Phone: 1.407.303.8561
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FLORIDA PATHOLOGY ONLINE SUPPLY ORDER FORM
CLIENT:
YOUR NAME:
LOCATION CODE:
PHONE:
DATE:
7/29/2010
EMAIL:
Item
Qty.
Item
Qty.
21 Gauge Multisample Needles
Herpes Culture Media
22 Gauge Multisample Needles
Routine Culture Transport Swabs
Serum Separator Tubes
Slides
Lavender Top Tubes
Genprobes MALE
Red Top Tubes (7 ml)
Genprobes FEMALE
Blue Top Tubes (4.5 ml)
Slide Holder
Tourniquets
Spray Fixative
Ova & Parasite Kits
Thin Prep Pap Kits
Biopsy Containers [ S ]
Specimen Transport Bags
Biopsy Containers [ M ]
Histology/Cytology Requisitions
Urine Containers
Clinical Requisitions
Urine C&S Transport Kit
AFP / Triscreen / Flow Cytometry Form
Urinalysis Tube with Preservative
MSPQ Form
24-Hr. Urine Container Without Acid
Universal Viral Transport Media
Supply Order Forms
NOTES:
