Order Supplies

    Account Name*

    First Name*

    Last Name*

    Phone*

    Email

    Account Number

    Date Requested

    Comments

    General Supplies

    Requisition Forms (Each)

    Specimen Bags AMP (100/Pk)

    Gyn Supplies

    Thin Prep Test Vials Only (25 each per tray)
    (Cytology, HPV, CT, GC, Gard, Candida, Trich, HSV I & II)

    Thin Prep Brush & Spatula (25 each per pack)

    Thin Prep Broom (25 each per pack)

    Sure Path Test Vials (25 each per tray)
    (Cytology, HPV, CT, GC, Gard, Candida, Trich, HSV I & II)

    Sure Path Brush & Spatula (25 each per pack)

    Sure Path Broom (25 each per pack)

    Pap Pak Classic – (25 per box)

    Multi-Swab(Each)
    (HPV, CT, GC, HSV I, II, Trich, Gard, Candida)

    BD Affirm Kits (Each) (Gard, Candida, & Trich)
    *Aetna requires this medium

    GBS Swab Kits (Vaginal/Rectal) (Each)

    Anal Pap Kits (each)
    (Cytology and HPV)

    Aptima Unisex (Purple and White) (Each)
    (CT, GC, and Trich)

    Aptima Vaginal Swab (Orange) (Each)
    (CT, GC, and Trich) (Quest Sureswab testing)

    Aptima Urine Collection Male / Female (Yellow) (Each)
    (CT, GC, And Trich)

    M4 Swab - Male and Female kit (Each)
    (HSV I/II)

    FNA Supplies

    Fine Needle Aspirate Kit AFNAK (Each)

    Plastic 2 Slide Holder (each)

    Cytolyt Solution 30ML (each)

    Urology Supplies

    UroVysion Kit AUBCK (Each)
    (Cytology, UroVysion)

    24 Hour Urine Kits (Each)

    PCA3 Kit (Each)

    Urine Cups Sterile (Each)

    Biopsy Supplies

    Small Formalin Container– (Each) (20ml) NBF

    Medium Formalin Container – (Each) (40ml) NBF

    Large Formalin Container – (Each) (60ml)

    X-Large Formalin Container – (Each) (120ml)

    Michel's Fixative– (Each)

    14 Vial Prostate Histology Kit (Each)

    Prostate Histology Kit 'Cassette Style' (Each)

    Stone-A-Lyzer Kit (Each)

    Misc Supplies

    IVR Cards (Each)