Laboratory Name: Department: Street Address: City: State: ZIP Code: Contact Name: Phone Number: Fax Number: E-mail Address: Instrument #1: Manufacturer: Model: Serial #: Instrument #2: Manufacturer: Model: Serial #: Instrument #3: Manufacturer: Model: Serial #: Liquid QC/LiniCAL Product #1: Catalog #: - Select - 91101 91102 91103 91104 91105 91201 91202 91203 91204 91301 91302 91303 91304 91411 91412 91413 91414 91481 91482 91483 91484 91489 91501 91502 91505 91805 91815 91819 94101 94102 94103 94104 94109 95301 95302 95303 95304 95309 95401 95402 95403 95404 95501 95502 95505 97105 97109 98205 98210 98211 98212 98213 98214 98221 98224 98225 98226 98227 98228 98300 98302 98304 98305 98306 98307 98308 98501 98502 98503 98504 R83082 R83083 Select a catalog number. If you can't find the correct number, contact Technical Support at tech@cliniqa.com. Product Name: Lot #: Instrument: - Select - 1 2 3 Liquid QC/LiniCAL Product #2: Catalog #: - Select - 91101 91102 91103 91104 91105 91201 91202 91203 91204 91301 91302 91303 91304 91411 91412 91413 91414 91481 91482 91483 91484 91489 91501 91502 91505 91805 91815 91819 94101 94102 94103 94104 94109 95301 95302 95303 95304 95309 95401 95402 95403 95404 95501 95502 95505 97105 97109 98205 98210 98211 98212 98213 98214 98221 98224 98225 98226 98227 98228 98300 98302 98304 98305 98306 98307 98308 98501 98502 98503 98504 R83082 R83083 Product Name: Lot #: Instrument: - Select - 1 2 3 Liquid QC/LiniCAL Product #3: Catalog #: - Select - 91101 91102 91103 91104 91105 91201 91202 91203 91204 91301 91302 91303 91304 91411 91412 91413 91414 91481 91482 91483 91484 91489 91501 91502 91505 91805 91815 91819 94101 94102 94103 94104 94109 95301 95302 95303 95304 95309 95401 95402 95403 95404 95501 95502 95505 97105 97109 98205 98210 98211 98212 98213 98214 98221 98224 98225 98226 98227 98228 98300 98302 98304 98305 98306 98307 98308 98501 98502 98503 98504 R83082 R83083 Product Name: Lot #: Instrument: - Select - 1 2 3 Liquid QC/LiniCAL Product #4: Catalog #: - Select - 91101 91102 91103 91104 91105 91201 91202 91203 91204 91301 91302 91303 91304 91411 91412 91413 91414 91481 91482 91483 91484 91489 91501 91502 91505 91805 91815 91819 94101 94102 94103 94104 94109 95301 95302 95303 95304 95309 95401 95402 95403 95404 95501 95502 95505 97105 97109 98205 98210 98211 98212 98213 98214 98221 98224 98225 98226 98227 98228 98300 98302 98304 98305 98306 98307 98308 98501 98502 98503 98504 R83082 R83083 Product Name: Lot #: Instrument: - Select - 1 2 3 Liquid QC/LiniCAL Product #5: Catalog #: - Select - 91101 91102 91103 91104 91105 91201 91202 91203 91204 91301 91302 91303 91304 91411 91412 91413 91414 91481 91482 91483 91484 91489 91501 91502 91505 91805 91815 91819 94101 94102 94103 94104 94109 95301 95302 95303 95304 95309 95401 95402 95403 95404 95501 95502 95505 97105 97109 98205 98210 98211 98212 98213 98214 98221 98224 98225 98226 98227 98228 98300 98302 98304 98305 98306 98307 98308 98501 98502 98503 98504 R83082 R83083 Product Name: Lot #: Instrument: - Select - 1 2 3