Marketplace Lab Registration 2

Marketplace Lab Harmonization

Lab Name: ABC Company, Inc.

Test Panel Chemistry Hematology Urinalysis
Correlation Date:
Correlation Set Lot#:
Expiration Date:

2nd Entry - Add Results to Appropriate Sample Field

Test

Unit

Sample 1 Result

Sample 2 Result

Sample 3 Result

Sample 4 Result

Sample 5 Result

Sample 6 Result

Instrument

Reference Range
Low	High

Albumin

g/dL

ALT

U/L

AST

U/L