where your patient is our number one priority

Ordering Supplies

Our group furnishes all supplies necessary for the collection and transportation of specimens to our laboratory at no additional cost.

To order supplies, you may use the form below or you may download a PDF version. Please fill out and fax the PDF version to: 615-222-3702.

If you have ordered with this form before, you can use the customer ID provided at that time to bypass the re-entry of your name, address etc. If you don't recall your customer ID, or have not previously used the form, you can always simply enter your contact information — the customer ID is a convenience, and not required.

Customer ID
OR if you don't have one or don't have it handy
Your Name
Your Organization
Your E-mail
Your Phone
Street
City
State
ZIP
Surgical Pathology and Cytology Amount
Formalin Biopsy Bottles (20ml)
Formalin Biopsy Bottles (60ml)
Speciman Bags
Requisitions (Pathology Request Forms)
ABN Forms
Sputum Cups with Fixative for Cytology
Urine Cups with Fixative for Cytology
Pap Bottles (Regular)
Pap Bottles – Thin Prep
Cervical Brushes
Cervical Scrapers
Glass Slides
FNA Fixative – Clear (Slide Fixative)
FNA Fixative – Green (Needle Aspirate)
Michel's Transport Medium
Information Cards for Patients
Shipping Supplies (please specify)
Supply Request Forms
 
Pathology Associates of Saint Thomas PLC • A member of Pathology Service Associates
4220 Harding Road Nashville, Tn 37202 • Phone: 615.222.6726 • Fax: 615.222.3702
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