SmartSpot Q Order Form

	Serial Number
1) Old instrument
1) New instrument
2) Old instrument
2) New instrument

All items display a product catalogue number beneath them, corresponding to the catalog. If you have any uncertainties, please consult the catalogue or reach out to us via email on Orders@SmartSpotQ.com

Would you like to enrol in EQA and/or Verification for Tuberculosis*

EQA for Tuberculosis (All Programs are 3 cycles)

	Number of Instruments / Facilities	Number of Locations to Deliver to
Xpert MTB/RIF Ultra EQA (3 Cycles) SSQ-X-MTBRIF-EQA
Fluorotype MTB MDR EQA SSQ-FL-MTBMDR-EQA
Xpert MTB/XDR EQA (3 Cycles) SSQ-X-MTBXDR-EQA
Liqud Array MTB XDR EQA (3 Cycles) SSQ-LA-MTBXDR-EQA
Genotype MTBDplus EQA (3 Cycles) SSQ-LPA-MTBDRplus-EQA
Genotype MTBDRsl EQA (3 Cycles) SSQ-LPA-MTBDRRsl-EQA
Urine TB LF-LAM SSQ-LFLAM-MTB-EQA
MTBC LAMP SSQ-LAMP-MTBC-EQA
Truenat MTB/RIF SSQ-TN-MTBRIF-EQA
Roche MTB/RIF INH EQA SSQ-R-MTBRIFINH-EQA
BD MTB/RIF INH EQA SSQ-B-MTBRIFINH-EQA

Verification for Tuberculosis

	Number of Instruments / Facilities	Number of Locations to Deliver to
Xpert MTB/RIF Verification (1 Spot) SSQ-X-MTBRIF-VRF-1
Xpert MTB RIF Verification Panel (5 Spots) SSQ-X-MTBRIF-VRF-5
Xpert MTB/RIF Ultra Verification (4 Spots) SSQ-X-MTBRIF_ULTRA-VRF
Xpert MTB XDR Verification (25 Spots) VP-DCS25MTB/XDR
Xpert MTB XDR Pre-rollout Verification (12 Spots) SSQ-X-MTBXDR-VRF
Xpert MTB/RIF XDR Verification Panel SSQ-X-MTBXDR-VRF
Urine TB LF-LAM Monthly QC SSQ-LFLAM-MTB-MQC
MTBC LAMP Verification (8 Spots) SSQ-LAMP-MTBC-VRF-8
Fluorotype XDR Verification (12 Spots) SSQ-F-MTBXDR-VRF
Fluorotype XDR Validation panel (25 Spots) VF-DCS25MTB/XDR
BD MTB-RIF-INH Verification Panel (8 Spots) SSQ-B-MTBRIFINH-VRF
Roche MTB-RIF-INH Verification Panel (16 Spots) SSQ-R-MTBRIFINH-VRF
TB LAM Verification Panel SSQ-LFLAM-MTB-VAL

Other Tuberculosis

	Assay Type	Instrument Type	Validation Panel Number of Instruments	Verification Panel Number of Instruments	EQA Panel Number of Instruments	Number of Locations to Deliver to
Other Molecular Assays (please state)

Would you like to enrol in EQA and Verification for Respiratory Viruses*

EQA for Respiratory Viruses

	Number of Instruments	Number of Locations to Deliver to
Xpert SARS-CoV-2 EQA Program (3 Cycles) SSQ-X-COV2-EQA
Molecular SARS-CoV-2 EQA Program (3 Cycles) SSQ-MOL-COV2-EQA
Xpert Cov-2/Flu/RSV EQA Program (3 Cycles) SSQ-X-COV2FLURSV-EQA
Molecular Cov-2/Flu/RSV EQA Program (3 Cycles) SSQ-MOL-COV2FLURSV-EQA

If you want to enrol in any of the Molecular Programs, please specify the instrument and assay combination(s) that you'll be using (e.g. Abbott Alinity m Resp-4-Plex).

Separate multiple different entries using commas.

Verification for Respiratory Viruses

	Number of Instruments	Number of Locations to Deliver to
SARS-CoV-2 Verification Panel SSQ-X-COV2-VRF-4
SARS-CoV-2 Pre Rollout Verification SSQ-X-COV2-VRF-12
Cov-2/Flu/RSV Verification SSQ-X-COV2FLURSV-VRF-4
Cov-2/Flu/RSV Pre-rollout Verification SSQ-X-COV2FLURSV-VRF-12

Please state if you would like any other Respiratory Viruses assays?

