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Sample Request Form

If you’re a provider and would like samples sent to your office, fill out the forms below.

Request Samples

*PROFESSIONAL USE ONLY*

Samples shipped only to provider’s office

Address

PO Box 16106 Shawnee, KS 66203

(800) 879-4755

Email

info@renacarb.com

Request Sample

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Email

info@nephrotech.com

Phone

800-879-4755 U.S. only
913-217-7160 international

Address

P. O. Box 16106
Shawnee, KS 66203

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