ORDER

Placing an order couldn’t be easier! Pick your favorite option: 1, 2, 3, or 4!

COMPLETE all required information below and select the Send Order button to email the form
EMAIL your ordering information to us at info@mmqci.com
CALL us at 207.885.1072 ext. 1, hours 8:00 AM-5:30 PM EST
FAX your own order form, or a completed MMQCI FAX order form to 207.885.1079

Contact/Shipping/Billing Information:

Contact Name* *This field is required.

Email* *This field is required.

Phone* *This field is required.

Fax

Department

PO Number

Attn

Company Name* *This field is required.

Shipping Address* *This field is required.

Shipping City* *This field is required.

Shipping State* *This field is required.

Shipping Zip Code* *This field is required.

Shipping Country* *This field is required.

Billing is same as shipping:

Billing Company Name* *This field is required.

Billing Address* *This field is required.

Billing City* *This field is required.

Billing State* *This field is required.

Billing Zip Code* *This field is required.

Billing Country* *This field is required.

*Required Fields

Product Selection:

Note: Please enter the quantity for only the products you wish to order.

Product #	Product Name	Kit Configuration
C104^**	Xpert Bladder Cancer Panel C104	12 bottles (6 each of Low Positive & Negative Controls) x 4 mL
C130^**	Xpert BCR-ABL IS Panel C130	12 bottles (2 of each %IS level) x 4 mL
C13112-5^**	Xpert BCR-ABL 0%IS	5 bottles x 4 mL
C183^**	Xpert BCR-ABL1 p190 Control Panel C183	10 bottles (2 of each % level) x 4 mL
C194v1.1^**	Xpert NPM1 Control Panel C194v1.1	10 bottles (2 of each % level) x 4 mL
C207^**	Xpert BCR-ABL IS p210 Linearity Panel C207	12 bottles (2 of each %IS level) x 4 mL
C215^**	Xpert PML-RARA Control Panel C215	10 bottles (2 of each % level) x 4 mL
C221^**	Xpert PML-RARA Linearity Panel C221	10 bottles (2 of each % level) x 4 mL
C225^**	Xpert NPM1 Linearity Panel C225	10 bottles (2 of each % level) x 4 mL
C230^**	Birlinn^™ BCR-ABL1 p210 IS Panel C230	5 tubes (1 tube each of 0.0032%IS, 0.01%IS, 0.1%IS, 1%IS and 10%IS) x 20 uL
C240^**	Birlinn^™ BCR-ABL1 p210 IS Control Panel C240	6 tubes (2 tubes each of 0.01%IS, 0.1%IS, and 1%IS) x 20 uL
G106ac	INTROL^® CF Panel I Control v.02	3 bottles x 2 mL each
G106ac-1	INTROL^® CF Panel I Control v.02	3 bottles x 1 mL each
G108-2H	Xpert FII & FV HET	2 bottles x 0.5 mL
G109	Xpert FII & FV Genotype Panel G109	4 bottles (2 HET, 1 NOR, 1 MUT) x 0.5 mL
G110	INTROL^® CF Panel II Control	3 bottles x 2 mL each
G110-1	INTROL^® CF Panel II Control	3 bottles x 1 mL each
G115	INTROL^® CF Panel III Control	4 bottles x 2 mL each
G115-1	INTROL^® CF Panel III Control	4 bottles x 1 mL each
G11601	Xpert FII & FV NOR/MUT Control	4 bottles (2 Nor & 2 Mut x 0.5 mL)
G123-1	INTROL^® Thrombosis Genotype Panel	3 bottles x 1 mL each
G123-2	INTROL^® Thrombosis Genotype Panel	3 bottles x 2 mL each
G203^**	Birlinn^™ HH Panel G203	6 tubes (3 each of pG20010 & pG20013) x 30uL
G211 v1.1^**	NGS CF Control Panel G211 v1.1	6 tubes x 50 μL
