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ePassport*AIStreet Address D2*AI85212858D2For Clinic Use:Clinic Information:Concentra Medical Center - Airport Phoenix1818 E SKY HARBOR CIR NSTE 150PHOENIX,AZ 85034ph #:PHONE NUMBER AVAILABLEDON'T FORGET!- Take ePassport and Photo ID- All other documents provided- Call clinic to confirm their hours of service*Use eScreen Scheduled Event Account*Scan the ePassport barcode into eScreen123.Confirmation #: AI85212858D2 Scheduled Event Details will appear. Services to be performed:Name: Joey MorenoDonor ID:eScreen Acct #: 103180-1FedEx ExpressAdditional Requirements/Notes:Scheduling Manager Name:Lynne Simmons Scheduling Manager Phone:602-833-3848 Bill services to :eScreen, Inc.PO Box 25902Overland Park, KS 66225Contact eScreen Client Services with questions: PHONE NUMBER AVAILABLE opt. 5 Proceed immediately to collection site.Regulation: NON-DOTReason for Test: Pre-employmentDo Not Use eCupFax: PHONE NUMBER AVAILABLEClinics with eScreen123 must scan passport into eScreen123. Complete all services. Urine Collection - 30C7 - HHS DOT Mirror (30C7) Additional Fees