LAB FAIR | Grand Coulee

*Only for ages 18 and over

Please do not eat or drink anything except water 12 hours prior to blood draw. Medications should be taken as usual.

Snacks and beverages will be available after screening.

• Test results will NOT be sent to your Provider.
• Test results will ONLY be mailed to the person at the mailing address listed on this form.
• If you wish for your provider to have the results, you will need to personally make an appointment with the provider to review your test results. You can call our scheduling department at (509)633-1753.

Please note: These tests do not replace an annual exam. Please follow up with your provider

AVAILIBLE TESTS:

______ $40.00 Comprehensive test profile (Complete Metabolic Panel, Lipid Panel and CBC with Differential)

______ $20.00 A1C

______ $20.00 Vitamin D

______ $20.00 TSH (Thyroid Function)

______ $20.00 Iron Panel (Transferrin and Iron)

______ $20.00 PSA Screen (Prostate Cancer Detection [over 40 years of age])

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