"*" geeft verplichte velden aan Produkt*Acceava® H. pyloriAcceava® Mono CassetteAcceava® Mono II TestAcceava® Strep A DipstickActim® 1ngeniAESKULISA® ASCA-AAESKULISA® ASCA-GAESKULISA® GLIA-AAESKULISA® GLIA-GAESKULISA® ß2 Glyco-AAESKULISA® ß2-GLYCO-CHECKAESKULISA® ß2-GLYCO-GMAESKULISA® tTg-AAESKULISA® tTg-GAgility® ELISA-automatiseringssysteemAlere Actim® PartusAlere Actim® PROMAlere Afinion™ ACRAlere Afinion™ AS100 AnalyzerAlere Afinion™ CRPAlere Afinion™ HbA1cAlere Afinion™ lipidenpanelAlere Afinion™ testsAlere BinaxNOW® Influenza A&B kaartAlere BinaxNOW® Legionella Urinair Antigeen KaartAlere BinaxNOW® RSV-kaartAlere BinaxNOW® Staphylococcus aureus testAlere BinaxNOW® Streptococcus pneumoniae AntigenkaartAlere Cholestech LDX® AnalyzerAlere Cholestech LDX® Lipidenprofiel cassettesAlere Cholestech LDX® Lipidenprofiel-GLU cassetteAlere Cholestech LDX® TC CassettesAlere Cholestech LDX® TC-GLU cassettesAlere Cholestech LDX® TC-HDL cassettesAlere Cholestech LDX® TC-HDL-GLU cassettesAlere cholesteroltestsAlere DDS®2 Mobiel Forensisch TestsysteemAlere DDS®2 mobiel testsysteemAlere Determine™ HBsAgAlere Determine™ HIV-1/2Alere Determine™ HIV-1/2 Ag/Ab ComboAlere Determine™ SyfilisAlere Determine™ TB LAM AgAlere HemoPoint® H2 MeterAlere HemoPoint® H2 MicrocuvettenAlere iCassette® Drug ScreenAlere iCup® DrugscreenAlere INRatio® 2 PT/INR monitoringsysteem teststripsAlere INRatio® 2 PT/INR controlesystemenAlere iScreen Dx®Alere iScreen® DipkaartAlere iScreen® OFD testAlere Microlife®Alere NMP22® BladderChek®Alere NMP22® testAlere NMP22® Urine Collectie KitAlere Pima™ AnalyserAlere Pima™ Analyser TasAlere Pima™ CD4 patroonAlere Pima™ PrinterAlere SD BIOLINE Onchocerciasis IgG4 sneltestAlere Triage® BNP-testAlere Triage® BNP-test voor Beckman Coulter® Immunoassay-systemenAlere Triage® hartpanelAlere Triage® Cardio2 PanelAlere Triage® Cardio3 PanelAlere Triage® D-Dimeer testAlere Triage® MeterProAlere Triage® Micro Parasieten PanelAlere Triage® NT-proBNPAlere Triage® PLGF-testAlere Triage® ProfilER SOB™ PanelAlere Triage®-systeemtestsAlere Triage® TOX Drug ScreeningAlere Triage® Troponin IAlere™ Easy hCG ZwangerschapAlere™ DDS®2 mobiel testsysteemAlere™ hCG-cassette (20 mIU/mL)Alere™ hCG-cassette (25 mIU/mL)Alere™ hCG Combo Cassette (20/10 mIU/mL)Alere™ hCG Combo Cassette (25 mIU/mL)Alere™ hCG-peilstokAlere™ hCG Urine DipstickAlere™ HIV ComboAlere™ iAlere™ i Influenza A & BAlere™ i Strep AAlere™ influenza A & B testAlere™ geïnstrumenteerd testsysteem met DxLINK™ technologieAlere™ MobileLinkAlere™ PBP2a kweekkolonietestAlere™ PBP2a SAAlere™ q AnalyzerAlere™ q HIV-1/2 DetectAlere™ SD BIOLINE HIV/Syfilis DuoAlere™ TestPack +Plus hCG ComboAlere™ TestPack +Plus hCG UrineAlere™ TestPack +Plus Strep AASCA-CHEK™AtheNA Multi-Lyte® ANA-II Plus TestsysteemAtheNA Multi-Lyte® Autoimmuun