Cologuard Order Requisition Form
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Cologuard Order Requisition Form
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COLOGUARD ORDER REQUISITION FORM EXACT SCIENCES LABORATORIES LLC 145 E Badger Rd Ste 100 Madison WI 53713 p 844 870 8870 ExactLabs Stool based DNA test with hemoglobin immunoassay component NPI 1629407069 TIN 463095174 Fax completed form to 844 870 8875 FRM 3004 03 c For Lab Use Only You can request a Cologuard® test by talking directly to your healthcare provider or by getting a kit online through a telehealth provider. For adults 45+ at avg. risk. Rx only. See risk info.
Cologuard Order Form Fill Out Printable PDF Forms Online
Cologuard Order Requisition FormDownload adenine Cologuard® order requisition form as PDF or explore our electronic grouping options for easy access to patient information and results. Fax or eFax via computer mobile or tablet Most simple way to begin ordering Get started with a secure fax line Download a Cologuard order requisition form as PDF and fax it to 1 844 870 8875 For more information about the ordering options call 1 844 870 8870
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