• Pay Bill Online
• Careers
• Test Directory
• Atlas Labworks

Order Supplies

Office Name:
Account Number:
Address:
Ordered By:

Requisition Forms

	Cytology/Histology Quantity:   Each
	Dermatology Slips Quantity:   Each
	Oral Pathology Quantity:   Each

Liquid Based Pap Supplies

	SurePath Collection Vial (Blue Top) Quantity:   Each
	ThinPrep Collection Vial (White Top) Quantity:   Each

Specimen Collection Supplies

	30 ml green top tube - Empty Quantity:   Each
	30 ml green top tube with CytoLyt (cytology fixative) Quantity:   Each
	Cervix Brush (Mop) Quantity:   Each
	Cervix Brush (Scored Cytobrush) Quantity:   Each
	CytoLyt (cytology fixative) - Quart Quantity:   Each
	Plastic Scored Spatula Quantity:   Each

Conventional Pap Supplies

Conventional Pap Paks (slide, fixative & collection device included) Quantity:   Boxes (25 kits/box)

Tissue Supplies

	Empty Specimen Containers - 400ml Quantity:   Each
	Empty Specimen Containers - 40ml Quantity:   Each
	Empty Specimen Containers - 90ml Quantity:   Each
	Empty Specimen Containers - Liter Quantity:   Each
	Formalin - Gallon Quantity:   Each
	Formalin Tissue bottles - 20ml Quantity:   Each/Box (32)/Case (256)
	Formalin Tissue bottles - 40ml Quantity:   Each/Box (32)/Case (256)
	InCyte Blank White Labels Quantity:   Each
	InCyte Specimen Bag - 6 X 9 Quantity:   Each (100/pack)
	Manifest Bags - Large (12 X 15) Quantity:   Each (50/pack)
	Oral Pathology Biopsy Kits (Tissue bottle, requisition, shipping kit included) Quantity:   Each
	Plastic Bucket - 1 Gallon Quantity:   Each
	Specimen Manifest Quantity:   Each (100/pack)
	Wax Bucket (Blue) - 1/2 Gallon Quantity:   Each
	Wax Bucket (White) - 1 Gallon Quantity:   Each

We realize that we all work in an ever-changing environment. If there has been a recent change in your office that you would like us to make on your requisition, please note it below. InCyte Pathology is happy to provide collection supplies at no charge for samples submitted to our laboratory. Thank you for this opportunity to serve you.

Anti-Spam Security Check:
8 + 5 = ?