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Get Canada Cadham Provincial Laboratory MG-696 2020-2024

K for requisition/specimen instructions Cadham Provincial Laboratory P.O. Box 8450 Winnipeg, MB R3C 3Y1 Tel: (204) 945-6123 Fax: (204) 786-4770 E-mail: cadham gov.mb.ca Website: www.gov.mb.ca/health/publichealth/cpl RELEVANT CLINICAL INFORMATION PATIENT INFORMATION Outbreak Code: PHIN: o In-Patient o Out-Patient Reason for Test: o Immigration o Occupational o Other: o Needlestick o Sexual Assault o Pregnant o Immune Status Relevant History: o Autopsy o Canc.

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