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U.S. Department of Health and Human Services

OTC - Over The Counter
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Document NumberK151441
Test Name Zero Chaos, zerochaos Drug Test Cup  
Manufacturer NameW.H.P.M., Inc.
Consumer Information Phone Number1(877)937-6242
Test TypeMethadone
Effective Date07/02/2019
Device Classification Name Enzyme Immunoassay, Methadone
510(k) Number K151441
Device Name First Sign Drug of Abuse Dip Card Test, First Sign Drug of Abuse Cup Test
Applicant
W.H.P.M., Inc.
5358 Irwindale Ave.
Irwindale,  CA  91706
Applicant Contact JOHN WAN
Correspondent
Lsi International
504 E. Diamond Ave., Suite I
Gaithersburg,  MD  20877
Correspondent Contact JOE SHIA
Regulation Number862.3620
Classification Product Code
DJR  
Subsequent Product Codes
DJG   LCM  
Date Received05/29/2015
Decision Date 06/29/2015
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty Toxicology
510k Review Panel Clinical Chemistry
Summary Summary
FDA Review Decision Summary
Type Traditional
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized		 No
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