| SJRHC Laboratory Outreach - Supply Order Form (979)776-5981 |
| CLIENT NAME: |
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DATE: |
| ORDERED BY: |
PHONE #: |
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| Requested |
Item |
Unit |
Stock # |
Delivered |
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Alcohol Prep Packets #6818 |
BX |
000748 |
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Blood Culture Bact/Alert Pedi Bottles #51005 |
EA |
005127 |
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Blood Culture Anaerobic #51008 |
EA |
001257 |
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Blood Culture ChloraPrep Kit Applicators |
EA |
009763 |
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Blood Culture Collection Device |
EA |
022615 |
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Container, Spec Sterile #2300SA |
EA |
011314 |
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Culture Swab Coll& Trans (Red) #4320109 |
EA |
001260 |
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Culture Swab, Minitip (Green) #220133 |
EA |
014685 |
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Cytology Spray, Fixative Spray Cyte |
EA |
005360 |
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Container, Formalin 30mL SM #C4320-30B |
EA |
011498 |
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Container, Formalin 7.5mL XSM #C4320-7.5B |
EA |
011532 |
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M4-RT GC/Chlam PCR Media -Female |
EA |
022099 |
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M4-RT GC/Chlam PCR Media-Male |
EA |
022080 |
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GenProbe - Female |
EA |
REF016 |
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GenProbe - Male |
EA |
REF015 |
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Label, Yellow Edge Thermal-Small |
ROLL |
016163 |
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Butterfly set 21 gauge |
PK (50) |
009851 |
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Butterfly set 23 gauge #367297 |
PK (50) |
009850 |
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Butterfly set 25 gauge #367298 |
PK (50) |
009852 |
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Needle, Vacutainer 21Gx1 #368607 |
PK (48) |
001281 |
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Needle, Vacutainer 22Gx1 #368608 |
PK (48) |
001282 |
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Vacutainer, Adapter Blue Multi #367290 |
PK (100) |
013752 |
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Vacutainer Safety Needle Holder |
PK (250) |
010108 |
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Requisition Forms - Clinical |
EA |
017451 |
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Requisition Forms - Tissue |
EA |
017450 |
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Tourniquet #LXS-3206 |
EA |
000923 |
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Bag, Biohazard 6x9 #B1209-12 |
PK (50) |
011521 |
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Transport Tubes and Tops |
EA |
REF005 |
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Vacutainer, Green 4 mL Lith Hep #367884 |
PK (100) |
007489 |
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Vacutainer, Lavender 4 mL #367861 |
PK (100) |
017237 |
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Vacutainer, Blue 2.7 mL |
PK (100) |
010906 |
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Vacutainer, Pink 6 mL #367899 |
PK (100) |
018152 |
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Vacutainer, Red 4 mL
#367812 |
PK (100) |
009029 |
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Vacutainer, Royal Blue (EDTA) |
EA |
REF007 |
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Vacutainer, Royal Blue No Additive |
EA |
REF008 |
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Vacutainer, SST 3.5mL #367983 (Gold) |
PK (100) |
021974 |
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Vacutainer, SST 8.5mL #367988 (Tiger) |
PK (100) |
001290 |
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Vacutainer, Yellow (ACD A Soln) 8.5mL |
EA |
REF009 |
|
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Urine, 24 HR Collection Container #U30101 |
EA |
000940 |
|
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Urine, Cult Coll/Trans Kit (Vac) #364987 |
EA |
001097 |
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Urine, Cult Midstream Kit
#364949 |
EA |
014843 |
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Hemoccult SensaSlide(3 slide) #64130 |
EA |
006194 |
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Para Pak Stool, C&S Vials |
EA |
012666 |
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Ova & Parasite Transport (Formalin Vials) |
EA |
REF003 |
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Virology Collection Containers |
EA |
REF013 |
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Pap-Pak, Cytology
#C-100 |
PK (25) |
012669 |
|
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ThinPrep Collection Vials |
EA |
REF026 |
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ThinPrep brush/spatula |
PK (25) |
024341 |
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ThinPrep broom |
PK (25) |
024570 |
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Cytolyt Collection Vials (non-gyn) |
EA |
024590 |
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SJRHC Laboratory Outreach Brochure |
EA |
REFBROC |
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| PLEASE RETURN ALL EXPIRED SUPPLIES TO OUTREACH |
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