Supply Order Form Home / Supply Order Form First Name (required) Last Name (required) Phone (required) Email (required) Account Number (required) DRAWING SUPPLIES: Blue Top Tubes (Buffered Sodium Citrate) - 2.7mlRoyal Blue Top Tubes (RBTT) - 6mlClear Top Tubes (no additive) - 3mlGray Top Tubes (Glucose) - 2mlLavender Top Tubes (EDTA) - 2mlLavender Top Tubes (EDTA) - 3mlRed Top Tubes - 4mlSerum Separator Tubes (SST) - 3.5mlSerum Transport Tubes (plastic)Microtainers - EDTA (Lav)Microtainers - SST (Yellow)Microtainers - Hep (Green)Microtainers - Plasma Sep(Lt. green)Hematocrit Tubes - PlainHematocrit Tubes - HeparinizedCritosealNeedles - 21 gauge 1' Multidraw VacutainerVacutainer Holder - largeUrine Tubes: 12ml plastic with snap topCulturettes: aerobic/anaerobicMini-tip Culturettes: aerobic/anaerobicBlood Culture Bottles—Small (40 mL)Universal Viral Transport with swab (for viral culture only)Enteric Transport Media (ETM)Mycoplasma Culture MediaFormalin— 20ml jarFormalin— 90ml jarFormalin— Large jarMicroscope SlidesCoverglass: 1 x 1Biopsy CassettesFecal containers: 30ml plastic with blue screw capvonWillebrand's Kit TRANSPORTATION SUPPLIES AND FORMS: Test Requisitions (TR) Blue - General Lab include MicroTest Requisitions (TR) Yellow - Histo/Cyto/Associated MicroPlastic Ziplock BagsSlide Holders - CardboardSlide Holders - PlasticStyrofoam Mailers - BloodStyrofoam Mailers - HistoSupply Order Forms (this form) PURCHASABLE SUPPLIES (please call Customer Service for current pricing): Activated Clotting Time Tubes (call for availability)Skin Biopsy Punches (4mm) (While Supplies Last)Skin Biopsy Punches (6mm) (While Supplies Last)Skin Biopsy Punches (8mm) (While Supplies Last)Blood Agar Plates (per sleeve of 10)Blood/MacConkey Split Plates (per sleeve of 10)Tritrichomonas Culture PouchesThio Broth Tubes (each)Calibrated Loops (bag of 25) OTHER: Quick Reference Guide Special Notice: Phoenix has updated our supply order list effective January 1st 2018. For those items that have been removed, please visit the providers websites listed below: Punch Biopsy Supplies = http://www.acuderm.com/ True Cut, Jamshidi, Bone Marrow Supplies = http://www.cardinalhealth.com/en.html/ Coverglass, Surgicutt Coag Bleeding Device = https://ssenw.com/home ADDITIONAL COMMENTS: For supplies not listed, please check with laboratory staff by telephone: (800) 347-0043 or (425) 355-5252.