Lab Supply Order Form

  • Account Information: *(required)

  • Specimen Packing Supplies:

  • PACK(S)
  • PACK(S)
  • Includes 2 20 mL formalin containers, dry keratin bag, 6 x 6 biohazard bag.
  • Includes one(1) 90 mL formalin container with formalin.
  • Includes one(1) 180 mL formalin container with formalin.
  • Includes one(1) 500 mL formalin container with formalin.
  • ENFD kits are sent with prepaid FedEx Clinical Paks and Airbills unless indicated in the Comments section below.
  • Contains 10 USPS Prepaid Mailers, 10 Dry Keratin Requisitions, 20 Dry Keratin Biohazard Bags.
  • Specimen Transport Supplies:

  • EACH
  • EACH
  • EACH
  • EACH
  • EACH
  • USPS Mailers are to be used for routine dry keratin specimens.
  • Forms

  • Patient Information Materials