| Prime Pathology Order Form |
| Fax Number: (303) 432-7866 |
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| Contact |
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| Phone |
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| Derm vials with formalin (5 cc) |
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| Formalin biopsy containers |
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| 30 cc |
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| 120 cc |
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| 480 cc |
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| Large specimen containers |
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| 64 oz. |
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| 172 oz. |
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| Formalin |
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| MSDS for formalin |
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| Requisitions |
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| Address Labels |
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| Plastic Specimen Bags |
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| Mailers |
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| Collection instructions for |
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| Aerobic/anaerobic culture tubes |
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| Red tiger top tubes |
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| Blue top tubes (for PT, PTT) |
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| Purple top tubes (for CBC) |
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| Pink top tubes (for type and cross) |
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| ThinPrep® vials |
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| Pap paks |
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| Endocervical brush/plastic spatula kits |
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| Cervical broom (Papette) |
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| Slides for Conventional Pap smears |
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| Fixative for Conventional Pap smears |
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| Other: |
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