Collaborative Laboratory Services, St. Francis Hospital & Medical Center Hartford, CT

Heathcare Professionals: Supplies

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Supply Order Requisition

Date :__________________________

Client: __________________________________   Office Contact: ______________________________
Address: ________________________________    Phone #:____________________________________

 

QTY

ITEM DESCRIPTION

QTY

ITEM DESCRIPTION

 

Vacutainer SST 5ml  (Pkg of 100)

 

Blood Culture, Pediatric (#Each)

 

Vacutainer Red 6ml (Pkg of 100)

 

Blood Culture, Aerobic (#Each)

 

Vacutainer Red 4ml (Pkg of 100)

 

Blood Culture, Anaerobic (#Each)

 

Vacutainer Blue 2.7ml (Pkg of 100)

 

Iodine Swab for Blood Culture (#Each)

 

Vacutainer Lavender 3ml (Pkg of 100)

 

H. Pylori Breath Test Kit (#Each)

 

Vacutainer Black Top (Sed Rates) (25)

 

Bacterial Culture Swab (Throat-Genital-Wound) (25)

 

Vacutainer Gray 4ml (Pkg/100)

 

Viral Culture Swab (Herpes-Varicella-Myco/Ureaplasmas)(#Each)

 

Vacutainer Green 3ml (Li Hep) (Pkg/100)

 

Anaerobic Culture Swab (#Each)

 

Vacutainer Green 3ml (Na Hep) (Pkg/100)

 

BD Affirm Swab (Bacterial Vaginitis/Vaginosis) (10)

 

 

 

 

 

Vacutainer Holder (bag of 250)

 

Thin Prep Pap Vial (Tray of 25)

 

 

 

Thin Prep Collection Spatula-Brush (Pkg of 25)

 

Needle Holder for Blood Cultures (#Each)

 

Thin Prep Collection Broom (Pkg of 25)

 

Tourniquets 1 “x18” (#Each)

 

Gen-Probe Aptima Unisex Swab (CT/GC)(#Each)

 

Alcohol Prep Pads (200/box)

 

Gen-Probe Aptima Urine Collection Tube (CT/GC)(#Each)

 

Gauze

 

Formalin 15ml Pre-filled Jar (#Each)

 

Band Aids

 

Formalin 30ml Pre-filled Jar(#Each)

 

 

 

 

 

Urine Culture Sterile Cup (#Each)

 

Cytology Non-Gyn Transport Vial(#Each)

 

Urine Preservative Transfer Straw Kit (50/Box)

 

 

 

Antiseptic Wipes for Urine Culture (100/Box)

 

1 Qt. Sharps Container (#Each)

 

Collaborative Laboratory Services

114 Woodland Street,
Hartford, CT  06105

We invite you to call or fax your supply order forms to us at the numbers below:
Phone : 860-714-6103  or    Fax : 860-714-8075