Name* First Last Organization*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CountryAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Email* Phone*Product Type*Product TypecfDNA Extraction Sensitivity ControlsDNA-Depleted PlasmacfDNA Extraction Specificity ControlscfDNA Standards For Molecular TestingAnchor SARS-COV-2 Quality ControlAnchor SARS-COV-2 Reference PanelAM Normal Cell Free gDNAAM Variant Cell Free gDNACustom Anchor COVID19/FluAB/RSV Quality ControlsMass Spec ZeroCustom Molecular ControlsLess Processed DNA-depleted plasmaNIPT Trisomy 13, 18 & 21 ControlsProduct*Extraction Sensitivity Panel 1Extraction Sensitivity Panel 2Mutant Low Positive ControlgDNA Low Positive ControlProduct*DNA-Depleted Plasma (1000ml)DNA-Depleted Plasma (500ml)DNA-Depleted Plasma (100ml)DNA-Depleted Plasma (50ml)Product*AM cfDNA Extraction Specificity ControlsProduct*AM Multiplexed ctDNA StandardAM NIPT Trisomy ControlsProduct*Anchor SARS-COV-2 Quality ControlProduct*Anchor SARS-COV-2 Reference PanelAnchor SARS-COV-2 Reference StandardAnchor SARS-COV-2 NegativeProduct*AM Normal cfgDNA-1AM Normal cfgDNA-2AM Normal cfgDNA-3Product*AM Multiplexed ctDNAAM Trisomy cfgDNAProduct*COVID19/FluAB/RSV Quality ControlsProduct*Mass Spec ZeroProduct*NIPT Trisomy 13, 18 & 21 Controls (3ml)Allele Frequency (%)*0.00.10.31.02.0CustomAllele Frequency (%)*0.02.0CustomWild-Type gDNA (ng)*250125CustomWild-Type gDNA (ng)*2505025CustomQuantity (#)*1234567891011121314151617181920+Item*Panel 1Panel 2CustomItem*Mutant Low Positive ControlgDNA Low Positive ControlItem*Positive Control Plasma 1Positive Control Plasma 2Positive Control Plasma 3Negative Control PlasmaCommentAssay Included?*YesNo Δ