Trillium Diagnostics LLC.: Order Form

If you haven’t found a distributor of our products in your global area, you may be able to order directly from us. To expedite your order, complete and submit this form. Email is preferred, but the completed Order Form may also be printed and faxed to 1-207-942-0346. We will contact you to confirm receipt of the order.

CODE NO.	REG. STATUS	PRODUCT	SIZE	QUANTITY
LK-064-75	CE*	Leuko64™ Kit	75 tests
LK-064-250	CE*	Leuko64™ Kit	250 tests
LK-64H-100	CE*	Leuko64™ Hematology Analyzer Version Kit	100 tests
* the Leuko64 kits are CE marked as an IVD; FDA clearance is pending

Macro163-E	RUO	Macro163 kit	96 tests

FH-101	CE -IVD	FETALtrol™ Blood Controls	2 sets of 3 levels/kit
Z499	IVD	Quant-Rho FITC Anti-D	100 tests/5mL
HbF1-CFS	ASR	HbF Clone WBAC HbF1 (50 µg/mL)	1mL
HbF2-CFS	ASR	HbF Clone WBAC HbF2 (50 µg/mL)	1mL
HbF1-P	ASR	HbF Clone WBAC HbF1 PE (50 µg/mL)	1mL
HbF2-P	ASR	HbF Clone WBAC HbF2 PE (50 µg/mL)	1mL
HbF1-U	ASR	HbF Clone WBAC HbF1 Purified (100µg/mL)	1mL
HbF2-U	ASR	HbF Clone WBAC HbF2 Purified (100µg/mL)	1mL
PHb1-CFS	ASR	pan Hemoglobin Clone pHb1 (50 µg/mL)	1mL
PHb1-P	ASR	pan Hemoglobin Clone pHb1 PE (50 µg/mL)	1mL
PHb1-U	ASR	pan Hemoglobin Clone pHb1 Purified (100µg/mL)	1mL

CD64-22F	ASR	CD64 Clone 22: FITC (50 µg/mL)	1mL
CD64-22P	ASR	CD64 Clone 22: PE (25 µg/mL)	1mL
CD64-22U	ASR	CD64 Clone 22: Purified (100 µg/mL)	1mL

CD64-322F	ASR	CD64 Clone 32.2: FITC (50 µg/mL)	1mL
CD64-322P	ASR	CD64 Clone 32.2: PE (25 µg/mL)	1mL
CD64-322U	ASR	CD64 Clone 32.2: Purified (100 µg/mL)	1mL

CD163-48P	ASR	CD163 Clone MAC2-48: PE (25 µg/mL)	1mL
CD163-48U	ASR	CD163 Clone MAC2-48: Purified (100 µg/mL)	1mL

CD163-158P	ASR	CD163 Clone MAC2-158: PE (25 µg/mL)	1mL
CD163-158U	ASR	CD163 Clone MAC2-158: Purified (100 µg/mL)	1mL

CD163-R20B	ASR	CD163 Clone R20: Biotinylated (100 µg/mL)	1mL
CD163-R20U	ASR	CD163 Clone R20 Purified (100 µg/mL)	1mL

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