	EQA Enrolment Number of Instruments	Number of Locations to Deliver to	Instrument Type
Other Molecular Assays (please state)

Would you like to enrol in EQA and/or Verification for Blood Virology, Women’s Health & Sexual Health? (HIV, HCV, HBV)*

EQA Blood Virology, Women’s Health, & Sexual Health

	Number of Instruments / Facilities	Number of Locations to Deliver to
Xpert HIV-1 Viral Load EQA Panel SSQ-X-HIV_VL-EQA
Molecular HIV-1 Viral Load EQA Panel SSQ-MOL-HIV_VL-EQA
m-Pima HIV-1/2 Viral Load SSQ-MOL-HIV_VL-EQA
Xpert HIV-1 Qual SSQ-X-HIV_QUALXC-EQA
Abbott RealTime HIV-1 Qualitative SSQ-MOL-HIV_QUAL-EQA
COBAS Ampliprep/COBAS Taqman HIV-1 Qual SSQ-MOL-HIV_QUAL-EQA
Aptima HIV-1 Qualitative RNA SSQ-MOL-HIV_QUAL-EQA
m-pima HIV-1/2 Detect SSQ-MOL-HIV_QUAL-EQA
COBAS Ampliprep/COBAS Taqman HIV-1/ HIV-2 test SSQ-MOL-HIV_VL-EQA
Aptima HIV-1 Quant Dx SSQ-MOL-HIV_QUAL-EQA
Xpert HCV Viral Load EQA Panel SSQ-X-HCV_VL-EQA
Molecular HCV Viral Load EQA Panel SSQ-MOL-HCV_VL-EQA
Xpert HCV VL Fingerstick EQA Panel SSQ-X-HCV_FS-EQA
Molecular HCV VL Fingerstick EQA Panel SSQ-MOL-HCV_FS-EQA
Xpert HBV Viral Load EQA Panel SSQ-X-HBV_VL-EQA
Molecular HBV Viral Load EQA Panel SSQ-MOL-HBV_VL-EQA
Rapid Test HIV EQA or Verification
Rapid Test HBV EQA or Verification
Rapid Test HCV EQA or Verification

If you want to enrol in any of the Molecular or Rapid Test Programs, please specify the instrument / assay(s) that you'll be using (e.g. Abbott Alinity m HBV).

Separate multiple different entries using commas.

Would you like to enrol in EQA and/or Verification for CD4?*

EQA and Verification for CD4

	Number of Facilities/Users	Number of Locations to Deliver to
VISITECT® CD4 EQA Program SSQ-LFCD4-AHD-EQA
VISITECT® CD4 Validation SSQ-LFCD4-AHD-VAL
VISITECT® CD4 Monthly QC SSQ-LFCD4-AHD-MQC

Would you like to enrol in EQA and/or Verification for Human Papilloma Virus (HPV)?*

EQA and Verification for HPV

	Number of Instruments	Number of Locations to Deliver to
Xpert HPV EQA Panel (3 Cycle) SSQ-X-HPV_-EQA
Molecular HPV EQA Panel (3 Cycle) SSQ-MOL-HPV-EQA
Xpert HPV Verification SSQ-X-HPV_VRF-3X4
Molecular HPV Verification

If you want to enrol in any of the Molecular Programs, please specify the instrument and assay combination(s) that you'll be using (e.g. BioRad CFX96 - Atila ScreenFire HPV RS).

Separate multiple different entries using commas.

Would you like to enrol in an EQA or Verification for Healthcare-associated Infections (HAI's) e.g. MRSA?*

EQA for Healthcare-associated Infections

	EQA Enrolment Number of Instruments	Number of Locations to Deliver to
Xpert Xpert MRSA/SA EQA Panel (3 Cycles) SSTI & NxG & SA Nasal Complete (SSQ-X-MRSA-NxG-EQA)
Xpert Molecular MRSA/SA EQA Panel (3 Cycles) SSTI & NxG & SA Nasal Complete (SSQ-MOL-MRSA_DC-EQA)
Xpert MRSA/SA EQA Panel (3 Cycles) MRSA/SA Blood Culture (SSQ-X-MRSA_BC-EQA)
Molecular MRSA/SA EQA Panel (3 Cycles) MRSA/SA Blood Culture (SSQ-MOL-MRSA_WB-EQA)

Verification for Healthcare-associated Infections

	Number of Instruments	Number of Locations to Deliver to
Xpert MRSA/SA Verification Panel SSTI & NxG & SA Nasal Complete (SSQ-X-MRSA-DC-VRF-3X4)
Molecular MRSA/SA Verification Panel SSTI & NxG & SA Nasal Complete (SSQ-MOL-MRSA-DC-VRF-3X4)
Xpert MRSA/SA Verification Panel MRSA/SA Blood Culture (SSQ-X-MRSA-WB-VRF-3X4)
Molecular MRSA/SA Verification Panel MRSA/SA Blood Culture (SSQ-MOL-MRSA-WB-VRF-3X4)

If you want to enrol in any of the Molecular Programs, please specify the instrument and assay combination(s) that you'll be using (e.g. BD MAX™ MRSA XT).

