDL Cholesterol Glucose Fasting Hemoglobin A1C TSH (Thyroid) PSA Total Vitamin B12 Vitamin D-25 Hydroxy

Hormone Tests

Testosterone Total FSH LH Progesterone Estradiol Prolactin

Cancer Markers

CA 125 CA 15.3 CA 19-9 CEA AFP Tumor Marker

Additional Tests

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Fasting Status

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Consent & Agreement I consent to Micron Labs On Demand collecting and testing my sample as described above. I authorize billing my insurance and understand I am responsible for any charges not covered by insurance.

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