Order Laboratory Supplies

Order Laboratory Supplies
Please use this form to request supplies from PDL.

    Your Name *:

    Practice Name *:

    Full Practice Address *:

    Contact Phone *:

    Contact Email *:

    * = required field
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    Item: ------------------------------------- Unit of Measure: -------- Qty Requested:

    Prefilled NBF, 15 ml ----------------------100/case: -----------------

    Prefilled NBF, 20 ml ----------------------100/case: -----------------

    Prefilled NBF, 40 ml ----------------------100/case: -----------------

    Prefilled NBF, 60 ml ----------------------100/case: -----------------

    Specimen Trap, 40 ml -------------------50/case: ------------------

    Biopsy Pads (Blue)------------------------500/pk: -------------------

    Slides-----------------------------------------50/bx: ---------------------

    Slide Holder (Holds 5 Slides)------------1/each: -------------------

    Slide Holder (Holds 25 Slides)----------1/each: -------------------

    Slide Holder (Holds 50 Slides)----------1/each: -------------------

    Slide Holder (Holds 100 Slides)--------1/each: -------------------

    Cytology Cups, 30 ml---------------------50/bx: --------------------

    CytoLyt Cups, 50 ml----------------------50/case: -----------------

    CytoLyt Cups, 80 ml----------------------50/case: -----------------

    DIF Kit----------------------------------------1 each: ------------------

    FNA Cytology Kit--------------------------1 each: -------------------

    GYN Thinprep Tubes, 30 ml------------1 each: -------------------

    Coplin Jars - Dry--------------------------1/each: -------------------

    Coplin Jars - Wet ------------------------1/each: -------------------

    Sterile Urine Cups------------------------1/each: -------------------


    Dermatology Requisitions-------------100/pk: --------------------


    Biohazard Transport Bags, 6 x 9-------500/bx: -----------------

    Biohazard Transport Bags, 12 x 15----500/bx: -----------------

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