Separate multiple different entries using commas.

Please state if you would like any other HAI's assays?

	EQA Enrolment Number of Instruments	Assay Type
Other Molecular Assays (please state)

Would you like to enrol in an EQA or Verification for CT/NG?*

EQA & Verification for CT/NG

	Number of Instruments	Number of Locations to Deliver to
Xpert CT/NG Validation Panel (20 Spots) (SSQ-X-CT/NG-20DCS)
Xpert CT/NG Verification Panel (SSQ-X-CTNG-VRF)
Xpert CT/NG EQA Panel (SSQ-X-CT/NG-EQA)
Molecular CT/NG EQA Panel

If you want to enrol in any of the Molecular Programs, please specify the instrument and assay combination(s) that you'll be using (e.g. Abbott Alinity m STI).

Separate multiple different entries using commas.

Would you like to enrol in Syphilis EQA or Verification?*

Syphilis EQA & Verification Programme

	Number of Facilities/Users	Number of Locations to Deliver to
Antibody EQA (3 Cycle) - Syphilis EQA Panel (SSQ-SYP_AB-EQA-Pl)
Antibody Validation Panel- Syphilis 7 high positive, 8 low positive and 15 Negative Plasma Specimens (SSQ-SYP_AB-VAL-30Pl)

If you want to enrol in any of the Syphilis Programs, please specify the assay / rapid test(s) that you'll be using (e.g. Abbott Determine™ Syphilis TP).

Separate multiple different entries using commas.

Would you like to enrol in C.Diff EQA or Verification?*

C. Diff EQA & Verification Programme

	Number of Instruments	Number of Locations to Deliver to
Xpert C.Diff (3 Cycle) - EQA Panel (SSQ-X-C.DIFF-EQA)
C.Diff Validation Panel-
Molecular C.Diff (3 Cycle) - EQA Panel

If you want to enrol in any of the Molecular Programs, please specify the assay that you'll be using (e.g. BD GeneOhm Cdiff).

Separate multiple different entries using commas.

Would you like to enrol in our T. Vaginalis Programme*

T. Vaginalis EQA & Verification Programme

	Number of Instruments	Number of Locations to Deliver to
Xpert TV- Urine (3 Cycle) - EQA Panel (SSQ-X-TV-EQA-LIQ)
Xpert TV- Swab (3 Cycle) - EQA Panel (SSQ-X-TV-EQA-SWB)
Xpert TV- Swab - Verification Panel 2 Positive and 2 negative Urine Specimens (SSQ-X-TV-EQA-SWB)
Molecular TV- EQA Urine Program (3 Cycle) - EQA Panel (SSQ-MOL-TV-EQA-LIQ)
Molecular TV- Swab EQA Panel (3 Cycle) (SSQ-MOL-TV-EQA-SWB
Xpert TV- Verification Panel (SSQ-X-TV-VRF-LIQ-4)
Xpert TV- Validation Panel (SSQ-X-TV-VRF-LIQ-10)
Xpert TV- Verification Panel - Swabs - 4 Swabs (SSQ-X-TV-VRF-SWB-4)
Xpert TV- Verification Panel - Swabs - 10 Swabs (SSQ-X-TV-VRF-SWB-10)
Molecular TV- Verification Panel - Swabs - 4 Vials (SSQ-MOL-TV-VRF-LIQ-4)
Molecular TV- Verification Panel - Swabs -10 Vials (SSQ-MOL-TV-VRF-LIQ-10)
Molecular TV- Verification Panel - Swabs - 4 Swabs (SSQ-MOL-TV-VRF-SWB-4)
Molecular TV- Verification Panel - Swabs - 10 Swabs (SSQ-MOL-TV-VRF-SWB-10)

If you want to enrol in any of the Molecular Programs, please specify the assay(s) that you'll be using (e.g. Abbott Alinity m STI).

Separate multiple different entries using commas.

Would you like to enrol in any of our Pilot Programmes *

EQA & Verification Pilot programme

	EQA Panel number of Instruments	Verification panel number of Instruments	Number of Locations to Deliver to	Instrument/assay Type
Carbapenem-resistant Enterobacterales
Mycoplasma genitalium (MG)
mpox
NGS (MDR & XDR MTB)

Please specify any other Proficiency Testing Programs that you might be interested in that you did not see on this form and we'll let you know how we can assist.

Please Select what instrument you use in your Lab?

Please feel free to add any comments or additional information that we might need to know.

SmartSpot Quality Enrolment

Please complete the table below with your information for 2026 so that we can provide you with a formal quotation.