Vasculitis Plus TestsysteemAtheNA Multi-Lyte® Borrelia VIsE-1/pepC10 Plus TestsysteemAtheNA Multi-Lyte® EBV VCA IgM Plus TestsysteemAtheNA Multi-Lyte® MMRV IgG Plus TestsysteemAtheNA Multi-Lyte® MMV IgG TestsysteemAtheNA Multi-Lyte® RF IgM Plus TestsysteemAtheNA Multi-Lyte® ToRCH IgG Plus TestsysteemAtheNA Multi-Lyte® Treponema pallidum IgG Plus TestsysteemAutoantibody Screen (AAS) IFA-testsysteemAxis-Shield Active-B12Axis-Shield Anti-CCP EIAAxis-Shield Klinische Chemie HbA1cAxis-Shield Klinische Chemie HomocysteïneAxis-Shield DETECT IF Pneumocystis cariniiAxis-Shield Heparin Binding ProteinAxis-Shield Homocysteine EIAAxis-Shield MICROSYPH TPHAAxis-Shield RPRBinaxNOW® G6PDBinaxNOW® Strep ABinaxNOW® FilariasisBinaxNOW® MalariaBinax™ Legionella Urinair Antigeen EIAC. 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HISTOLYTICA QUIK CHEK™ELISA voor forensische matricesepoc® BGEM-testkaartepoc® bloedanalysesysteemepoc® Reader en Host2E-Z Split Key® BekerFECAL-QUIK-PREP™GIARDIA II™GIARDIA/CRYPTOSPORIDIUM CHEK®GIARDIA/CRYPTOSPORIDIUM QUIK CHEK™IBD EZ VUE®IBD-CHEK®IBD-SCAN®iCassette Dx®iCup2® TestIMMUNEX CRP®ImmunoComb® Anti-HBsImmunoComb® Chagas ABImmunoComb® Chlamydia BivalentImmunoComb® Chlamydia Tracho MonovalentImmunoComb® Chlamydia Trachomatis IgGImmunoComb® CMV IgMImmunoComb® Dengue IgM IgG BiSpotImmunoComb® H pyloriImmunoComb® HAV ABImmunoComb® HAV IgMImmunoComb® HBC IgGImmunoComb® HBS AgImmunoComb® HBS Ag 90ImmunoComb® HCVImmunoComb® HIV 1&2 BiSpotImmunoComb® HIV 1&2 CombFirmImmunoComb® HIV 1&2 TriSpot AgAbImmunoComb® HTLVImmunoComb® II CMV IgGImmunoComb® Rubella IgMImmunoComb® TOXO IgGImmunoComb® TOXO IgMImmuTest™ Multi-Drug ScreeningkaartiScreen OFD TestISOLATOR™ Microbiële buisjes van 1,5MLISOLATOR™ Microbiële Buizen van 10 MLISOSTAT® VerbruiksartikelenISOSTAT® InsluitingsadapterISOSTAT® RekISOSTAT® Systeem Pers en RekLEUKO EZ VUE®Malaria sneltest (Anti-Malaria P.f/p.v)Mitochondriaal Antilichaam (MA) TestsysteemMycoplasma Pneumoniae Antilichaam (MP) IFA TestsysteemNycoCard™ CRPNycoCard™ D-DimerNycoCard™ HbA1cNycoCard™ lezer IINycoCard™-testsNycoCard™ U-albumineOsteomark® NTx Serum ELISAOsteomark® NTx Urine ELISAPanbio® Barmah Forest virus IgG ELISAPanbio® Barmah Forest virus IgM ELISAPanbio® Bordetella pertussis IgAPanbio® Bordetella pertussis IgGPanbio® Coxiella burnetii (Q-koorts) IgG ELISAPanbio® Dengue Duo CassettePanbio® Dengue Duo IgM en IgG Capture ELISAPanbio® Dengue Early ELISAPanbio® Dengue Early RapidPanbio® Dengue IgG Capture ELISAPanbio® Dengue IgG Indirecte ELISAPanbio® Dengue IgM Capture ELISAPanbio® Leptospira IgM ELISAPanbio® Ross River Virus IgG ELISAPanbio® Ross River Virus IgM ELISAQuantisal™ Orale Vloeistof Afname ApparaatRHEUMATEX®SD Bioline Malaria Ag P.f/P.v (HRP-2/pLDH)SD BIOLINE AMPSD BIOLINE Cholera Ag 01/0139SD BIOLINE