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QPassport ID: Q13051577Collection Site:Medical Review OfficerNEIL J DASH MDStreet Address  FRANKLIN AVEMASSAPEQUA, NY, Street Address
Phone: PHONE NUMBER AVAILABLEFax: PHONE NUMBER AVAILABLEDonor DetailsDonor Name: Anthony MooreDonor ID: a00TR00000GdRaIYAVTest Reason: PRE-EMPLOYMENTOrdered Date: 07/31/2024 11:26 AMOrdered By: IntegrationAccount/Employer: ANN ARBOR - 1195203810 CROSBY ST 2ND FLRIA SHRIVASTAVANEW YORK, NY 10013 -Phone: PHONE NUMBER AVAILABLEClient Specific Option(s): DER: - PHONE NUMBER AVAILABLE R SHRIVASTAVA; TESTING AUTHORITY - FTA Collection Service(s): SplitTest Type(s): 65304N - DOT DRUG PANEL W/TS (Urine) Donor Instructions: Please bring this confirmation and your driver's license or other government issued photo ID to the collection site for identification.Collection Site Instructions: This collection should not be conducted under direct observation. Expires On:10/29/2024 12:00 AM EasternMichigan UC & Occ Hlth - Ann Arbor3280 Washtenaw Ave, Ste AAnn Arbor, MI 48104-4283PHONE NUMBER AVAILABLEOrganizationVIA TRANSPORTATION160 VARICK ST 4TH FLNEW YORK, NY 10013Phone: PHONE NUMBER AVAILABLEHours of Operation/Drug Screen Hours M-Su 8:00 am-8:00 pm To find a collection site location and to make an appointment, visit www.questdiagnostics.com/regFor questions on what to expect at your drug test, visit our website at www.EmployerSolutions.com/mydrugtestGet DirectionsQuest Diagnostics Customer Service PHONE NUMBER AVAILABLE/pre>