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Email

Account Number

Date Requested

Comments

Shipper Kits

Block-Slide (IHC) Ship

AP Large Ship

AP Medium Ship

AP Small Ship

Collection Kits

FNA Kit

14 Bottle Prostate bx Kit

Peripheral blood Kit

Hematopathology (Bone Marrow) Kit

Urine Cytology Kit

PCA 3 Kit

Collection Media/Tubes

Zinc formalin (for Bone marrow bx)

Green Top — Na Heparin

Purple Top — EDTA

Tissue Transport Media (TTM)

Michel's Fixative for IFA

Afirma FNAprotect vials (for Thyroid FNAs)

Non-Gyn Cytology Supplies

Slides for FNA — frosted end

Slides Gold Seal

Slides Holder Plastic Mailer

Slides Holder/Fixative — 95% Ethanol

Cardboard 2 slide holder

Cardboard 20 slide holder

Cytolyt vials 30 mL

Histology Supplies

Formalin — 20 mL, contains 10 mL formalin

Formalin — 40 mL, contains 20 mL formalin

Formalin — 60 mL, contains 30 mL formalin

Formalin — 120 mL, contains 60 mL formalin

Cs Tissue Container, 16 oz.

Cs Tissue Container, 32 oz.

Cs Tissue Container, 86 oz.

Cs Tissue Container, 1/2 oz.

Additional Client Supplies

Plastic Bags, 6 x 11

Plastic Bags, 9 x 11

Plastic Bags, 13 x 18

Insurance Managed Care List

Client Tissue Log sheets

Printer Toner — Specify Printer Model#/Color

Requisition Forms

Breast Requisition forms

Dermatopathology Requisition forms

Gastroenterology Requisition forms

Hematopathology Requisition forms

Podiatry Requisition forms

Solid Tumor Requisition forms

Surgical Pathology/Histology AP Requisition forms

Urology Requisition forms

Thyroid FNA Requisition forms

FedEx Supplies

Airbills

Diagnostic specimen bags