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621 II MEDICAL LABORATORY TESTING AND ANALYSIS SERVICES
Category Description
621-213 Pharmacogenetics/Pharmacogenomics Services for pharmacogenetic/pharmacogenomic testing include, but are not limited to, tests which predict a drug's efficacy or toxicity based upon a patient's genetic makeup. CPT codes include, but are not limited to, the category of Pathology and Laboratory Procedures (CPT codes 80047 - 89398).
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Contractor       Contract # Phone City, State Socio-
Economic
Contractor T&Cs
/Pricelist
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ASSUREX HEALTH, INC.       V797D-40187 513-701-5000 MASON ,OH s  
FULGENT THERAPEUTICS, LLC 36F79718D0374 626-350-0537 TEMPLE CITY ,CA s
GENOMIC HEALTH, INC.       V797D-70053 650-569-2997 REDWOOD CITY ,CA o
MOLECULAR TESTING LABS V797D-70048 773-510-8408 VANCOUVER ,WA s
PTC LABORATORIES
(DBA: GENETRAIT LABORATORIES)
36F79718D0583 5734429948 COLUMBIA ,MO s/w
QUEST DIAGNOSTICS INCORPORATED       V797D-70090 615-498-7347 MADISON ,NJ o
SONORA QUEST LABORATORIES, LLC       V797P-7302A 602-312-8168 TEMPE ,AZ o