Supply Order Form | Preferred Anatomic Pathology Services

To expedite your supply request, please complete one of the following:

Fill out our online form on this page
Fax order form to (337) 289-7680
Call us at 337-289-7679 with supply request

Submitter First Name

Submitter Last Name

Submitter Phone

Submitter Email

Physician First Name

Physician Last Name

Tissue

Prefilled: 24 Bottles = 1 Box | 4 Boxes = 1 Case (96 Bottles)

20 ML Bottles

Prefilled 20 ML

20 ML Bottles

40 ML Bottles

Prefilled 40 ML

40 ML Bottles

60 ML Bottles

Prefilled 60 ML

60 ML Bottles

90 ML Bottles

Prefilled 90 ML

90 ML Bottles

120 ML Bottles

Prefilled 120 ML

120 ML Bottles

Empty:

^{(Order by container)}

8 oz containers

Empty 8 oz Container

8 oz containers

16 oz containers

Empty 16 oz Container

16 oz containers

32 oz containers

Empty 32 oz containers

32 oz containers

64 oz containers

Empty 64 oz containers

64 oz containers

92 oz containers

Empty 92 oz containers

92 oz containers

128 oz containers

Empty 128 oz containers

128 oz containers

165 oz containers

Empty 165 oz containers

165 oz containers

Other:

Bag of sponges

Cassettes

Biohazard Bags

5 gallon cubetainer of Formalin Fix

Tissue Requisition Slips

5 Slide Plastic Holder

5 Slide Plastic Holder

5 Slide Plastic Holder

2 Slide Cardboard Holder

2 Slide Cardboard Holder

2 Slide Cardboard Holder

Cytology

Gynecology:

Thin Prep Bottles

ThinPrep bottle with brooms

ThinPrep Bottle w/ Brooms

W/ Brush & Spatulas

ThinPrep bottles with Brushes and Spatulas

ThinPrep bottles w/ Brushes & Spatulas

^{1 Flat = 25 Bottles | 1 Box = 10 Flats (250 Bottles)}

BD Max Swabs

BD Max Swabs

BD Max Swabs

GBS Swabs

GBS Swabs

GBS Swabs

HSV Swabs

HSV Swabs

HSV Swabs

Gyn/Molecular Requisition Slips

Non-Gynecologic Cytology:

Cytology Spray Fix

Cytology Spray Fix

Cytology Spray Fix

Tubes with Cytolyte Fix

Tubes with Cytolyte Fix

Tubes with Cytolyte Fix

Box of Slides

5 Slide Plastic Holder

5 Slide Plastic Holder

5 Slide Plastic Holder

2 Slide Cardboard Holder

2 Slide Cardboard Holder

2 Slide Cardboard Holder

Other:

Extra Brooms

Extra Spatulas & Brushes

Bio Bags

Other Requests: