Client Supply
Order Form

Allow up to 72 hours (3 Business Days) for delivery of in-stock items.

ORDER INFORMATION

To insure prompt and accurate delivery please complete requested information below










    Phlebotomy Supplies

    Quantity
    Item


    TubesSST /Tiger Top/Serum Tubes


    TubesLavender top tubes


    TubesLight Blue Top Tubes


    TubesGrey Top Tubes


    TubesRoyal Blue Top EDTA


    TubesGreen Top Lithium Heparin


    TubesPlain Red Top


    TubesPlain Royal Blue Top


    TubesGreen Top Sodium Heparin


    UnitsVacutainer needles 21 gauge


    UnitsVacutainer needles 22 gauge


    UnitsButterfly needles 21 gauge


    UnitsButterfly needles 23 gauge


    25 per boxSafety lock needle holder


    EachTourniquets


    Per boxSmall Gloves


    Per boxMedium Gloves


    Per boxLarge Gloves


    Per boxX-Large Gloves


    Per boxAlcohol pads


    Per boxBandaids


    Per bagCotton balls


    EachSurgical Tape


    EachCoband


    EachWall mounted sharps container


    Each6 Gallon sharps container


    Each50 gram glucola drink


    Each75 gram glucola drink


    Each100 gram glucola drink

    Microbiology

    Quantity
    Item


    EachCulture Swabs


    EachUTM Swabs


    EachSterile Urine Cups with lids


    Each24hr Urine Collection Container


    EachTowelettes/Obstetric wipes

    Cytology/Pathology

    Quantity
    Item


    10 per order7ml Formalin vials


    10 per order20ml Formalin vials


    10 per order40ml Formalin vials


    10 per order120ml Formalin vials

    Forms/Requisition/Specimen Bags

    Quantity
    Item


    50 per orderStandard Laboratory Requisition


    50 per orderCytology/Biopsy Requisition


    50 per orderFungal PCR Requisition


    100 per orderSpecimen bags

    Comments/Special Requests