Supply Form 2


Gynecology

Thin Prep Pap Collection Vial GYN1001 (25 Per Pack) QTY
Cervical Spatula GYN1002 (50 Per Pack) QTY
Cervical Brush GYN1003 (50 Per Pack) QTY
Thin Prep Pap Kit GYN1004 (25 - Vials, 25 - Cervical Spatulas, 25 - Cervical Brushes) QTY


Pharmacogenetics

Buccal Swab PCG1001 (25 Per Pack) QTY
Specimen Container PCG1002 (25 Per Pack) QTY


Urine Cytology

100ml Collection UCT1001 (10 Per Pack) QTY


Shippling Supplies

Shipping Box SHP1001 (Each box can hold: 30 pharmacogenetic samples, 20 Gynecology samples, or 15 Urine Cytology samples) QTY
Pre-printed and Pre-paid Shipping Labels SHP1002 (25 Per Pack) QTY


Specimen Labels

Pharmacogenetics Sample Label LBL1001 (300 Per Pack) QTY


Requisition Forms

Womens Health REQ1001 (50 Per Pack: Prefer online fill out and print? Click here) QTY
Pharmacogenetics REQ1002 (50 Per Pack: Prefer online fill out and print? Click here) QTY
Urine Cytology REQ1003 (50 Per Pack: Prefer online fill out and print? Click here) QTY
Solid Tumor REQ1004 (50 Per Pack: Prefer online fill out and print? Click here) QTY

* The Center for Molecular Cancer Diagnostics reserves the right to limit the number of supplies sent based on past order history on your account.
** For larger quantities please call 330.405.CMCD(2623)