Order Supplies

Account Name*

First Name*

Last Name*

Phone*

Email

Account Number

Date Requested

Comments

Shipper Kits (order collection media separately)

(ABSTK) Block & Slide Transport Kit

(APSK04) AP Extra Large Shipper Kit

(APSK01) AP Small Shipper Kit

(APSK02) AP Medium Shipper Kit

APSK03) AP Large Shipper Kit

Collection Kits (collection media included)

14 Bottle Prostate Kits

Hematopathology Kit (Bone Marrow)

ImmunoCyt/Urine Cytology Kit (UroVysion)

Immunoflorescence Kit

24Hr Urine kits

Kidney Stone Kits (Stone-a-Lyzer)

Collection Media/Tubes

Tissue Transport Media

8oz Plastic Container

16oz Plastic Container

32oz Plastic Container

64oz Plastic Container

86oz Plastic Container

Frozen Section Containerr

Sterile Container - 120ml

Non-Sterile Container - 120ml

Cytolyt Solution - 30ml vial (FNA)

FNA 95% Alcohol

Michels Fixative for Immunos

Endocervical/Endogenital swab(CT/NG)

Yellow Top (ACD)

Green Top (NA Heparin)

Purple Top (EDTA)

Cytology Supplies

Conventional Pap Packs (25box)

ThinPrep Flats (25 vials)

Cervical Brooms

Cervical Brushes/Spatula

Cervical Sampler (HPV, CT/NG, etc)

Histology Supplies

20ml Bottles 10% NB Formalin

40ml Bottles 10% NB Formalin

45ml Bottles 10% NB Formalin

Client Supplies

Plastic Bags - Lg. 18X18"

Plastic Bags - Med. 12X15"

Plastic Bags - Sm. 6X11"

Insurance Managed Care List

Double Slide Folder

Multiple Slide Folder

Single Slide Folder

One End Frosted Slides

Plastic Slide Holder

Slide Fixative

Cool Packs

Name Labels

BioHazard Labels

Lockbox

Requisition Forms

GI Pathology Req

Gynecology Req

Oncology - Hemapathology Req

Oncology - Solid Tumor Req

Oral, Head, & Neck Req

Pathology Req

Stone Diagnostic Req

Surgical Pathology Req

Urologic Pathology Req