Professional Product List 2015

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1 Trade diagnostical products for clinical laboratories products for life. Professional Product List 2015 ELISA High Diagnostic Sensitivity and Specificity - Easily adaptable to most common automated Open Systems - Colour-Coded kit reagents for easy recognition - Breakable 96 wells - Economical Benefit - Controls and Calibrators included - 12 Month shelf life Alta sensibilità e specificità diagnostica - Facilmente automatizzabili sui più comuni sistemi aperti - Codice colori reagenti per un facile riconoscimento - Pozzetti Breakable 96 - Reagenti liquidi e pronti all uso - Controlli e calibratori inclusi - Shelf life 12 mesi

2 Principio di funzionamento del test Struttura del test Test Principle Test ELISA Structure Enzyme-linked Immunosorbent Assays (ELISAs) combine the specificity of antibodies with the sensitivity of simple enzyme assays, by using antibodies or antigens coupled to an easily-assayed enzyme. ELISAs can provide a useful measurement of antigen or antibody concentration. There are two main variations on this method: The ELISA can be used to detect the presence of antigens that are recognized by an antibody or it can be used to test for antibodies that recognize an antigen. A general ELISA is a five-step procedure: 1) coat the microtiter plate wells with antigen; 2) block all unbound sites to prevent false positive results; 3) add primary antibody (e.g. rabbit monoclonal antibody) to the wells; 4) add secondary antibody conjugated to an enzyme (e.g. anti-mouse IgG); 5) reaction of a substrate with the enzyme to produce a colored product, thus indicating a positive reaction. There are many different types of ELISAs. One of the most common types of ELISA is "sandwich ELISA". 1

3 INDICE - INDEX PRODUCT NAME PAGE ANEMIA 3 TUMOR MARKERS 4 METABOLIC BONE DISEASE 5 AUTOIMMUNE DISEASE 6 HAEMOSTATIC CLOTTING DISORDERS 8 BIOGENIC AMINES 9 ENDOCRINOLOGY 12 FERTILITY AND REPRODUCTION 12 THYROID FUNCTION 12 MINERAL SALT BALANCE 14 SALIVA ASSAY 14 DISEASE MARKERS 15 ANIMAL RESEARCH 16 INFECTIOUS DISEASE 17 HEPATITIS PANEL 17 HUMAN IMMUNODEFICIENCY VIRUS HIV 17 ToRCH PANEL - EBV PANEL 18 PEDIATRIC PANEL 18 GASTROINTESTINAL PANEL 19 BACTERIOLOGY 19 PARASSITOLOGY 20 FUNGY - WORMS - VIROLOGY 20 MONITORING DRUG 22 ALLERGY 23 FOOD INTOLERANCE 24 Contatti - Contacts 26 2

4 PRODUCT NAME REF PACKAGING ANEMIA VITAMIN B12 ELISA Sensitivity: pg/ml A 96 Test FOLATE ELISA Sensitivity: 0.52 ng/ml A 96 Test SOLUBLE TRANSFERRIN RECEPTOR ELISA Sensitivity: nmol/l A 96 Test 3

5 PRODUCT NAME REF PACKAGING TUMOR MARKERS CHROMOGRANIN A ELISA - Sensitivity: 10 ng/ml TME Test MCA Antigene Mucino ELISA - Sensitivity: 2.5 U/ml MH Test FERRITINA ELISA - Sensitivity: 1 ng/ml A 96 Test AFP ELISA - Sensitivity: 1 ng/ml A 96 Test CEA ELISA - Sensitivity: 1.0 ng/ml A 96 Test PSA Totale ELISA - Sensitivity: 0.5 ng/ml A 96 Test PSA Free ELISA - Sensitivity: ng/ml A 96 Test PAP ELISA - Sensitivity: 0.5 ng/ml TME Test CA 125 ELISA - Sensitivity: 1.0 U/ml A 96 Test CA 15.3 ELISA - Sensitivity: 0.2 U/ml A 96 Test CA 19.9 ELISA - Sensitivity: 1.0 U/ml A 96 Test β2-microglobulina ELISA - Sensitivity: 0.1 µg/ml TME Test hnse ELISA - Sensitivity: 4 ng/ml TME Test S 100 B ELISA - Sensitivity: 10 pg/ml TME Test Free fb-hcg ELISA - Sensitivity: 0.2 miu/ml A 96 Test 4

