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    TOXICOLOGY ORDER FORM

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    DESCRIPTION

    ITEM #

    UNIT SIZE

    QUANTITY

    Gloves, powder free, Nitrile, 100/box, Small

    N88TT21S

    Box of 100

    Gloves, powder free, Nitrile, 100/box, Medium

    N88TT22M

    Box of 100

    Gloves, powder free, Nitrile, 100/box, Large

    N88TT23L

    Box of 100

    Gloves, powder free, Nitrile, 100/box, XL

    N88TT24X

    Box of 100

    Urine Collection Cup, Integrated Draw, 200/case

    724310

    Case of 200

    Urine Collection Cup, Integrated Draw, 50/case

    724310P

    Case of 50

    10.5mL Round bottom Tube, 1200/case

    455007

    Case of 1200

    10.5mL Round bottom Tube, 50/case

    455007P

    Case of 50

    Urine Transfer Devise, Urine Straw 100/case

    CHBIWUS100

    Case of 100

    Pipette Transfer 100/box

    CUT2999-100

    Box of 100

    Urine Specimen Cup w/Temp Strip, 3oz, Sterile, 25/pack

    TNR HXK263-25

    $0.29 each

    Round integrated Cup w/3AD 13 panel, 25/box

    ---

    Box of 25

    Round Integrated CLIA Waived Cup, 12 panel 25/box

    ---

    Box of 25

    Container Specimen, Click Seal, Sterile, 25/pack

    C13900

    $0.38 each

    Quantisal, Saliva collection (oral swabs) 25/box

    ---

    Box of 25

    Bag 6x9 Biohazard w/Absorbent sheet,3 wall, zip, 100/pack

    CH6X9BIOFA

    Pack of 100

    Bag 6x9 Transport Biohazard 3 wall, zip, 100/pack

    CH6X9BIO

    Pack of 100

    Sharps container, 2 gallon, Red/Clr Lid, Each

    MDS701202E

    Each

    Pre printed Tox Requisition forms, Custom w/Client info, color, 25/pack

    Req_Form_Tox

    Pack of 25

    Hospital Consent Forms, 25/pack

    Consent_Form

    Pack of 25

    FedEx Shipping Pouch, UN3373, 20/pack

    FedexPouch

    Pack of 20

    FedEx Medium Priority Box, 20/case

    FedExBXMED

    Case of 20

    Printed FedEx shipping Labels, 20/box

    FEDEXLABEL

    Box of 20

    UPS Shipping Pouch, UN3373, 20/pack

    UPSPouch

    Pack of 20

    UPS Box, Medium, 20/box

    UPSbxMed

    Box of 20

    UPS Labels, Air Bills, 20/pack

    UPSAirbill

    Pack of 20


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