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