221 South Preston Street
Louisville, Kentucky 40202
502-589-1980 #0149; Fax 502-589-1982
Toll Free: 866-589-1980

Judith L. Cooke, M.D. Darwin K. Edwards, M.D.	Laszlo Makk, M.D. Stewart E. Wolfson, M.D.	Thomas P. Eckhoff, Admin

Order Supplies

Supplies running low? Simply complete this form and click the "Submit" button. We will deliver the order when we pick up your next specimen.

Physician Address Phone Ordered By Email Address

		pkg		Pathology/cytology requisitions (50 per pkg)
		pkg		Supply Request forms (25 per pkg)
		box		Etched glass slides (50 per box)
		each		Cyto Brushes
				White
				Purple
		each		Spatulas (each)
				Wood
				Plastic
		each		Papette Brooms
		each		PAP Kits
		each		Thin Layer Vials
		each		95% Alcohol Bottles
		each		Tissue bottles with Formalin
				15 ml
				30 ml
				60 ml
				120 ml
		each		Spray cyte
		each		Saccomanno fluid
		pkg		Transport bags (100 per pkg)
		pkg		Slide Holders (pkg)
Special Instructions:

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