6 METABOLIC BONE DISEASE PRODUCT NAME REF PACKAGING 25-Hydroxy Vitamin D ELISA - Linearity: ng/ml DZ688B-K 96 Test Product: This innovative new assay uses enzyme immunoassay technology (EIA) to quantify total 25-OH vitamin D (D2+D3) from serum or plasma samples in about two hours. The test can be run on both manual and automated microplate readers. Test accuracy is assured by a fully automated extraction step that removes proteins in the sample that may interfere with test performance. The method is highly precise with Intra-assay %CV of 15% for samples 15 ng/ml. The test correlates well to current methods. When tested with samples ranging from 11.9 ng/ml ng/ml the correlation coefficient was r 2 = with a slope of and a y intercept of 1.4 ng/ml. The assay is directly traceable to the industry standard NIST SRM 972 and has demonstrated excellent performance with the DEQAS proficiency program. 5

7 PRODUCT NAME REF PACKAGING AUTOIMMUNE DISEASE Connective Tissue Disease Anti ds-dna ELISA 96DS 96 Test ANA Screen ELISA 96AN 96 Test ENA Profile ELISA 12A6 96 Test ENA Screen 6 ELISA 96EP 96 Test ETI ANA-ENA 8 Profile ELISA N Test ETI-Sm ELISA N Test ETI-RNP/Sm ELISA N Test ETI-Histones ELISA N Test ETI-CENP-B ELISA N Test ETI-Jo 1 ELISA N Test ETI-Scl 70 ELISA N Test ETI-SS-B (La) ELISA N Test ETI-SS-A (Ro) ELISA N Test Rheumatoid Arthritis Diagnosis ANTI CCP Citrullinated Peptides ELISA RA-96PLUS 96 Test Thrombosis and Thrombocytopenia ImmunoWELL Cardiolipin IgG ELISA Test ImmunoWELL Cardiolipin IgM ELISA Test ETI-Cardiolipin Screen ELISA N Test ETI-Beta 2 Glycoprotein I IgG ELISA N Test ETI-Beta 2 Glycoprotein I IgM ELISA N Test 6

8 Gastrointestinal Disorders Gliadina IgG ELISA ILE-GLI01 96 Test Gliadina IgA ELISA ILE-GLI02 96 Test Liver Disease ETI-Mitocondrial ELISA N Test ETI-LKM 1 ELISA N Test Vasculitis ETI-p-ANCA/MPO ELISA N Test ETI-c-ANCA/PR3 ELISA N Test ETI Myeloperoxidase (MPO)-Ab (P-ANCA) ELISA P Test Proteinase 3-Ab (C-ANCA) ELISA P Test ANCA Panel kit PAN Tests 7

9 PRODUCT NAME REF PACKAGING HAEMOSTATIC CLOTTING DISORDERS PROTEIN C Antigen ELISA Test PROTEIN S Antigen ELISA Test Monoclonal Free PROTEIN S Antigen ELISA Test 8

10 PRODUCT NAME REF PACKAGING BIOGENIC AMINES Catecholamines in Urine ADRENALINA Urine ELISA - Sensitivity: 0.5 ng/ml BAE Test NORADRENALINA Urine ELISA - Sensitivity: 1.7 ng/ml BAE Test DOPAMINA Urine ELISA - Sensitivity: 3 ng/ml BAE Test 2-CAT Adrenalina-Noradrenalina Urine BAE x96 Test 3-CAT Adrenalina-Noradrenalina-Dopamina Urine BAE x96 Test Catecholamines in Plasma ADRENALINA Plasma ELISA High Sensitive - Sensitivity: 3 pg/ml BAE Test NORADRENALINA Plasma ELISA High Sensitive - Sensitivity: 12 pg/ml BAE Test DOPAMINA Plasma ELISA High Sensitive - Sensitivity: 6 pg/ml BAE Test 2-CAT Adrenalina-Noradrenalina Plasma ELISA High Sensitive BAE x96 Test 3-CAT Adrenalina-Noradrenalina-Dopamina Plasma ELISA H.S. BAE x96 Test Catecholamines in Plasma e Urine ADRENALINA ELISA Plasma-Urine Sensitivity: 0.1 ng/ml urine, 5 pg/ml plasma BAE Test NORADRENALINA ELISA Plasma-Urine Sensitivity: 0.5 ng/ml urine, 25 pg/ml plasma BAE Test DOPAMINA ELISA Plasma-Urine Sensitivity: 1.5 ng/ml urine, 15 pg/ml plasma BAE Test 2-CAT Adrenalina-Noradrenalina Plasma-Urine BAE x96 Test 3-CAT Adrenalina-Noradrenalina-Dopamina Plasma-Urine BAE x96 Test METANEPHRINES Metanephrines in Urine METANEPHRINES Urine ELISA - Sensitivity: 13 ng/ml BAE Test NORMETANEPHRINE Urine ELISA - Sensitivity: 23 ng/ml BAE Test 2-MET Metanephrine-Normetanephrine Urine ELISA BAE x96 Test 9

