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  Registry Service for Alternative Assessment - Contact Form

College of American Pathologists Same Exchange Registry
Please fill out the contact information identifying the person/persons who will be the main contact(s) in the sample exchange. Once three laboratories indicate testing for the same analyte, this information will be shared.
Name: Institution:
E-mail: CAP #:
Address 1: Address 2:
City: State:
Country: Zip/Postal Code:
Telephone: FAX:
 
Analyte:
Disease:
Mutation:
Method:
Additional Information: