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Client Supply Order Form
Cytolab Add-On Form
PPL Add-On Form
Quad Screen Patient Info

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BLOOD COLLECTION TUBES MICROBIOLOGY
Bx. Red Top Tube - 10 ml only Bx. Blood Culture Bottles
Bx. Lavender Top (EDTA) Tube - 4ml only Bx. Blood Culture Prep Kits
Bx. Serum Sep Tube (SST) Ea. Orange Cap BBL Culturette (Amies w/Char)
Bx. Lt Blue Top Tube (Na Citrate) - 2.7 ml only Ea. White Cap BBL Culturette (Liq Am Sngl App)
Bx. Gray Top Tube (Flouride) 4 ml only Ea. Red Cap BBL Culturette (Liq Stuart Dbl App)
Bx. Yellow top tube (ACD-A) - 8.5 ml only Ea. Black Cap BBL Culturette (Amies w/Char)
Bx. Pink Top Tube (EDTA) - 6ml only Ea. CT/NG Male Swabs w/ no media (blue label)
Bx. Pearl Top Tube (PPT, EDTA w/gel) - 5 ml Ea. CT/NG Female Swabs w/no media (pink label)
Bx. Green Top Tube (Na Hep) Ea. M4 Media (viral type cultures)
Bx. Green Top Tube (Li Heparin) - 6 ml only Ea. Polyester Swabs for M4 media
Bx. Light Green Top PST (Li Heparin w/gel) 3 ml Ea. Pinworm Collectors
Dark Blue Top Tubes (specify below) Ea. ColoScreen Occult Blood Kits
Bx.  w/ Tr Elem K EDTA 6 ml (ex:heavy mtls) Ea. Ova & Parasite (OVP) Kits - MF Fixative
Bx.  no additive 7 ml (ex: alum, arsenic, zinc) Ea. Red Cap ETM Stool Culture Media
Microtainer Tubes (specify below) Ea. Stool Collection Containers (white)
Ea. Bx. Urine C&S Transfer Kits (Gray Top)
SPECIMEN COLLECTION Ea. Urine Hat Collection Device
Bx. Vacutainer Holders (w/orange safety device) Bx. Sterile Polyester Tipped Applicators
Vacutainer Needles (specify below) Ea. Pertussis Culture & DFA Kits (State Lab)
Bx. CYTOLOGY SUPPLIES
Bx. "Pronto" Vacutainer Colored Holders Bx. SurePath Liquid Vials only
Bx. 22G x 1 1/4 in. needles (Eclipse Safety Device) Pk. SurePath Brooms only (25)
Bag Urine Collection Cups Pk. Scored Cervical Brushes (100)
MISCELLANEOUS Ea. Plastic Spatulas
Glucola (specify below) Bx. Urine Cyto/FNA Fix (Saccomanno)(24)
Bx. Orange PATHOLOGY SUPPLIES
Bx. Lemon-Lime Bx. Biopsy bottles - 10% formalin - 1 oz(32)
TRANSPORT SUPPLIES Bx. Biopsy bottles - 10% formalin - 2 oz(32)
Pk. Specimen Bag (100/Pk) Routine Ea. Biopsy bottles (empty)
Ea. Large Plastic Bag (20x20) REQUISITIONS / REPORTING
Pk. Green Special Handling Forms (25/pk) Ea. Clinical/Pathology/Cytology Requisition
Bag Plastic Pour-Off Tubes w/Blue Screw Caps Bx. PPL Report Paper - Plain (500 sheets)
PATIENT LITERATURE Bx. PPL Report Paper - Beaker (500 sheets)
Pad Supply Request Form (25/pad) Pad Add-On Forms (50/pad)
Pk. Your Biopsy Test (25) Ea. Printer Ribbon (Okidata 320)
Pk. Your Prostate Biopsy Test (25) Ea. Toner Cartridge-Printer Model
Pk. Your Pap Test (25)    
  
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