11 Metanephrines in Plasma METANEPHRINES Plasma ELISA - Sensitivity: 10 pg/ml BAE Test NORMETANEPHRINE Plasma ELISA - Sensitivity: 20 pg/ml BAE Test 2-MET Matanephrine-Normetanephrine Plasma BAE x96 Test HISTAMINE Histamine in Plasma - Urine- Whole Blood HISTAMINE Plasma-Urine ELISA Sensitivity: 0.1 ng/ml plasma, 0.25 ng/ml urine BAE Test HISTAMINE Release Whole Blood ELISA - Sensitivity: 0.2 ng/ml BAE Test HISTAMINE Stool ELISA - Sensitivity: 6,1 ng/g stool BAE Test SEROTONINA SEROTONINA Siero-Urine-Piastrine ELISA - Sensitivity: 5 ng/ml BAE Test 5-HIAA 5-HIAA Urine ELISA - Sensitivity: 0.17 mg/l BAE Test GABA Urine - Plasma - Cell Cultures GABA Urine ELISA - Sensitivity: 25 ng/ml urine BAE Test GABA Plasma-Cell Cultures ELISA Sensitivity: 7.5 ng/ml plasma BAE Test GLUTAMATE Urine - Plasma - Cell Cultures GLUTAMATE Urine ELISA - Sensitivity: 0.3 µg/ml BAE Test GLUTAMATE Siero-Plasma-Cell Cultures - Sensitivity: 0.3 µg/ml BAE Test TRYPTOPHAN TRYPTOPHAN ELISA Sensitivity: 1.2 µg/ml BAE Test 10

12 11

13 PRODUCT NAME REF PACKAGING ENDOCRINOLOGY Metabolism C-PEPTIDE ELISA - Sensitivity: ng/ml A 96 Test INSULINA ELISA - Sensitivity: 0.75 μiu/ml A 96 Test hgh ELISA - Sensitivity: 0.5 µiu/ml A 96 Test LEPTINA ELISA - Sensitivity: 0.5 ng/ml MEE Test IGFBP-1 ELISA - Sensitivity: 0.5 µg/ml MEE Test IGF-1 ELISA - Sensitivity: 1.29 ng/ml MEE Test Androgen Assessment and Steroid DELTA 4 ANDROSTENEDIONE ELISA - Sensitivity: 0.02 ng/ml AAE Test ANDROSTENEDIOL-GLUCORONIDE ELISA - Sensitivity: 0.25 ng/ml AAE Test DHEA-S ELISA - Sensitivity: 0.05 µg/ml A 96 Test DHEA ELISA - Sensitivity: 0.10 ng/ml A 96 Test DHT ELISA - Sensitivity: 6 pg/ml AAE Test SHBG ELISA - Sensitivity: mmol/l A 96 Test TESTOSTERONE ELISA - Sensitivity: ng/ml A 96 Test FREE Testosterone ELISA - Sensitivity: 0.05 pg/ml A 96 Test FERTILITY and REPRODUCTION fβ-hcg ELISA - Sensitivity: mlu A 96 Test hcg ELISA - Sensitivity: 0.8 miu/ml A 96 Test hcg ELISA Rapid 15 min. - Sensitivity: 2.5 miu/ml A 96 Test E2 - Estradiolo ELISA - Sensitivity: 6.5 pg/ml A 96 Test FREE Estriolo ELISA - Sensitivity: ng/ml A 96 Test ESTRONE ELISA - Sensitivity: 10 pg/ml FRE Test FSH ELISA - Sensitivity: 0.8 miu/ml A 96 Test LH ELISA - Sensitivity: 0.8 miu/ml A 96 Test 12

