Order Supplies

    Account Name*

    First Name*

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    Account Number

    Date Requested

    Comments

    Formalin Filled Containers

    20 ml - Formalin (Single) --- 9001980

    20 ml - Formalin (32 pack) --- 9001980

    40 ml - Formalin (Single) --- 9001982

    40 ml - Formalin (24 pack) --- 9001982

    60 ml - Formalin (Single) --- 9001984

    60 ml - Formalin (27 pack) --- 9001984

    120 ml - Formalin (Single) --- 9001976

    120 ml - Formalin (24 pack) --- 9001976

    5 Gallons - Formalin --- 9001983

    Collection Kits

    Prostate Bx (12 part with cassettes) --- 9003663

    Prostate Bx (14 Part) --- 9003664

    Fine Needle Aspiration (FNA) --- 9003677

    UroVysion/Urine cytology bladder CA --- 9003678

    Bone Marrow Collection --- 9003679

    Nephropathology Collection Kit ** --- 161839

    Requisitions

    Pathology/Non-Gyn Requisitions (Single)

    Pathology/Non-Gyn Requisitions (25 pack)

    Urology Requisition **

    Nephropatholgy Requisition **

    Hematopathology Requisition **

    Miscellaneous Supplies

    8 oz - clear empty containers w/lids --- 9001775

    16 oz - clear empty container w/lids --- 9001978

    32oz - clear empty containers w/lids --- 9001981

    64 oz - clear empty containers w/lids --- 9001985

    85oz - clear empty containers w/lids --- 9001987

    165 oz - clear empty containers w/lids --- 9001977

    Transport Bags

    6 X 9 Transport Bags (Single) --- 9001627

    6 X 9 Transport Bags (25 pack) --- 9001627

    8 X 10 Transport Bags (Single) --- 9001766

    8 X 10 Transport Bags (25 pack) --- 9001766

    18 X 18 Transport Bags --- 9001686

    Bulk Tie Bags --- 142702

    Parafilm 2" X 250' Roll --- 35831

    Parafilm 4" X 250' Roll --- 35832