Service Provider Customer

*AI***********

AI**********

Instructions for Service Provider

Please proceed to the following location:

Concentra Medical Center - Stockton Airport

**** * **** **

Suite 400

Stockton, CA 95215

209-***-****

Providers with eScreen123 must scan ePassport into eScreen123. Use eScreen Scheduled Event Account. Scan this barcode into eScreen123®

Instructions for Lonnie Lewis

Account: 117745-1

Tesla, Inc.

Proceed immediately to service provider.

Account Type: National Account

Phone:

© 2019 Abbott. All rights reserved. All trademarks referenced are trademarks of either the Abbott group of companies or their respective owners.

Note: Completion time displayed does not mean that the service provider is open until the time shown. Note: Please visit the service provider's website or call to confirm operational hours.

Additional Notes: If you encounter issues at the clinic or need assistance finding a new clinic location reach out to Accurate Customer Service at 1-800-***-**** or utilize Chat via MyPortal - https://myportal.accurate.com.

You must call the clinic prior to arriving. Request clinic hours and if an appointment is required, schedule the appointment. Bill services to: eScreen, Inc., PO Box 25902,

Overland Park, KS 66225

• You are required to take a photo ID,

this ePassport, and all documents with

which it printed.

• If you are under 18, a parent or legal

guardian may be required in order for

services to be performed. Verify with

the service provider before arriving.

Fax: 209-***-****

Services(1):

Regulation: NON-DOT

Reason for Test: Pre-employment

1. Urine Collection - 4106 -

9DSP/NO EXP OPI/NO THC/PHN

(4106)

Contact this candidate