Name: J) Add-On Test
SKU: 670930
Price: 1000 USD
Availability: InStock

J) Add-On Test

This option is only for a limited number of add-on tests, for which cost is adjusted accordingly.

DO NOT select this unless you have been given specific instructions to do so and provided a code number by an IVRPS team member.

If you are unsure if you should select this option, please contact us directly ([email protected]; 979-862-3842).

All fields marked with * are mandatory.

Specific Test Requested

Clinic Name

Patient First AND Last Name(s)

If ordering more than one test, please include all First and Last Names

Clinic Address

City

State

Zip Code

Clinic Telephone Number

Clinic Email Address

Purchase Order # (not required)

For your record only as, we do not require a Purchase Order.