Carolina Medical Lab | Supply order

Supply order

* Location Name:	Please enter Name of Clinic	Date:	Invalid Input
* Address:	Please enter address	* City:	Please enter City
* State:	Invalid Input	* Zip Code:	Please enter Zip Code
Telephone:	Invalid Input	* Name of Person Requesting Supplies:	Please enter Name of Person Requesting Supplies
Comments:	Please write some Comments

TUBES
SST	Invalid Input	Red	Invalid Input
Lavender	Invalid Input	Dark Blue EDTA	Invalid Input
Dark Blue Serum	Invalid Input	Light Blue	Invalid Input
Gray	Invalid Input	Chlamydia GC DNA BD	Invalid Input
SWABS
Chlamydia GC DNA Female Probe:	Invalid Input	Chlamydia GC DNA Male Probe:	Invalid Input
M4 Swab:	Invalid Input	Culture Swab	Invalid Input
BOTTLES / CONTAINERS
Urine Container	Invalid Input	ThinPrep Pap Smear Bottle	Invalid Input
Pap Smear Papette® Brooms	Invalid Input	Urine Culture Transfer Straw Kit	Invalid Input
OTHER
Clinical+ThinPrep+Surgical Pathology	Invalid Input	Needle: 21g x 1 ¼“	Invalid Input
Needle: 22g x 1 ¼”	Invalid Input	Needle Holders	Invalid Input
Specimen Bags (Bundle of 50)	Invalid Input
Image Verification:	Please enter characters as appear in box

Nursing Home Services