Form

QuantiFERON®-TB Gold test request form

Form (N4) for requesting QuantiFERON®-TB Gold test.

• From: Public Health England
• Published: 1 April 2014
• Last updated: 22 February 2021 — See all updates

This publication was withdrawn on 30 August 2023

This assay has been withdrawn and is no longer performed. Please refer to the NMRS-South: user handbook for a full list of assays performed.

Documents

[Withdrawn] QuantiFERON®-TB Gold test referral form (N4)

Ref: PHE publications gateway number: GW-1742

PDF, 635 KB, 1 page

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Details

Send completed request forms to:

National Mycobacterium Reference Service-South (NMRS-South)

National Infection Service, 61 Colindale Avenue
London
NW9 5EQ

Email nmrs.south@ukhsa.gov.uk

Telephone 020 832 76957

DX address DX 6530016, Colindale NW

Published 1 April 2014

Last updated 22 February 2021 + show all updates

1. 22 February 2021

   Updated with new form.

2. 15 December 2017

   Updated version of form.

3. 17 October 2016

   Updated to version 3, October 2016.

4. 1 April 2014

   First published.