M110	INTROL^® TB Panel M110	4 bottles x 3 mL
M114-5	INTROL^® TB Panel M114	15 bottles x 1 mL
M114-10	INTROL^® TB Panel M114	30 bottles x 1 mL
M114plus	INTROL^® TB Panel M114plus	12 bottles x 1 mL
M115	INTROL^® TBNEG-30	30 bottles x 1 mL
M219	Xpert^® Carba-R QC Panel M219	12 tubes (6 each of M2162517 & M2171717) x 50 µL
M238^**	FilmArray^® GI Control Panel M238	12 tubes (6 each of M2393718 & M2402818) x 200 µL
M251	FilmArray^® Ebola Control Panel M251	12 tubes (6 each of M25218 and M25318) x 200 µL
M262^**	BioFire^® ME Control Panel M262	12 tubes (6 each of M263 and M264) x 200 µL
M270^**	Verigene^® RP Flex Control Panel M270	12 tubes (4 each of M27120, M27220 and M27320) x 200 µL
M306^**	ePlex RP Control M306	10 tubes (2 each of Pos A, Pos B, Pos C, Pos D & Negative) x 200 µL
M31118-6^**	ePlex RP Negative	6 tubes x 200 µL each
M320v1.1	eplex BCID-FP Control M320v1.1	12 tubes (4 each of Positive A1, Positive B1 and Negative) x 50 µL
M50137-6	eplex BCID-FP Negative	6 tubes x 50 µL each
M323v1.1	ePlex BCID-GP Control M323v1.1	12 tubes (3 each Positive A, Positive B1, Positive C & Negative) x 50 µL
M50237-6	ePlex BCID-GP Negative	6 tubes x 50 µL each
M326	eplex BCID-GN Control M326	12 tubes (3 each of Positive A, Positive B, Positive C and Negative) x 50 µL
M50337-6	eplex BCID-GN Negative	6 tubes x 50 µL each
M340^**	FilmArray^® Pneumonia/Pneumoniaplus Control	12 tubes (6 each of a Positive and Negative) x 120 µL
M345-5	INTROL^® TB-XDR Panel M345	15 bottles x 1 mL
M360v1.2^**	QIAstat-Dx RP SARS-CoV-2 Control Panel	12 tubes (4 each Positive A, Positive B1 and Negative) x 300 μL
M36321-6^**	QIAstat-Dx RP SARS-CoV-2 Negative	6 tubes x 300 µL each
M404	Unyvero LRT/Pneumonia Control Panel M404	12 tubes (4 each of Positive A, Positive B and Negative) x 180 µL
M416	FilmArray^® BCID2 Control Panel M416	12 tubes (6 each of a Positive and Negative) x 200uL
M420	BioFire^® JI Control Panel M420	12 tubes (6 each of a Positive and Negative) x 200μL
M425^**	SPOTFIRE^® RSP Pos & Neg Controls	12 tubes (6 each of a Positive and Negative) x 300μL
M42638^**	SPOTFIRE^® RSP Positive Control	6 tubes x 300 µL
M42738^**	SPOTFIRE^® RSP Negative Control	6 tubes x 300 µL
M430^**	Xpert SARS-CoV-2 Control Panel M430	6 tubes (3 each of a Positive and Negative) x 300uL
M441^**	BioFire^® RP2.1/RP2.1plus Control Panel M441	12 tubes (6 each of a Positive and Negative) x 300uL
M451^**	eplex RP2 Control M451	12 tubes (4 each of Positive A, Positive B and Negative) x 200uL
M475^**	QIAstat-Dx GI 2 Control Panel	12 tubes (4 each Positive A, Positive B and Negative ) x 200 µL

^** These products ship on dry ice. A $15.00 dry ice fee will be added to the invoice.

Thank you for placing your on-line order with MMQCI! We have received your order and will begin immediate processing. If you have any questions or concerns about your order please do not hesitate to contact us, we are available Monday through Friday from 8:00AM - 5:30PM EST at 207.885.1072 ext 1 and via e-mail at info@mmqci.com.

MMQCI Customer Service

Send Order