Maricopa County AZ has their lab in Valleywise Hospital. They have their own compounding cleanrooms, automation lines, and testing equipment. They do most of their own testing in-house. Managed and Staffed 24/7 by excellent capable qualified individuals.
I personally know the lead manager (Brian) and believe he and his staff could manage the Flaskworks equipment, given training.
Obviously, they would handle the process for several states. However, if we are talking about all solid tumors, you would be limited to Arizona. I have constructed labs in Arizona, California and all over the world. My day job. Now you know the rest of the story.
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