Order Supplies

Account Name*

First Name*

Last Name*

Phone*

Email

Account Number

Date Requested

Comments

Shipper Kits (order collection media separately)

AP Small Shipper Kit - 1 container (15/Case)

AP Medium Shipper Kit - 1 container (10/Case)

AP Large Shipper Kit - 2 containers

Collection Kits (collection media included)

8 Bottle Prostate Kits (30/Case)

12 Bottle Prostate Kits w/Cassettes

14 Bottle Prostate Kits (20/Case)

Urovysion Kits (16/Case)

24 hr Urine Kits

Kidney Stone Kits

FNA Kits (30/Case)

BRCA KITS

PCA3 KITS

Bone Marrow Kits

Hematopathology (Outpatient) (20/Case)

Hematopathology Peripheral Blood Kit (16/Case)

TTM

Tissue Transport Media (TTM)

Blood Tubes

Blue Top

Green Top (NA Heparin)

Purple Top (EDTA)

Cultures

Blue Top Culture Tube

Yellow Top Culture Tube Oral/Nasal

Collection Media/Tubes

172oz Plastic Container (10/Case)

86oz Plastic Container (25/Case)

32oz Plastic Container (100/Case)

16oz Plastic Container (100/Case)

Cytolyt Solution (20/Flat) (4 Flats/Case)

FNA 95% Alcohol (fits 4 slides)

Michels Fixative for Immunos

CLO-Test

Cytology Supplies

Conventional Pap Packs (25/Box)

ThinPrep Supplies

ThinPrep Flats (25/Flat) (10 Flats/Case)

ThinPrep Brushes/Spatula (25/Bag)

ThinPrep Brooms (25/Bag)

Surepath Supplies

Surepath Vials (25/Flat) (10 Flats/Case)

Surepath Brushes/Spatula (25/Bag)

Surepath Brooms (25/Bag)

Surepath Cervex Brush-Combi (25/Bag)

Swabs & Brushes

Digene Cervical Sampler (HPV Swab)

APTIMA SWAB (WHITE) UNISEX (50/Case)

APTIMA SWAB (Orange) (50/Case)

APTIMA SWAB (YELLOW) URINE (50/Case)

Surgipath C-E Brush (Snap-Off) (100/Bag)

Histology Supplies

1 Gallon Formalin - (4/Case)

5 Gallon Formalin Cube

120ml Formalin (24/Box) (2 Box/Case)

90ml Formalin (12/Box) (4 Box/Case)

60ml Formalin (27/Box) (2 Box/Case)

40ml Formalin (12/Box) (2 Box Case)

20ml Formalin (32/Box) (4 Box/Case)

Client Supplies

Plastic Bags----------------Small (100/Pack)

Plastic Bags-------------Medium (100/Pack)

Plastic Bags------------------Large (50/Pack)

Plastic Bags------------------XLarge (50/Pack)

Lock Box Floor - Small

Lock Box Floor - Large

Lock Box Door - Small

Lock Box Door - Large

Adv. Beneficiary Notice ABN

Report Paper

Printer Toner

Supply Request Pad

Requisition Forms

Pathology Req------------------AMP-437

OB/GYN Req--------------------AMP-001

Non-GYN Cytology Req-----AMP-505

Non-GYN Cyto w/Labels

Oral Pathology Req-----------AMP-455

Analysis Req--------------------AMP-413

Hematology Req---------------CAD-407

Hematology Req w/Labels

Solid Tumor Analysis Req--CAD-409

GI Pathology Req--------------AMP-430

GI Pathology Req w/Labels-AMP-472

GI Surgical Pathology Req--AMP-474

GI Surg Path Req w/Labels-AMP-473

GI Form F------------------------AMP-431

Urology Pathology Req-----AMP-475

Urology Path Req w/Labels-AMP-471

Kidney Stone Req-------------AMP-477

Kidney Stone Req w/Labels

Breast Req----------------------AMP-438

Breast Req (Special)---------AMP-439

BRCA Req---------------QD20760-AMP

Watson Req---------------QD20372-AP

GS Custom Req---------------AMP-429

AP Dermatology Req---------AMP-476

GI NTSC Req-------------------AMP-482

FedEx Supplies

Air Bills - President

Diagnostic Specimen Bags

Miscellaneous Lab Supplies

Urine Cups (Sterile)

Urine Cups (non-Sterile)

One End Frosted Slides

Slide Spray Fixative

Plastic Slide Holder (25/pack)

Cardboard 2 Slide Holder

Labels for Specimen Bottles

Ice Packs