Supply Order Form

Garcia Clinical Lab provides supplies needed for specimen collection and preparation to our clients under contract. To place an order, please click here to download a form that can be faxed to us at 517-998-7120.

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Facility Name:*

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Blood Collection Tubes

Red/Grey Top SST 8.5ml

Ind Qty

Pkg Qty (100/pkg)

Lavender Top Tube 4ml (K²EDTA)

Ind Qty

Pkg Qty (100/pkg)

Light Blue Top Sodium Citrate 4.5ml

Ind Qty

Pkg Qty (100/pkg)

Red Top Plain 6ml

Ind Qty

Pkg Qty (50/pkg)

PPT (Plasma Preparation Tube) 8ml

Ind Qty

Pkg Qty (50/pkg)

Gray Top 4ml

Ind Qty

Royal Blue Top EDTA 7ml

Ind Qty

Royal Blue Top - No Additive 6ml

Ind Qty

Yellow Top ACD "A" Solution 8.5ml

Ind Qty

Green Top Sodium Heparin 10ml

Ind Qty

Blood Culture Set

Pkg Qty (2/pkg)

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Urine Collection Containers

24 Hr. Rigid - Plastic

Ind Qty

60ml Sterile Cup

Ind Qty

5ml Urine Transport - Gray Top

Ind Qty

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Other Specimen Collection

Specimen Bag - Small

Ind Qty

Pkg Qty (100/pkg)

Specimen Bag - Large

Ind Qty

Pkg Qty (100/pkg)

Specimen Transport Boxes w/ Foam

Ind Qty

Pkg Qty (24/pkg)

Transport Tubes - Clear Plastic

Ind Qty

UPS Shipping Bags - Laboratory Pak

Ind Qty

Pkg Qty (50/pkg)

UPS Mailing Labels

Ind Qty

Culturette - Anaerobic

Ind Qty

Culturette - Aerobic
(Yellow Top/Wound)

Ind Qty

Multi-Collection Kit (Gonorrhea/Chlamydia)

Ind Qty

Universal Collection Kit (Covid)

Ind Qty

Thin Prep - Pap Test

Ind Qty

Traditional Pap Kits - Slides

Ind Qty

Glucola

Select Concentration

50

75

100

Ind Qty

Stool for Occult Blood Card

Ind Qty

Culturette - Flu

Ind Qty

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Needles

21G X 1 1/4

Pkg Qty (48/pkg)

22G X 1 1/4

Pkg Qty (48/pkg)

23G X 3/4 Butterfly

Pkg Qty (50/pkg)

21G Butterfly

Pkg Qty (50/pkg)

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Transport Media

M4 Multi-Microbe Transport Kit

Ind Qty

Ova & Parasite Transport Vials

Ind Qty

C&S Transport - Stool

Ind Qty

Trichosel Broth

Ind Qty

Formalin Cont.

Select Size

Small

Large

Ind Qty

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Forms and Requisitions

Client Supply Order Form

Ind Qty

Requisition Forms - Standard

Ind Qty

Cyto/Pathology Forms

Ind Qty

Blank Requisition Paper
w/ Sticker Labels

Ind Qty

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Other Supplies

Single Use Needle Holder - Portex

Ind Qty

Amber Tube 4ml - Plastic

Ind Qty

Tourniquets - Standard

Ind Qty

Tourniquets - Latex Free

Ind Qty

Alcohol Prep Pads

Ind Qty

Autoclave Spore Kit

Ind Qty

Cotton Balls

Ind Qty

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Additional Comments

Comments

This field is for validation purposes and should be left unchanged.

Supply Order Form

Blood Collection Tubes

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Urine Collection Containers

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Other Specimen Collection

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Needles

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Transport Media

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Forms and Requisitions

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Other Supplies

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Call Us: 800.888.8598 - Visit Us: 2900 Springport Rd, Jackson, MI 49201