Supply Order Form

By regulation, the supplies we are sending are only to be used in the collection and submission of samples to Peterson Laboratory Services, P.A. for testing. Please assist us with compliance. Thank you.
Please enter the quantity of the package in the box next to the item listed.

YOUR INFORMATION

  Your Name
  Company Name
  Phone Number
  Your Email Address

GENERAL COLLECTION SUPPLIES:


  Specimen Transport Bags (25/package)
  Shipping Boxes (25/package)
  Sterile containers (90 ml)

TEST REQUEST FORMS:


  Genital/Cytology (Yellow)
  ABN Forms
  Non-Gyn Cytology (Green)
  Surgical Pathology (Pink)
  Supply Order Forms

CYTOLOGY SUPPLIES:


  Slide Holders, Plastic (25/package)
  Glass Slides, (Cytology)
  Cytology Spray Fixative (Each)
  Cyto Scrapers, wooden (25/package)
  Cyto-Brushes (100/package)
  SurePath with Brooms (25/package)
  SurePath Brushes (50/package)

HISTOLOGY SUPPLIES:


  Specimen Identification Labels
  Formalin Labels

Biopsy Bottles, w/formalin (Box)

  20 ml
  40 ml
  60 ml

Tissue Specimen Bags (25/roll)

  Small
  Medium
  Large

Miscellaneous Supplies:





Please allow 3 to 5 days turnaround on all supply requests. Thank you.