Bill Pay
Schedule Pick Up
Order Supplies
Contact Us
Online Portal
Services
General Information
Histology
Cytology
Molecular Pathology
Insurance
Clients
Staff
About Us
Testimonials
Contact Us
Schedule Pick Up
Order Supplies
Bill Pay
Services
Insurance
Clients
Staff
About Us
Order Supplies
Contact Us
Supply Order
Specimen Pick Up Request
Bill Pay
Order Supplies
Supply Order Form
Client
*
Department
Full Name
*
Phone Number
*
Email
*
General Supplies
Small Specimen Biohazard Bag
100 per pack
0
1
2
other
Small Specimen Biohazard Bag Quantity
Large Specimen Biohazard Bag
100 per pack
0
1
2
other
Large Specimen Biohazard Bag Quantity
Specimen Logbook
0
1
other
Specimen Logbook Quantity
Other Items
Requisition Form (pack)
Breast Time Sticker
Histology Supplies
20ml Prefilled Formalin Container
0
1
2
3
4
5
Other
1 tray = 64 vials
Amount:
40ml Prefilled Formalin Container
0
1
2
3
4
5
Other
1 tray = 36 vials
Amount:
60ml Prefilled Formalin Container
0
1
2
3
4
5
Other
1 tray = 36 vials
Amount:
5 gallon Carboy(cube) of Formalin
0
1
2
Other
Amount:
16oz Empty Specimen Container
0
12
24
Other
Amount:
32oz Empty Specimen Container
0
12
24
Other
Amount:
86oz Empty Specimen Container
0
1
2
Other
Amount:
172oz Empty Specimen Container
0
1
2
Other
Amount:
5 gallon empty specimen container
0
1
Other
Amount:
Cytology Supplies
Gyn ThinPrep Kit
0
10
20
50
100
250
Other
Amount:
Box of Glass Slides
0
1
2
3
4
5
Other
Amount:
Two-Slot SLide Folders
0
10
20
30
Other
Amount:
Twenty-Slot Slide Folders
0
5
10
15
20
Other
Amount:
Spray Fixative
0
1
2
3
Other
Amount:
946ml Bottle Cytolyt Preservative
0
1
2
3
4
Other
Amount:
50ml Non-gyn Cytolyt Collection Tube
0
5
10
15
20
Other
Amount:
UroVysion FISH collection kit
0
5
10
15
20
Other
Amount:
Sterile Urine Collection Cup
0
10
20
30
Other
Amount:
Afirma Thyroid Collection Tubes
0
6
12
18
24
Other
Amount:
Afirma Specific Requistions
0
6
12
18
24
Other
Amount:
Molecular Pathology Supplies
Aptima Unisex Swab Collection Kit (white)
0
5
10
15
20
50
Other
Amount:
Aptima Urine Collection Kit (yellow)
0
5
10
15
20
50
Other
Amount:
CAPTCHA
