Bendiner & Schlesinger, Inc.

Medical Laboratories

140 58th Street, Suite 8D

Brooklyn, NY 11220

    Since 1843

212/254-2300    

 

MONTANA PROFESSIONAL ASSISTANCE PROGRAM

ORAL FLUID DRUG TESTING

SUPPLY ORDER FORM

Number of Kits: *required

 

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Date Submitted: 

(orders are processed by date submitted)

 

 

For assistance contact:

fhartigan@bendinerlab.com or mellani@montana.net