Also available from your favorite distributor
CLIAwaived • Cardinal Health • Henry Schein • Medline
McKesson • Whitmire Medical • Fisher Scientific
STAT Technologies • Universal Marine Med Supply
Therapak (Avantor) • OAKRIDGE DYNAMICS.COM or Cenmed
(For Military–DOD–GOV)

testing updated form

    Products

    Liquid Chemistry Control 12 Vial NOD P/N ALPC-G14026-100 Abaxis P/N 100-9010& Abbott P/N 07P0401 6 x L1 + 6 x L2 x 1ml

    Liquid Chemistry Control + CRP 12 Vial NOD P/N ALPC-G14126-100 Abaxis P/N 100-9020 Abbott P/N 07P0402 6 x L1 + 6 x L2 x 1ml

    Liquid Chemistry Control 6 Vial NOD P/N ALPC-G14023-100 L2 x 3 Vials x 1ml

    Liquid Chemistry Control + CRP 6 Vial NOD P/N ALPC-G14123-100 L2 x 3 Vials x 1ml

    Verification Sample Kit NOD P/N ALCV-G14033-050 Abbott P/N 07P0403 3 x S1 + 3 x S2 + 3 x S3 x 0.5ml

    Verification Sample Kit + CRP Kit NOD P/N ALPC-G14133-050 Abbott P/N 07P0401 3 x S1 + 3 x S2 + 3 x S3 x 0.5ml

    Contact Information

    Company Name
    Company Phone Number*


    Contact Name*
    Contact Phone Number*


    Ship to Street Address, City, State, Zip*
    (we will ship and bill you)
    Bill to Address (if the same as shipping address, type in "same as shipping address")


    Special Shipping Instructions
    (i.e., leave with Receptionist)
    Special Requirements (i.e. is your office closed such that FedEx may not be able to deliver during a particular time?)


    Email Address*
    (NOD® does not share any customer information so your e-mail address is safe with us)
    Internal Purchase Order or Reference Number (if available)
    If you do not have a PO system for the office, fax us a copy of your office letterhead stationery (so we have a legible address), stating which product you want to order and that you understand the price will include prepaid FedEx shipping costs.


    Do you Want Us to Bill (Invoice) You OR
    Do You Want to Pay With a Credit Card?
    Invoice would be sent after shipment, or if paying by credit card, please fill out the information below.


    Credit Card Type MasterCardVisa


    Cardholder NameCredit Card Number


    Expiration Date