SUPPLY ORDERING


Client Name (required) :

Account Number (required) :

Ordered By (required) :

Your Email (required) :

* required fields must be filled out in order to be processed
PHONE REQUESTS TO: (818) 908-3600
FAX REQUESTS TO: (818) 908-0535
Please allow 2 business days to receive order.

BLOOD COLLECTION SUPPLIES UNIT QTY CYTOLOGY SUPPLIES UNIT QTY
Adhesive Bandages (100/box) Box Biopsy container-Formalin: X Small 10mL Each
Alcohol Prep Pads (200/box) Box Biopsy container-Formalin: Small 20mL Each
Ammonia Inhalant (10/box) Box Biopsy container-Formalin: Medium 60mL Each
Antiseptic Towelette (100/box) Box Biopsy container-Formalin: Large 80mL Each
Cotton Balls (500/bag) Bag Conventional Pap Smear Kit (25/box) Box
Needles- 21 G 1" Vacuette (100/box) Box Karyotype Transport Tubes (Genzyme) Each
Needles- 22 G 1" Vacuette (100/box) Box M4 (PCR) Media:Chlamydia, Gonorrhea (10/bag) Bag
Needle adapter-orange click (25/bag) Bag SurePath Test Vials (25/Tray) Tray
Needles- 21 G 1 ¼" BD Eclipse (48/box) Box SurePath Collection Kit Spatulas/Brushes (25/Bag) Bag
Needles- 22 G 1 ¼" BD Eclipse (48/box) Box SurePath Rovers Cervex-Brush "Broom" (25/Bag) Bag
Needle adapter-clear (50/bag) Bag ThinPrep Test Vials (25/Tray) Tray
Tape, Surgical Paper: Roll Each ThinPrep Collection Kit-Spatulas/Brushes (25/Bag) Bag
Tape, Surgical Plastic: Roll Each ThinPrep Papette "Broom" (25/Bag) Bag
Tourniquet-1x18 Each URINE COLLECTION SUPPLIES UNIT QTY
Tourniquet-1x18 (non-latex BLUE) Each BD Urine Transport Kits (10/bag) Bag
BLOOD COLLECTION TUBES UNIT QTY Urine container, 24-Hour: Plain Each
Light Blue Top (Coag) 2.7mL Each Urine container, 24-Hour: Acid Wash Each
Gray Top 4.0mL (100/tray) Tray Urine container, 24-Hour: Boric Acid Each
Green Top (Sod. Hep.) 10mL Each Urine container, 24-Hour: HCL Each
Lavender Top (EDTA) 4mL (100/tray) Tray Urine cups-sterile (100/bag) Bag
Lavender Top (EDTA) 10mL (100/tray) Tray MISCELLANEOUS UNIT QTY
Pink Top 6mL Each Bags, specimen (100/bag) Bag
Red Top 10mL (100/tray) Tray Laser report paper: White with Logo (Standard) Ream
Royal Blue Top (K2 EDTA) 6mL Each Laser report paper: Pink Column/Blue Rows Ream
SST Gold Top 3.5mL (100/tray) Tray Requisitions: Clinical + Cytology Each
SST Tiger Top 7.5mL (100/tray) Tray Lockbox: Floor Each
SST Tiger Top 12.5mL-GLASS (100/tray) Tray Lockbox: Overdoor Sm Each
Yellow Top 8.5mL -GLASS Each Lockbox: Med Each
CULTURE / COLLECTION SUPPLIES UNIT QTY Directory of Services Each
Blood culture collection set Each Glucose-Lemon 50g
Charcoal Collection Swabs Each Glucose-Lemon 75g
Culture Collection Swabs (10/strip) Strip Glucose-Lemon 100g
CVM Transport Media: Ureaplasma/Mycoplasma Each Glucose-Orange 50g
Fetal Fibronectin (FFN) Swabs (10/pack) Pack Glucose-Orange 75g
M4(PCR) Media: Chlamydia, Gonorrhea (10/bag) Bag Glucose-Orange 100g
Stool O&P Kits (Pink and Blue Caps) Kit
Stool Cary-Blair Medium (Yellow Cap) Each

NOTES :

Check here if supplies are to be left in lockbox  yes

please enter these letters in the field below:
captcha