Immunology Core QDot™ Reagent Request
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CFAR Principal Investigator
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Institution
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NIH grants supported (ex- R01 AI065987)
REAGENTS REQUESTED
A single 50 test aliquot will be provided at no charge for testing in your panel.
CD4-Qdot™605 number requested
100 tests ($75)
50 tests (no charge)
CD4-Qdot™655 number requested
100 tests ($75)
50 tests (no charge)
CD8-Qdot™605 number requested
100 tests ($75)
50 tests (no charge)
CD8-Qdot™655 number requested
100 tests ($75)
50 tests (no charge)
Purchase Order (Optional)
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Billing Address:
Checks and Purchase Orders payable to:
Beth Israel Deaconess Medical Center
CFAR Immunology Core/CLS 1042
330 Brookline Avenue
Boston, MA 02215
Attn: Kristine Regione
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SHIPPING
Will pick up at BIDMC, CLS-3 Blackfan Circle
Deliver via FedEx
FedEx Account #
DELIVER TO:
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Name
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Email Address
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Address:
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Phone
For questions, contact Keith Reimann at 617-735-4476or
kreimann@bidmc.harvard.edu
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Indicates Response Required