Order Supplies Blood Tubes 10.ml Plain Red 9.5ml SST 4.0ml Lavender 5.0ml Light Blue 7.0ml Gray 4.5ml SST Pedi Red Pedi Lavender Pedi Blue Red Microtainer Lav Microtainer SST Microtainer Needles 20 X 1" 20 X 1 1/2" 21 X 1" 21 X 1 1/2" 22 X 1" 21G Butterflies 23G Butterflies 25 G Butterflies Lancets Gloves Latex Small Medium Large Gloves Vinyl Small Medium Large Urinalysis Plastic Cups (100 pack) Sterile Containers Urine Analysis Tube (with pill) Urine Culture/Sens. Tube 24 Hour Urine Jugs Cytology Thin Preps (25 pack) Cyto Brushes Cyto Brooms Plastic Spatulas Fixative Spray Gen-Probes Male Gen-Probes Female Stool Specimen Stool O&P Kits (2 bottles) Hemoccult Cards 3 Slides Glucose beverages 50 Gram Orange 100 Gram Orange 75 Gram Orange Miscellaneous 2X2 Gauze Pads 4X4 Gauze Pads Alcohol Preps Band-Aides Tourniquets Needle holder Paper/Forms General Test Requisition (2 Ply) White Copy Paper (1 ream Pack) Supply request forms (this form) Bags Specimen small (100 pack) Transport Large bags Toner & Ink Please specify Make/Model or cartridge Requested By: Doctor / Office Name: Account #: Address: E-mail Address: Additional Information or Special Instructions
