Service Provider National Account

*AI*********K*

AI*********K

Instructions for Service Provider

Please proceed to the following location:

Piedmont UC - Buckhead South

**** ********* ** **

ATLANTA, GA 30309

404-***-****

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

Instructions for Cecilia Griffin

Account: 132863-236

Wonolo

This order must be completed by:

8/5/2024 10:59 PM (ET)

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.

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: 404-***-****

Services(1):

Regulation: NON-DOT

Reason for Test: Pre-employment

1. Urine Collection - 1734 -

10DSP/EXP

OPI2000/BRB200/BNZ200/PHN

(1734)

Contact this candidate