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Get Histocompatibility Requisition

Tory Medicine 4650 Sunset Boulevard Los Angeles, CA 90027 Phone: 323.361.2423, 877.543.9522 Fax: 323.361.6157 CLIA Number: 05D0542989 Ship To: Children s Hospital Los Angeles 4650 Sunset Blvd Duque Bldg., 2nd Floor, Room 2-290 Los Angeles, CA 90027 HISTOCOMPATIBILITY LABORATORY REQUISITION All information must be completed before sample can be processed See reverse side for additional information Red text indicates required information REPORTING INFORMATION PATIENT / DONOR INFORMATION.

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The times of terrifying complicated tax and legal forms are over. With US Legal Forms the whole process of completing legal documents is anxiety-free. A powerhouse editor is already at your fingertips providing you with a range of useful tools for submitting a CA CHLA Histocompatibility Laboratory Requisition Form. These guidelines, in addition to the editor will guide you through the complete process.

  1. Click on the Get Form option to start filling out.
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  5. Indicate the date to the sample using the Date function.
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