14 PREGNENOLONE ELISA - Sensitivity: 0.05 ng/ml FRE Test 17-OH-Progesterone ELISA - Sensitivity: 0.03 ng/ml A 96 Test PROGESTERONE ELISA - Sensitivity: ng/ml A 96 Test PROLATTINA ELISA - Sensitivity: 1.0 ng/ml A 96 Test PAPP-A ELISA - Sensitivity: 3.12 miu/l A 96 Test THYROID FUNCTION TSH ELISA - Sensitivity: µiu/ml A 96 Test ft3 ELISA - Sensitivity: 0.05 pg/ml A 96 Test ft4 ELISA - Sensitivity: 0.05 ng/dl A 96 Test anti-tg ELISA - Sensitivity: 5 IU/ml A 96 Test anti-tpo ELISA - Sensitivity: 1.5 IU/ml A 96 Test THYROGLOBULIN ELISA - Sensitivity: 0.44 ng/ml A 96 Test TBG ELISA - Sensitivity: 1.0 µg/ml A 96 Test 13

15 PRODUCT NAME REF PACKAGING MINERAL SALT BALANCE CORTISOLO ELISA URINE - Sensitivity: 2 ng/ml MSE Test CORTISOLO ELISA - Sensitivity: 0,25 µg/dl A 96 Test ALDOSTERONE ELISA - Sensitivity: 10 pg/ml MSE Test RENINA Activity ELISA - Sensitivity: 0,81 pg/ml MSE Test CORTICOSTERONE ELISA - Sensitivity: 1,6 nmol/l MSE Test SALIVA ASSAYS CORTISOLO Saliva ELISA - Sensitivity: 1.0 ng/ml SEA Test TESTOSTERONE Saliva ELISA - Sensitivity: 1.0 pg/ml SAE Test ANDROSTENEDIONE Saliva ELISA - Sensitivity: 1.0 pg/ml SAE Test 14

16 DISEASE MARKERS PRODUCT NAME REF PACKAGING This group consists of isotopic and non-isotopic assays for the quantitative determination of acetylcholine receptor antibodies in human serum (ACR-Aab; synonym AChRAb), Neopterin (a marker of the cell-mediated immune response), C-reactive protein (most important non-specific marker for acute inflammation processes), and oxidative stress parameters.viral Hepatitis C CRP high sensitive ELISA DME Test EPA - endogenous peroxidase activity ELISA DMP Test MDA-LDL IgG ELISA DME Test MDA-LDL IgM ELISA DME Test NEOPTERIN ELISA DME Test TAC - Total anti-oxidative capacity ELISA DMP Test TOC - Total oxidative capacity ELISA DMP Test 15

17 ANIMAL RESEARCH PRODUCT NAME REF PACKAGING This product group includes immunoassays for the determination of various hormones (steroid and protein-based hormones) from different animal species like rat and mouse (murine), dogs (canine), and horse (equine). CORTICOSTERONE Mouse-Rat ELISA ARE Test TESTOSTERONE Mouse-Rat ELISA ARE Test PROLACTIN Rat ELISA ARE Test ESTRONE-3-SULFATE EQUINE ELISA ARE Test PROLACTIN Canine ELISA ARE Test TSH Canine ELISA ARE Test TSH Rat ELISA ARE Test 16

18 PRODUCT NAME REF PACKAGING INFECTIOUS DISEASE Viral Hepatitis C Anti HCV PLUS V.2 Ab ELISA Test Anti HCV Ag-Ab ULTRA V.1 ELISA Test Viral Hepatitis Delta ETI-DELTA k2 Ag ELISA P Test ETI-Ab-DELTA k2 - Anti-HD ELISA P Test ETI-DELTA IgM k2 ELISA P Test Viral Hepatitis B HBsAg ULTRA Monolisa ELISA Test HBsAb PLUS Monolisa ELISA Test HBcAb PLUS Monolisa ELISA Test HBc IgM PLUS Monolisa ELISA Test HBeAb-Ag PLUS Monolisa ELISA Test Viral Hepatitis A HAV Ab ELISA N Test HAV IgM ELISA N Test Human Immunodeficiency Virus (HIV) HIV I&II Genscreen vers. 2 ELISA Test HIV I&II Ag-Ab GenScreen ELISA Test 17

