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Get National Jewish Health Referral Lab 800 2017-2024

N 1. PATIENT INFORMATION Patient Name (Last, First) n Male n Female DOB / / Medical Record Number 2. BILLING INFORMATION - INSTITUTIONAL BILLING ONLY 3. REPORT DELIVERY INFORMATION National Jewish Health Advanced Diagnostic Laboratories does not bill patients directly or third-party health insurance. Visit njlabs.org or call for details. Account Name Account Name City Address Address State Zip Secure Fax City State Zip n Duplicate Report Requ.

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