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Get CO Children's Hospital General & Microbiology Lab Requisition

Iology Lab Requisition Phone (720) 777-6711 Fax (720) 777-7118 Specimen Shipping Address: Children's Hospital Colorado Clinical Laboratory - Room B0200 13123 E. 16th Ave Aurora, CO 80045 FAILURE TO COMPLETE BELOW FIELDS WILL DELAY RESULTS ***PLEASE PROVIDE COMPLETE BILLING INFORMATION ON THE BACK OF THIS FORM*** Contact Information Ordering Institution Address Ordering Institution Name Street City, State, Zip Ordering Provider NPI# Ord.

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