Supplies

Order Supplies


Account Information:

Account Name:

Client Code:

Address:

Ordered by:

Date:

Collection Supplies

Amt per Unit

Qty

Alcohol Prep Pad 200/Box
Aerobic Culture Swab 50/Bag
Aptima Multitest Swab-Orange Individual
Aptima Unisex Genital Swab-White/Purple Individual
Band Aids 100/Box
Biohazard Sharps Containers - Small
Biohazard Sharps Containers - Large
Biopsy Bottle - 20 mL 32/Box
Biopsy Bottle - 90 mL 24/Box
Coflex Individual Rolls
Commodes/Stool Hats Individual
Cotton Balls Large Bag
Glucola 50 G 6/Pack
Glucola 75 G 6/Pack
Glucola 100 G 6/Pack
Gauze - 2x2 100/Pack
Gauze - 4x4 100/Pack
Gloves - Small 100 Pairs/Box
Gloves - Medium 100 Pairs/Box
Gloves - Large 100 Pairs/Box
Gloves - Extra Large 100 Pairs/Box
Hemocult Cards Individual
OB Towelettes 100/Box
Paper Tape Individual
Ova & Parasite Kits Individual
Specimen Bags - Small 50/Pack
Specimen Bags - Large Individual
Thin Prep Pap Kit 25/Tray
Thin Prep - Brushes & Brooms 25/Pack
Tourniquets Individual
Urine Cups - Sterile 100/Bag
Urine Cups - Non Sterile 100/Bag
Urine C&S Transport Individual
Urine 24 Hour Individual
Viral Transport Media-M4 Individual

Tubes

Amt per Unit

Qty

SST - Gold Top 100/Pack
Lavender Top 100/Pack
Light Blue Top 100/Pack
Grey Top 100/Pack
Light Green Top (Lithium Hep) Individual
Dark Blue Top (EDTA) Individual
ACD Solution A Individual
ACD Solution B Individual
Blood Culture SPS Individual
Plain Red Top Individual

Needles/Holders

Amt per Unit

Qty

21x1¼ Needle w/ Pre-Attached Holder 100/Box
23g Safety Lock Butterfly 50/Box
21g Safety Lock Butterfly 50/Box
Needle Holders 50/Box

Forms/Requisitions

Amt per Unit

Qty

Lab Blood Reqs Individual
Cyto/Path Reqs Individual
Toxicology Reqs Individual
Chain of Custody Reqs Individual
4Medica Paper 250/Pack
Yellow Result Paper 500/Pack
Supply Forms Individual
Drawn by Biotech STAMP Individual
Replacement Ink for STAMP Individual

Shipping Supplies

Amt per Unit

Qty

Fedex Shipping Label Individual
Fedex Clinical Pak Individual
Printer Cartridge Model # or Printer Model:
Special Orders/Misc


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