ORDER CONFIRMATION

PLEASE TAKE THIS PAGE WITH YOU TO THE SPECIMEN COLLECTION SITE.
YOU WILL BE REQUIRED TO PRESENT A GOVERNMENT ISSUED PHOTO ID.
If you are not able to print this, make sure to record the following order / registration number and bring it with you to your selected collection site.
Your order / registration will expire on October 01, 2018, at 11:59 PM.
TEST / SERVICES INFORMATION:
Service: URINE NONDOT
Account Number: 10655288 Panel Code: 35190N
Order Number: 29213314
Lab Name: Quest Diagnostics Test Reason: PRE-EMPLOYMENT

COLLECTION SITE:
PLEASE CALL THE COLLECTION SITE TO CONFIRM OPERATIONAL HOURS.
ARRIVE ONE HOUR BEFORE CLOSING TIME TO ENSURE TESTING CAN BE COMPLETED.

QUEST DIAGNOSTICS - RENO, NV (ELM Sunday Monday Tuesday Wednesday Thursday Friday Saturday
343 Elm Street Open Closed 7:00 AM 7:00 AM 7:00 AM 7:00 AM 7:00 AM Closed
Ste 309
Reno, NV 89503 Close 4:00 PM 4:00 PM 4:00 PM 4:00 PM 4:00 PM
PH: 775-746-7200 Lunch Closed Closed Closed Closed Closed Closed Closed
FX: 775-329-3863

DONOR / PARTICIPANT INFORMATION:

Carolyn Darnell - *****2827

CLIENT / EMPLOYER INFORMATION: MRO INFORMATION:

KNA SOLUTIONS David Nahin M.D.

KNA SOLUTIONS I3SCREEN
CUSTOMER SERVICE 9501 Northfield Blvd.
2035 Sunset Lake Road Denver, CO 80238
Newark, DE 19702 Phone: 877-585-7366 Fax: 855-253-5666
Phone: 877-893-1664
Account #: 10655288

CUSTOMER SPECIFIC INSTRUCTIONS:

Please proceed to the collection site A.S.A.P. If you are unable to complete your test in the time allotted, please reach out to your
employer.

If Temp is out of range, insufficient sample - Please collect a 2nd collection

observed. Please reach out to one of the DERs if you have any questions.

Contact DER
Kelly Staller : 775-574-8678
Renee Trevino: 775-234-2186
Kelly Staller: 561-703-5228

Case #2018092723265 - KNA SOLUTIONS - Carolyn Darnell Page 1 of 1