Supply Order Request
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Product
Description
Packaging
Qty/Pack
Amount
10% Formalin
20 ml
Box
Each
60 ml
Box
Each
90 ml
Box
Each
120 ml
Box
Each
Cube
5 Gal.
Each
Alcohol
Alcohol filled container for slide transport
Bottle
Each
Plain Specimen Containers
8 oz.
Each
32 oz
Each
86 oz
Each
172 oz
Each
Pap Smear kit
Boxed organizer - 1 slide
Box
36
SurePath - blue cap
Box
25
ThinPrep - white cap
Box
25
FNA's
ThinPrep Cytolyt Solution
Bottle
Each
Transport Bags
Extra-large
Pkg.
Each
Biohazard Bags
Medium
Pkg.
95% Alcohol Container
Each
Cardboard Slide Holder
Each
Other
FORM REQUEST
Pap Smear postcard
PF2434
Pkg.
100
Pap Smear requisition
Pkg.
100
Surgical requisition
Pkg.
100
Specimen tracking sheet
1212-126
Pkg.
100
Notes