Submit Your 2024 CPQA-AQCP Subscription Spam protection, skip this field Complete this form if you are already a participant in CPQA-AQCP surveys with a designated Lab ID. All prices are in CAD. CPQA-AQCP Lab ID Laboratory Name Email Of the representative submitting this subscription 2024 IHC Subscriptions Available: (optional) H&E (2 x $100; assessment of fixation, mounting, sectioning and staining of YOUR OWN H&Es) Prostate p63 ($150 per unstained slide; see following question) Prostate AMACR ($150 per unstained slide; see following question) Prostate basal epithelial keratin ($150 per unstained slide; see following question) Gastric HER2 IHC (2 x $250) HMB45 ($250) PD-L1 (2 x $200; technical assessment only) MMR ($600) HSV ($250) ER ($250) PR ($250) HER2 Breast IHC (No fee courtesy of AstraZeneca; emphasis on HER2-low) c-Myc lymphomas ($250) pan-TRK IHC ($300) BRAFV600E CRC ($250) ROS1 ($200; technical assessment) p53 endometrial ($300) Chromogranin A ($200) p16 ($250) CK20 ($200) CD117 ($250) CD20 ($250) Synaptophysin ($200) ALK in NSCLC ($250) Ki67 in breast ($250) BRAFV600E melanoma ($250) Calretinin ($200) IDH1 R132H ($250) ATRX ($250) p53 vulvar ($250) PRAME ($250) If p63/AMACR/prostate basal epithelial keratin were selected above, how many unstained slides do you require? (optional) 1 unstained slide (e.g. triple stain) 2 unstained slides (e.g. one double stain + one single stain) 3 unstained slides Pricing of $150 applies to each unstained slides required. 2024 ISH Subscriptions Available: (optional) Gastric HER2 ISH ($25) ALK ISH ($25) Breast HER2 ISH ($25) 1p19q FISH ($25) 2024 Molecular EQA Subscriptions (optional) Colorectal cancer (No fee) Can you provide a PO number? Yes, I can provide it now. No, I need an estimate from the CPQA before generating a PO. PO Number (optional) If you answered "yes" to the question above. Other comments (optional) If you run multiple clones for a biomarker (e.g. PD-L1 or HSV) or separate assays (e.g. CEP17 and HER2 ISH), indicate so here and multiple slides can be sent if requested. Please note that optimization assistance for any above subscriptions is included (i.e. our samples can be used for EQA and validation).