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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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CQUENTIA       36F79720D0031 512-845-7828 FORT WORTH ,TX s    
EXACT SCIENCES CORPORATION       V797D-70053 (408) 202-2142 MADISON ,WI o
FULGENT THERAPEUTICS, LLC 36F79718D0374 6263500537 TEMPLE CITY ,CA s
LABORATORY CORPORATION OF AMERIC       V797D-50532 502-228-8630 BURLINGTON ,NC o
MDXHEALTH, INC.       V797D-70066 949-812-6979 IRVINE ,CA s
MOLECULAR TESTING LABS V797D-70048 773-510-8408 VANCOUVER ,WA s
PTC LABORATORIES
(DBA: GENETRAIT LABORATORIES)
36F79718D0583 573-442-9948 COLUMBIA ,MO s/w  
QUEST DIAGNOSTICS INCORPORATED       V797D-70090 615-498-7347 SECAUCUS ,NJ o