LabFirst Supply Order

OUTREACH CLIENT # 2662 – Lab Works

3690 Grandview Parkway
Birmingham, Al 35243
Courier Dispatch (205) 971-5358
Order Form A

Date(Required)

Office Name(Required)

Office Phone(Required)

Email(Required)

Requested by(Required)

First Last

Specimen Collection Supplies

24 Hour (3LITRE) Urine Container – #1075444 – [Each]

Each

Urine Culture Complete Kit – #1520698 [Box/50]

50 Per Box

Urine Culture Straw Kit – #1004436 – [Box/50]

50 Per Box

Needle Pro – 21 Ga. Needle – #1520698 [Pack/30]

30 Per Pack

Sterile Container (orange) – #1169405 – [Bag/100]

100 Per Bag

Sterile Container (Blue) – #1161726 -[Bag/100]

100 Per Bag

Stool Container Bottles Black Micro [Each]

Each

Stool Container Bottle (green) -Micro – [Each]

Each

Purple Top Vacutainer Tube (4ml) – #1177801 – [Pack/50]

50 Per Pack

Green Lithium Heparin Vac. Tube (4.5ml) – Lab – [Each]

Each

Light Blue Top Vacutainer Tube (2.7ml) – #1177802 – [Pack/50]

50 Per Pack

ACD Yellow Tube Solution B – #1264051 – [Each]

Each

Gold Top Vacutainer Tube (5ml) – #1177804 – [Pack/50]

50 Per Pack

Red Top Vacutainer Tube (10ml) – #1177800 – [Pack/50]

50 Pack

Gray Top Vacutainer Tube – Lab – [Each]

Each

Royal Blue (EDTA) for heavy metal analysis – Ref Lab – [Each]

Each

Dark Green Sodium Heparin – Lab – [Each]

Each

Royal Blue (no additive) for trace elements – Ref Lab – [Each]

Each

Thin Prep for PAP – Cytology – [Each]

Each

Yellow Aptima M&F Urine Kit – [Pack]

Pack

Orange Multitest Swab Kit – [Pack]

Pack

Aptima GenProbe Swab – Micro – [Each]

Each

Culturette – 2 double swab – #1004298 – [Each]

Each

Eswab (Aero & Anaero) – #1066216 – [Each]

Each

Blood Culture (Pediatric) – Yellow – [Each]

Each

Quantiferon T.B. Test – [Each]

Each

NEEDLE PRO . 22Ga. Needle – [Box/30]

30 Per Box

Blood Culture Kits (with 21 gauge needle) – Lab – [Each]

Each

Transport & Miscellaneous Items

12×15 Specimen Transport Bags – #1024287 [Each]

Each

6×9 Specimen Transport Bag – #1024272 – [Pack]

Pack

Transfer Tubes White- #1108394 – [Pack]

Pack

Pipettes – #1017091 – [Each]

Each

Atlas Dymo Labels – #1297238 – [Roll]

Roll

LabFirst Clinical Requisition Forms – [Each]

Each

LabFirst Cytology Requisition Forms – [Each]

Each

Other: Please Write In

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WELCOME TO CARIUS GYM FITNESS

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Intensive Plans

GROUP TRAINING

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SQUAT, JUMP,

CLIMB, THROW,

LIFT.

Focus & Balance

strength exercises

breath, leg raise,

lift, bend,

balance.

Eat Well, Live Well

HEALTHY RECIPES

FISH, CARBS,

FIBER, ENERGY MEALS,

HEALTHY DIET.

LabFirst Supply Order

Specimen Collection Supplies

Transport & Miscellaneous Items

WELCOME TO CARIUS GYM FITNESS

CARDIO

CHECKUPS

WEIGHTS

MEAL PLANS

GROUP TRAINING

strength exercises

HEALTHY RECIPES