COCSD BIOLINE Dengue Duo NS1 Ag + Ab ComboSD BIOLINE Dengue IgG/IgMSD BIOLINE Dengue NS1 AgSD BIOLINE DOA Multi-5SD BIOLINE FOBSD BIOLINE H. pylori AgSD BIOLINE H. pylori Ag TestSD BIOLINE HAV IgG/IgM snelle testSD BIOLINE HBeAgSD BIOLINE HBsAgSD BIOLINE hCGSD BIOLINE HCVSD BIOLINE HIV-1/2 3.0SD BIOLINE Influenza AgSD BIOLINE Influenza Ag A(H1N1) PandemieSD BIOLINE Influenza Ag A/ B/ A(H1N1) PandemieSD BIOLINE Leptospira IgM testSD BIOLINE Malaria Ag (pLDH)SD Bioline Malaria Ag P.f (HRP-2)SD BIOLINE Malaria Ag P.f (HRP2/pLDH)SD BIOLINE Malaria Ag P.f/P.f/P.v (HRP2/pLDH)SD BIOLINE Malaria Ag P.f/PanSD BIOLINE METSD BIOLINE MOPSD BIOLINE NOROVIRUS Ag TestSD BIOLINE Andere productenSD BIOLINE ROTA/ADENO Ag Rapid KitSD BIOLINE RotavirusSD BIOLINE RSVSD BIOLINE Salmonella typhi IgG/IgM testSD BIOLINE Strep A-stripSD BIOLINE Syfilis TestSD BIOLINE TB Ag MPT64 RapidSD BIOLINE TB IgG/IgM testSD BIOLINE TetanusSD BIOLINE THCSD BIOLINE Troponine ISHIGA TOXINE QUIK CHEK™Signify® ERSurestep® Beker TestSurestep® OFD testSureStep™ drugscreeningscassetteSureStep™ Drug Screen BekerSureStep™ hCG UrineSureStep™-cassettes voor één geneesmiddelSynthetische Cannabinoïde Dip KaartTOX A/B QUIK CHEK®Triage® 8 Drugs of Abuse PanelTriage® Drugs of Abuse Panel Plus TCATrinity Biotech Captia™ HistonTrinity Biotech Captia™ Ribosomal PUrine HEIA™Wampole ColorCard® ASOWampole ColorCard® Streptozyme®WAMPOLE IMPACT RPR®Wampole® ANA SCREEN IgG ELISA IIWampole® Borrelia burgdorferi IgG ELISA IIWampole® Borrelia burgdorferi IgM ELISA IIWampole® CARDIOLIPIN IgG ELISA IIWampole® CARDIOLIPIN IgM ELISA IIWampole® Cytomegalovirus IgM ELISA IIWampole® DS DNA ELISA IIWampole® ELISA II ANCA ScreeningWampole® GLIADIN IgG ELISA IIWampole® Helicobactor pylori IgG ELISA IIWampole® Herpes Simplex Virus (HSV) 1 IgG ELISA IIWampole® HSV gG-1 IgG ELISA IIWampole® HSV gG-2 IgG ELISA IIWampole® HSV-2 IgG ELISA IIWampole® JO-1 ELISA IIWampole® LEGIONELLA (IgG/IgM/IgA) ELISA IIWampole® MUMPS IgG ELISA IIWampole® MYCOPLASMA IgG ELISA IIWampole® MYCOPLASMA IgM ELISA IIWampole® PR-3 IgG ELISA IIWampole® RHEUMATOID FACTOR ELISA IIWampole® Rubella IgG ELISA IIWampole® Rubella IgM ELISA IIWampole® SCL-70 ELISA IIWampole® Sm ELISA IIWampole® Sm/RNP ELISA IIWampole® SS-A (RO) ELISA IIWampole® SS-B (LA) ELISA IIWampole® Thyrogolbuilin IgG ELISA IIWampole® Schildklier Microsomal (TPO) IgG ELISA IIZEUS ELISA™ Borrelia VIsE1/pepC10 IgG/IgM TestsysteemAndereFornavn*Efternavn*E-mail adres* Beroep*VerdelerProfessioneel in de gezondheidszorgHome HealthZiekenhuisAnderePOL als privépraktijkPOL met ziekenhuis aansluitingVolksgezondheidReferentielabOrganisatie*Postnummer*Land*DenemarkenTelefoonnummerBesked*Dit veld wordt verborgen als het formulier wordt weergegevenGBUNaamDit veld is voor validatiedoeleinden en moet ongewijzigd blijven.