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LabCorp Drug Screen Registration Form

Date: July 20th, 2022


Name: Isabella Ortiz
Phone: 2392233469
Email Address: Ortizisabella07@gmail.com Registration # :
Collection Site Zip: 33909 426669900

Account Number: 493206


Test Name: 10 Panel Urine
Expiration Date: 01/19/2023

Donor Instructions:
1. Locate a LabCorp specimen collection site at:

https://www.labcorpsolutions.com/ots/locator.do

Collection site hours and services are subject to change, we recommend contacting a location prior to your
appointment to confirm availability.
2. Take this form and a government issued photo ID to your appointment.
3. Allow 3-5 business days for your results to be available for viewing/printing.

Collector Instructions:
NOTE: This donor is pre- registered in LabCorp Solutions Web COC and does not need a paper chain of custody form.

1. In LabCorp Solutions Web COC, select St art Collect ion.


2. Select Donor Arrived wit hout a paper Chain of Cust ody Form.
3. Enter 426669900 in the Regist rat ion Number field.
4. Verify the donor's identity by photo ID or employee representative.
5. Complete the collection using LabCorp Solutions Web COC.

CastleBranch.com - phone: 888.723.4263

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