Request A Quote TEST Requesting Quote for:(Required) Proficiency Testing Enrollment Enroll in our regularly scheduled events Off-schedule / Pre-licensure Remediate a failure; cease testing; obtain a CLIA license. This service provides an evaluation report and score transmission, if applicable. Other This service provides peer tested samples and the corresponding acceptable results/ranges to perform your own internal self-evaluation. Could be used for validation studies, troubleshooting, competency, and/or training. Does not include an evaluation report or score transmission Off-Schedule Pre-licensure InformationOff-Schedule/Pre-licensure Information(Required) Pre-licensure Cease testing Failed one or more events Provide more information for your requestPlease select as many as apply to your order requestProvide more information for your request Validation Competency Training (sample sets) Troubleshooting Other Please provide more information for "Other" Please answer questions belowWhat type of samples are you looking for?(Required) What analytes do you require?(Required) How many samples do you require?(Required) What is the name of your instrument/kit and manufacturer?(Required) Provide your current test menuYou may also provide a list of products you would like a quote for, as another option. See below for this option.Attach test menu here [PDF]Max. file size: 32 MB.List products for quoteAlso provide specifications if indicated by choice above.Contact InformationFacility Name(Required) Contact Name(Required) Phone(Required)Email(Required) WSLH PT ID (7 digits) Current/previous account ID (if known). Please leave bank, if not known.Indicate year quote is for(Required) Additional InformationHow did you hear about us?(Required) Online/Website Email Advertisement Conference (please elaborate) Peer Recommendation (please elaborate) Agency Recommendation (please elaborate) Mailing Other (please elaborate) More informationIf you have more information, please add it to the text area provided below. Δ