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Order
# |
Requested
By |
Needles
21 1.5 IN |
Needles
22 1.5 IN |
Tourniquet |
Needle
Holders |
Pink
Tubes |
Lavender
Tubes |
Blue
Tubes |
Red
Tubes |
Yellow
Tubes |
Transport
Tubes |
Transport
Bags |
Biopsy
Bottles |
Cytology
Scrapers |
Frosted
Slides |
PAP
Fixative |
PAP
Slide
Marker |
Slide
Holder |
PAP
Brushes |
Thin
Prep
Bottles |
Thin
Prep
Brooms |
Thin Prep
Brushes/
Scrapers |
Sterile
Urine
Cups |
Boritex
Urine
Cups |
Chlamydia/
GC Kit
Male |
Chlamydia/
GC Kit
Female |
Culturettes |
Stool
C & S Kits |
Hemoccult
Slides |
Blood
Culture
Adult Set |
Blood
Culture
Ped Set |
24 HR
Urine
Bottles |
Collection
Cups |
Chain Of
Custody
Forms |
Clinical
Request
Forms |
Cytology
Request
Forms |
Surgical
Pathology
Request Forms |
Supply
Request
Forms |
Other
Item 1 |
Other 1
QTY |
Other
Item 2 |
Other 2
QTY |
Other
Item 3 |
Other 3
QTY |
Other
Item 4 |
Other 4
QTY |
Comments |
RUSH |
REVIS0N |
Requested
Delivery
Month |
Requested
Delivery
Day |
Date/Time
Ordered |
LIS Staff
Processing
Order |
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