19 PRODUCT NAME REF PACKAGING ToRCH ETI-TOXO IgM PLUS ELISA P Test ETI-TOXO IgG PLUS ELISA P Test ETI-TOXO IgA PLUS ELISA P Test Platelia TOXO IgG ELISA Test Platelia TOXO IgG Avidity ELISA Test ETI-RUBEO IgM ELISA P Test ETI-RUBEO IgG ELISA P Test ETI-CYTO IgM ELISA P Test ETI-CYTO IgG ELISA P Test Platelia CYTO IgG Avidity ELISA test HERPES Simplex Virus 1 IgG ELISA GD Test HERPES Simplex Virus 1 IgM ELISA GD Test ETI-HSV Virus 1&2 IgG ELISA P Test ETI-HSV Virus 1&2 IgM ELISA P Test ETI-HSV Virus 2 IgG ELISA P Test HERPES Simplex Virus 2 IgG ELISA GD Test HERPES Simplex Virus 2 IgM ELISA GD Test EBV Panel EBV VCA IgG ELISA GD Test EBV VCA IgM ELISA GD Test EBV Nuclear Ag EBNA IgG ELISA GD Test EBV Nuclear Ag EBNA IgM ELISA GD Test PEDIATRIC Panel MEASLES IgG ELISA Morbillo MEAG0330BA 96 Test MEASLES IgM ELISA Morbillo MEAM0330BA 96 Test 18

20 MUMPS IgG ELISA Parotite MUMG0340BA 96 Test MUMPS IgM ELISA Parotite MUMM0340BA 96 Test VARICELLA Zoster IgG ELISA VZVG0490BA 96 Test VARICELLA Zoster IgM ELISA VZVM0490BA 96 Test VARICELLA Zoster IgA ELISA VZVA0490BA 96 Test GASTROINTESTINAL Panel HELICOBACTER Pylori IgA ELISA A 96 Test HELICOBACTER Pylori IgG ELISA A 96 Test HELICOBACTER Pylori IgM ELISA A 96 Test BACTERIOLOGY BORDETELLA Pertussis IgA ELISA BOPA0030BA 96 Test BORDETELLA Pertussis IgG ELISA BOPG0030BA 96 Test BORDETELLA Pertussis IgM ELISA BOPM0030BA 96 Test BORRELIA ImmunoWELL IgA-IgG-IgM Test BORRELIA ImmunoWELL IgM Test CHLAMYDIA Trachomatis IgA ELISA CHLA0070BA 96 Test CHLAMYDIA Trachomatis IgG ELISA CHLG0070BA 96 Test CHLAMYDIA Trachomatis IgM ELISA CHLM0070BA 96 Test CHLAMYDIA Pneumoniae IgA ELISA CHLA0510BA 96 Test CHLAMYDIA Pneumoniae IgG ELISA CHLG0510BA 96 Test CHLAMYDIA Pneumoniae IgM ELISA CHLM0510BA 96 Test CORYNEBACTERIUM Diphtheriae Toxin IgG ELISA CORG0090BA 96 Test CORYNEBACTERIUM Diphtheriae Toxin IgG 5S ELISA CORG5009BA 96 Test MYCOPLASMA Pneumoniae ImmunoWELL IgG Test MYCOPLASMA Pneumoniae ImmunoWELL IgM Test CLOSTRIDUM Tetani IgG ELISA TETG0430BA 96 Test ETI-TREPONEMA PLUS - Syphilis ELISA N Test 19

