Order Supplies Let us provide collection supplies Let’s Keep Your Practice Supplied Fill out the form below for medical lab and collection supplies. Contact InformationFacility Name * Name *FirstLastPhone *Email *Shipping AddressStreet Address *Address Line 2City * State / Province / Region * ZIP / Postal Code *Toxicology SuppliesRequisition Forms (tox)050100150200250300350400Click Top Collection Cups050100150200250300350400Oral Fluid Collection Kits05101520Specimen Collection Pans01020Chemistry SuppliesRequisition Forms (blood)05010015020025030035040021g Needle w/ Holder05010015020022g Needle w/ Holder05010015020023g Needle w/ Holder 050100150200SST Tubes (gold)050100150200 K2EDTA Tubes (lavender)050100150200Alcohol Prep Pads050100150200Band-Aids050100150200Adhesive Bandage Wrap0501001502002X2 Gauze050100150200Alcohol Pads050100150200Cotton Balls050100150200Tourniquets050100150200Urinalysis Tubes0102030405060708090100110120130140150160170180190200Urine Cups0102030405060708090100110120130140150160170180190200Sharps Container0102030405060708090100110120130140150160170180190200Pharmacogenomics, Inherited Cancer and Carrier ScreeningRequisition Forms (PGx)050100150200250300350400Questionnaire0102030405060708090100110120130140150160170180190200Collection Kits (swab & envelope)0102030405060708090100110120130140150160170180190200Patient Clinical Information Form0246810Women's Health & STIRequisition Forms (STI)050100150200250300350400Female Urogenital Collection Kits 0102030405060708090100110120130140150160170180190200Male Urogenital Collection Kits0102030405060708090100110120130140150160170180190200Additional SuppliesSpecimen Bags050100150200250300350400UPS Prepaid Labels02040UPS Express Boxes02040FedEx Prepaid Labels02040FedEx Express Boxes02040Additional InformationWhen do you need this order by? *Special Requests / InstructionsEmailSubmit Second Option Simply download the file below, fill it out and you can email it to us at orders@lifebritelabs.com or fax it to 678.540.4520 To download the pdf file, click here. Sitemap AboutTesting ServicesWhy Choose UsTechnologyNewsContact Us Contact Us First Name Last Name Email Address Phone Number Message Number Submit © 2019 LifeBrite Laboratories. A Hospital, Laboratory, Research & Development Company Service Area We Service National and Regional Locations | United States of America Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
