Our Mission: We are committed to fully satisfy our customers' needs by continuous development of a team whose abilities and service-oriented attitude will provide medical care and services of the highest quality and with the utmost courtesy and efficiency.
 
 


Supply Order Form

Download Supply Order Form here and fax it to us,
or fill in the information in the form below and click the "Submit" button

  Facility:   Requested by:   Phone:
  City:      Date(mmddyy):   Email:

10% FORMALIN PRE-FILLED TISSUE BIOPSY CONTAINERS
QTY.
UNIT (Qty.)
Check One
  DESCRIPTION
Tray (24)
Case (96)
  10 ml Formalin Bottles (White Top)
Tray (24)
Case (96 )
  20 ml Formalin Bottles (White Top)
Tray (25)
Case (75)
  30 ml Formalin Bottles (Blue Top)
Each (1)
Case (50)
  60 ml Formalin Bottles (White Top)
Each (1)
Case (50)
  90 ml Formalin Bottles (White Top)
Each (1)
Case (12)
  125 ml Formalin Bottles (White Top)
  Each (1 bottle)   Michel’s Fixative (Refrigerate)
  Each (1 bottle)   Spray Fixative  (1 oz Bottle)
  Box   Slides (72 Slides per Box)
  Each   Plastic Slide Holders – (Holds 5 Slides)
  Pack   Transport Bags (100 bags)
  Each  95% Alcohol – Filled Slide Containers – (Holds 5 Slides)
REQUSITION FORMS
  QTY.
  Each
  Description
  Each   Dermatopathology
  Each   Surgical Histology (White)
  Each   Surgical Histology (Blue—Dominican Hospital)
  Each   Women’s Health (PAPS / Biopsy / Swab Testing)
  Each   Prostate Histology / Urine Cytology
  Each   Podiatry

WOMEN'S HEALTH
  QTY.
 UNIT (Qty.)
 Check One
  Description




Tray (25): Vials
Brush & Spatula
Brush Only
Broom Collection
ThinPrep® PAP Supplies
Specify quantity of vial trays and type/quantity of collection devices required.


Tray
Brush & Spatula
Broom Collection
SurePath® PAP Supplies

BD Affirm Swab Kit Box (10) Vaginosis Panel Cand/Gard/Trich
Box (25) Conventional PAP Slide Kit
 
UROLOGY
  QTY.
 UNIT (Qty.)
 Check One
  Description

8-Vial Kit (1)
14-Vial Kit (1)
Prostate Biopsy Kit
  Each 90 ml Sterile Container

Additional Requests:


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