21 PRODUCT NAME REF PACKAGING PARASSITOLOGY ENTAMOEBA Histolytica IgG - Amebiasis ELISA ENTG0140BA 96 Test LEISHMANIA IgG ELISA LEIG0310BA 96 Test CHAGAS ELISA TRYP0570BA 96 Test WORMS 96 Test ASCARIS Lumbricodes ELISA ASCG0020BA 96 Test ECHINOCOCCUS IgG ELISA ECHG0130BA 96 Test TAENIA Solium IgG ELISA TAEG0420BA 96 Test TRICHINELLA Spiralis IgG ELISA TOCG0480BA 96 Test FUNGI 96 Test CANDIDA Albicans IgM ELISA CANM0060BA 96 Test CANDIDA Albicans IgA ELISA CANA0060BA 96 Test CANDIDA Albicans IgG ELISA CANG0060BA 96 Test VIROLOGY 96 Test ADENOVIRUS IgA ELISA ADVA0010BA 96 Test ADENOVIRUS IgG ELISA ADVG0010BA 96 Test ADENOVIRUS IgM ELISA ADVM0010BA 96 Test DENGUE IgG ELISA DENG0120BA 96 Test DENGUE IgM ELISA DENM0120BA 96 Test INFLUENZA Virus A IgA ELISA INFA0290BA 96 Test INFLUENZA Virus A IgG ELISA INFG0290BA 96 Test INFLUENZA Virus A IgM ELISA INFM0290A 96 Test INFLUENZA Virus B IgA ELISA INFA0300BA 96 Test INFLUENZA Virus B IgG ELISA INFG0300BA 96 Test INFLUENZA Virus B IgM ELISA INFM0300BA 96 Test PARAINFLUENZA IgG ELISA PAIG0360BA 96 Test 20

22 PARAINFLUENZA IgA ELISA PAIA0360BA 96 Test RESPIRATORY Syncytial Virus IgA ELISA RSVA0380BA 96 Test RESPIRATORY Syncytial Virus IgG ELISA RSVG0380BA 96 Test RESPIRATORY Syncytial Virus IgM ELISA RSVM0380BA 96 Test TBE-FSME IgG ELISA TICG0440BA 96 Test TBE-FSME IgG PLUS ELISA PTICG044BA 96 Test TBE-FSME IgM ELISA TICM0440BA 96 Test COXIELLA Burnetii Q-Fever Phase 1 IgG ELISA COX1G0600BA 96 Test COXIELLA Burnetii Q-Fever Phase 2 IgG ELISA COX2G0600BA 96 Test COXIELLA Burnetii Q-Fever Phase 1 IgM ELISA COX2M0600BA 96 Test PARVOVIRUS B19 IgG ELISA PARG Test PARVOVIRUS B19 IgM ELISA PARM Test POLIOMYELITIS IgG ELISA ILE-POL01 96 Test TBEV IgG - encefalite da zecca ELISA TICG0440BA 96 Test TBEV IgM - encefalite da zecca ELISA TICM0440BA 96 Test Yersinia Enterolitica IgA ILE-YER02 96 Test YERSINIA Enterolitica IgG ELISA ILE-YER01 96 Test YERSINIA Enterolitica IgM ELISA ILE-YER03 96 Test 21

23 PRODUCT NAME REF PACKAGING MONITORING DRUG Digossina ELISA - Sensitivity: 0,05 ng/ml A 96 Test PRO-TRAC II Tracolimus ELISA Test 22

24 PRODUCT NAME REF PACKAGING ALLERGY Total IgE - streptavidin biotin based sandwich assay A 96 Test 23

25 PRODUCT NAME REF PACKAGING FOOD INTOLERANCE Food IgG ELISA 90 FOOD IgG SCREENING ELISA KIT - Mediterranean Panel FIGG-90 3x90 food antigens 24

26 CERTIFICAZIONI Tutti i test presenti in questo catalogo sono certificati CE e soddisfanno tutte le disposizioni della direttiva 98/79/CE e successive modifiche ed integrazioni che la riguardano - salvo diversamente indicato. CE marking of In Vitro Diagnostic Medical Devices - IVDD (98/79/EC) According to the IVDD, in vitro diagnostic medical devices include: reagents, reagent products, calibration materials, control materials, kits, instruments, apparatus, equipment, and systems that are intended for use in the examination of specimens taken from the human body (tissue, blood, urine, etc.) to diagnose diseases, to monitor a person s state of health, or to monitor therapeutic procedures. 25

27 Italy Corporate Headquarter Meridian Healthcare Via G. Guglielmino, Tremestieri Etneo (Catania) Italy Tel: / Fax: Customer Service Meridian Healthcare Tel: / Fax: mail: info@meridianhealthcare.it marketing@meridianhealthcare.it Technical Support Engineering Department Meridian Healthcare Tel: Fax: mail: specialist@meridianhealthcare.it Sales and Orders Meridian Healthcare Tel: Fax: mail: ordini@meridianhealthcare.it amministrazione@meridianhealthcare

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