Order Supplies

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Address Line 1*

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Date Requested*

Comments

Non-Gyn Supplies

Kit, Ameripath, Fine Needle Aspirate (FNA)

Container, Urine, Sterile

Reagent, Pap Jar Prefilled 95% Ethyl Alcohol

Solution, Collection Cytolyt

Esoteric Supplies

Urovysion Collection & Transport Kits

Collection, IHCspecimen Transport Kit

Kit, Immunoflouresence (DIF)

Swab, Culturette, Red Amies

Swab, Culturette, Blue Amies

Kidney Stone Strainer

Afirma Thyroid FNA Transport Kit

Biohazard Bags

Biohazard Specimen Bags (6x11)

Biohazard Specimen Bags (9x11)

Biohazard Specimen Bags (12x18)

Biohazard Specimen Bags (18x18)

Shipping Supplies

Cooler, W/Box EPS 9X6X9

Cooler, 24X16X12 3/8 W/Box

Fixative

Formalin Biopsy Bottles - 20 ml

Formalin Biopsy Bottles - 40 ml

Formalin Biopsy Bottles - 60 ml

Formalin Biopsy Bottles - 120 ml

Formalin Biopsy Bottles - 240 ml

Formalin Biopsy Bottles - 480 ml

Prostate Biopsy Kits 8 Bottles

Prostate Biopsy Kits 14 Bottles

Requisitions, Forms & Data Sheets

Requisitions (Specify)

Patient I.D. Labels for Specimen Bottles (30/SH)

Supply Order Forms

Remote Printer Paper

Other

S-Lockbox, Floor, 11.5X11.5x9 (No Clips) W/Keys

Printer Cartridge OKI C330 (circle color: C, M, Y, BL)

Printer Cartridge HP4600 (circle color: BL)

Printer Cartridge HP3600 (circle color: C, M, Y, BL)

White Containers w lids 34 oz

White Containers w lids 64 oz