Main Details Additional Contacts
New Registration
 
Please provide a minimum of Default and Invoice Contact (mandatory). If you wish to add further Trial contacts please do so in the space below or on the 'Additional Contacts' tab above.
 
      Default Contact   Trial Contact   Invoice Contact
  Title:        
  Forename(s):        
  Surname:        
  Email:        
  Tel No:        
  Fax No:        
  Department:        
  Hospital:        
  Street:        
  District:        
  Town/City:        
  Postcode:        
  Country:      
  Notify contact of genetic trial and report issues:        
  Currency:  
   
  Order Number:  
   
   
We would like to join the following programmes. Please tick as appropriate
       
  Pre Pilot Water EQA    
  CD34+ Stem Cell Enumeration    
  Immune Monitoring  
  Immune Monitoring (AlternativeTechnologies)  
This programme is for currently for users of the Beckman Coulter Aquios flow cytometer only
  Leukaemia Diagnostic Interpretation (Parts 1 & 2)    
  Leukaemia Diagnostic Interpretation (Part 2 Institute)    
  Leukaemia Diagnostic Interpretation (Part 2 Individual)    
  Low Level Leucocyte Enumeration  
  Minimal Residual Disease for ALL by Flow Cytometry    
  Paroxysmal Nocturnal Haemoglobinuria    
  Cerebrospinal Fluid (CSF) Immunophenotyping (Not Accredited)    
  Haematological Malignancy Bone Marrow Aspirate Assessment (Not Accredited)  
  Minimal Residual Disease for AML by Flow Cytometry (Not Accredited)    
  Minimal Residual Disease for CLL by Flow Cytometry (Not Accredited)    
  Minimal Residual Disease for Plasma Cell Myeloma by Flow Cytometry (Not Accredited)    
  BCR-ABL1 and AML Translocation Identification    
  BCR-ABL1 Major Quantification    
  BRAF p.Val600Glu (V600E) Mutation Status for Hairy Cell Leukaemia    
  FLT3 Mutation Status    
  IgH/TCR Clonality Status    
  JAK2 p.Val617Phe (V617F) Mutation Status    
  KIT p.Asp816Val (D816V) Mutation Status for Mast Cell Disease    
  NPM1 Mutation Status    
  Paediatric Acute Leukaemia Translocations    
  Post-Stem Cell Transplant Chimerism Monitoring    
  Acute Myeloid Leukaemia and Myelodysplastic Syndrome Gene Panels (Not Accredited)    
  BCR-ABL1 Kinase Domain Variant (Mutation) Status    
  BCR-ABL1 Minor Quantification (Not Accredited)    
  Chronic Lymphocytic Leukaemia Gene Panels (Not Accredited)    
  Lymphoplasmacytic Lymphoma / Waldenstrom Macroglobulinaemia (Not Accredited)    
  Myeloproliferative Neoplasms Gene Panels (Not Accredited)    
 
 
       All contact details provided to UK NEQAS for Leucocyte Immunophenotyping, directly or through your distributor, will be used for the purposes of providing EQA Services. UK NEQAS for Leucocyte Immunophenotyping has the right to keep contact names in our secure databases for medico-legal purposes and cannot be removed. Do not submit any individuals contact details unless you have their express permission to do so.