Supply Form

Precision Pathology Laboratory Services Supply Form

Welcome to the PPLS Supply Form. Use this form to request the specialized collection kits, transport materials, and administrative supplies required for your facility’s sample testing.

Client Supply Order Form

* - required fields
Requestor Name*
Client Name*
Email*
Address*
Department*
City*
State*
Zip*
Requisitions/Paperwork
Surgical
Sexual Health
GI
Heme
Microbiology
Hospital
Specimen Log Sheets
- Specimen Log Sheets
Surgical Tissue Fixatives
RPMI Fixative
Pre-filled Formalin
20s
40s
60s
120s
5 gal
Non-Gyn Cytology
120 Saccomanno* (Prefilled)
Reagent Alcohol (For Gout/Urine Cytology)
Cardboard Slide Holders
Transport Containers
8oz
16oz
32oz
86oz
128oz (placenta)
172oz
Parafilm (2in)
Collection Kits
Bone Marrow
Small Transport
CyPath® Lung Kit
Specimen Bags
6x9 (standard size)
8x10 (Ideal for 16oz and 32oz containers)
12x15 (standard large size)
Molecular
Cobas Media Dual Swab
Cobas Urine Sample Packet
COPAN ESwab (GBS)
Microbiology
Double COPAN swabs with Gel
Sterile Container
Viral Transport Media
Gyn Cytology
ThinPrep Collection Tools
- Select All
- ThinPrep Vials (white)
- ThinPrep Brushes/Spatulas
- ThinPrep Brooms
Misc.
Other item (Be specific)

Learn How Our Laboratory Can Support Your Practice

PROVIDERS

◦ Online Report Viewer ◦ Onboarding Forms ◦ Services ◦ Requisition Forms

PATIENTS

◦ Pay a bill ◦ Billing questions ◦ CyPath Lung Patient Portal ◦ Privacy Policy

Precision Pathology Laboratory Services Supply Form

Supply Form

Requisitions/Paperwork

Surgical Tissue Fixatives

Pre-filled Formalin

Non-Gyn Cytology

Transport Containers

Collection Kits

Specimen Bags

Molecular

Microbiology

Gyn Cytology

Misc.

PROVIDERS

PATIENTS

210-646-0890

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