Fillable Printable Product Evaluation Form Sample
Fillable Printable Product Evaluation Form Sample
Product Evaluation Form Sample
PRODUCT EVALUATION FORM
Sofia Strep A FIA kit lot#: _________________________________
Lab/facility name: _______________________________________ Other kit name: _________________________________
Other kit lot #: __________________________________
Sofia results
Other kit
results
Culture
results
+ , - or Invalid + , - or Invalid + or - Comments Technician
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2039ID0212D (06/13)
Date Sample ID
