To send a supply request please fill the form and quantities below. You will receive an email summary of your order and your supplies will be delivered within 48 hours.

Client Name (required)
Client Number (required)
Email (required)
Phone (required)
Order filled by (your name) (required)

Tubes

Quantity
SST Tubes 8.5 ML (Box)
Plain Red Top Tubes 8.5 ML (Box)
Lavender Top Tubes 4 ML (Box)
Blue Top Tubes 4 ML (Box)

Urine Containers

Quantity
Sterile UA Cup
Urine C&S Kit
24 Hr. Urine Container

Needles

Quantity
21 x 1"
22 x 1"
21 x 1.5"
22 x 1.5"

Cytology/Pathology

Quantity
Pap Kit
Thin Prep Kit
Formalin (Biopsy Bottles)

Specimen Collection

Quantity
O&P Kit
Stool Culture
Herpes Culture
Culturettes
Gen-Probes

Miscellaneous Supplies

Quantity
Requisition Forms
Other Quantity (Reqs)
Alcohol Preps (Box)
Specimen Bag
Bandaids (Box)
Gauze 2x2 (Box)
Glucose Beverage
Needle Holders
Tourniquet
Blood Culture Bottles

Additional Comments

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