Mid-Florida Pathology
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Requisition Forms
Ambulatory Surgery Center Requisition (Each)
Cytopathology Requisition (25/Pkg)
Dermatopathology Requisition (D-10) w/ 10 Labels (25/Pkg)
Dermatopathology Requisition (D-5) w/ 5 Labels (25/Pkg)
Gastroenterology Requisition (25/Pkg)
Hematopathology Requisition (25/Pkg)
Obstetrics-Gynecology (OB-GYN) Requisition (25/Pkg)
Podiatric Pathology Requisition (25/Pkg)
Professional Component (PC-Only) Requisition (25/Pkg)
Surgical Pathology Requisitions (25/Pkg)
Urological Requisition (25/Pkg)
General Supplies
Lock Box, Small (Each)
Lock Box, Medium (Each)
Lock Box, Large (Each)
Specimen Bags, Extra Large - 18” x 20” (50/Pkg)
Specimen Bags, Large - 12” x 15” (25/Pkg)
Specimen Bags, Standard - 6.5” x 10.5” (100/Pkg)
Specimen Log Book (Each)
Surgical Pathology Supplies
10% NBF Formalin, 1 Gallon Bottle (Each)
10% NBF Formalin Container, 20mL/10mL Prefill (24/Pkg)
10% NBF Formalin Container, 40mL/20mL Prefill (24/Pkg)
10% NBF Formalin Container, 120mL/60mL Prefill (24/Pkg)
Blue Biopsy Pad (500/Pkg)
Empty Specimen Container, 1.89L/64oz (5/Pkg)
Empty Specimen Container, 120mL - Yellow (25/Pkg)
Empty Specimen Container, 473.2mL/16oz (5/Pkg)
Empty Specimen Container, 946.3mL/32oz (5/Pkg)
Michel's Media - Dif Kits (20/Pkg)
Michel's Media - Direct Immuno Kit - DIF Beutner (4/Pkg)
Prostate Collection Kits, w/12 Vials
Slide Tray, Cardboard w/Wings, 20 Slide Capacity (6/Pkg)
Tissue Biopsy Kits (50/Pkg)
White Tissue Specimen Cassettes - w/Lids (50/Pkg)
FedEx Supplies Pak - Pathology Specimen Collection & Transport Kit (Each)
Cytological Specimens
Bladder Cancer FISH/Urinary CYTO Kit
Empty Specimen Container - Sterile, 120mL/4oz (25/Pkg)
Fine Needle Aspiration (FNA) CYTO Kit (50/Pkg)
Fine Needle Aspiration (FNA) Slide Kit (50/Pkg)
Fixative Spray, 4oz Bottle (Each)
RPMI Media, 15mL/10mL Prefill (5/Pkg)
RPMI Media, 50mL/35mL Prefill (5/Pkg)
ThinPrep Cytolyt Container, 120mL/30mL Prefill (5/Pkg)
Urine Cyto/ Bladder Cancer FISH VesicaDx
Obstetrics / Gynecology Supplies
BD AFFIRM BV Swab, (10/Pkg)
CT/GC Trich APTIMA Unisex Swab Collection Kit (5/Pkg)
CT/GC Trich APTIMA Urine Collection Kit (5/Pkg)
CT/GC Trich APTIMA Vaginal Swab Collection Kit (5/Pkg)
ThinPrep Test Kit - Vials w/Brush & Spatula Lavender Medscand (25/Pkg)
ThinPrep Test Kit - Vials w/Broom Purple Wallach (25/Pkg)
ThinPrep Test Kit - Brush & Spatula Only Lavender Medscand (25/Pkg)
ThinPrep - Broom Only Purple Wallach (25/Pkg)
Rover Cervex - Brush, Blue (25/Pkg) - for ThinPrep or SurePath
Rover EndoCervex - Brush, Blue (50/Pkg) - for ThinPrep or SurePath
SurePath Test Kit - with Break-Away Brush & Spatula (25/Pkg)