InterQC New User Registration

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Welcome to InterQC!

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In May 2006 CLINIQA obtained the highest level of ISO certification awarded to IVD companies.

The ISO 13485 is an International Standard for Quality Systems more rigorous than ISO 9001 and designed for medical device manufacturers.

InterQC New User Registration

InterQC STATISTICAL PROGRAM REGISTRATION FORM

Internal and External Laboratory Quality Assurance Application

Data Submission Sheet for the Month and Year of (MM/YYYY):

Did you purchase the products from CLINIQA directly?
Yes No

If yes, please enter your CLINIQA Account Number:

If no, please specify the name of the distributor:

Contact Information

Laboratory Name:

Department:

Street Address:

City:

State:

Zip:

Contact:

Phone:

Fax:

Email:

Instrument Information #1

MFG:

Model:

Serial #:

Instrument Information #2

MFG:

Model:

Serial #:

Instrument Information #3

MFG:

Model:

Serial #:

Liquid QC/LiniCAL Product Information #1

Product Name:

Cat. #:

Lot #:

Level:

Expiration Date:

Liquid QC/LiniCAL Product Information #2

Product Name:

Cat. #:

Lot #:

Level:

Expiration Date:

Liquid QC/LiniCAL Product Information #3

Product Name:

Cat. #.

Lot #.

Level:

Expiration Date:

Liquid QC/LiniCAL Product Information #4

Product Name:

Cat. #.

Lot #.

Level:

288 Distribution Street • San Marcos, California 92078 • Phone: 800-728-5205 • Fax: 760-571-5197