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*34499532*Quest Authorization Barcode #:Street Address
Instructions for Service ProviderPlease proceed to the following location:Quest Diagnostics-Lombard North PSC340 E North AveLombard, IL 60148PHONE NUMBER AVAILABLEInstructions for JOEL MILLERParticipant ID:Account: 944140-1ALTASTAFF LLC - MAINThis order must be completed within thefollowing timeframe:5/15/2019 2:04 PM (CT) and 5/22/20195:00 PM (CT)Account Type: National AccountPhone: 2017 Alere. All rights reserved. The Alere Logo, Alere, ePassport, eScreen, and eScreen123 are trademarks of the Alere group of companies. All other trademarks referenced are trademarks of their respective owners. MKT50274 REV2 6/17 Note: Completion time displayed does not mean that the service provider is open until the time shown. Note: Please visit the service provider's website or call to confirm operational hours.Bill services to: eScreen, Inc., PO Box 25902,Overland Park, KS 66225 You are required to take a photo ID,this ePassport, and all documents withwhich it printed. If you are under 18, a parent or legalguardian may be required in order forservices to be performed. Verify withthe service provider before arriving.Fax: PHONE NUMBER AVAILABLEServices(1):Regulation: NON-DOTReason for Test: Pre-employmentLab Account: 104826661. Urine Collection - 35105N - QD- 5 panel NDOT STANDARD(35105N)