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Specimen Supplies Request
Clinic Name
Email
Requesters name
Check all the supplies that you need:
20 mL Formalin Jars (100)
20 mL Formalin Jars (200)
20 mL Formalin Jars (300)
40 mL Formalin Jars (24)
40 mL Formalin Jars (48)
DIF Jars (20)
Small Biohazard Bags (100)
Small Biohazard Bags (200)
Large Biohazard Bags (100)
Large Biohazard Bags (200)
FedEx UNPaks
FedEx Billable Stamps
Special Instructions/Misc. Info:
Submit Requests
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