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 *Respiratory Pathogen ProfileCold Packs050100150200250300350400Insulated Shipping Pouch050100150200250300350400Nasopharyngeal Collection kit050100150200250300350400Requisition Forms050100150200250300350400Toxicology SuppliesRequisition Forms (tox)050100150200250300350400Click Top Collection Cups050100150200250300350400Oral Fluid Collection Kits05101520Specimen Collection Pans01020Blood/Serum21g Needle05010015020022g Needle05010015020023g Butterfly Needle050100150200Alcohol Pads050100150200Ambient Gel Packs050100150200Bandages050100150200Conical bottom capped vial050100150200Cotton Balls050100150200Gauze050100150200 K2EDTA Tubes (lavender)050100150200Needle Holder050100150200Pipettes050100150200Requisition Forms (blood)050100150200250300350400Serum Tubes (red)050100150200Sharps Container0102030405060708090100110120130140150160170180190200SST Tubes (gold)050100150200Tourniquets050100150200Urinalysis Collection Tubes0102030405060708090100110120130140150160170180190200Urine Cups0102030405060708090100110120130140150160170180190200Inherited Cancer ScreeningEnvelopes050100150200250300350400Requisition Forms050100150200250300350400Patient Clinical Information Forms0246810Patient Questionnaire0102030405060708090100110120130140150160170180190200Swabs0102030405060708090100110120130140150160170180190200PharmacogenomicsEnvelopes050100150200250300350400Requisition Forms050100150200250300350400Patient Clinical Information Forms0246810Patient Questionnaire0102030405060708090100110120130140150160170180190200Swabs0102030405060708090100110120130140150160170180190200Women's Health/STI ScreeningFemale Urogenital Collection Kits 0102030405060708090100110120130140150160170180190200Male Urogenital Collection Kits0102030405060708090100110120130140150160170180190200Requisition Forms (STI)050100150200250300350400GeneralSpecimen Bags050100150200250300350400FedEx Medium Boxes02040FedEx Large Boxes02040FedEx Shipping Bags02040FedEx Padded Paks02040FedEx Prepaid Labels02040UPS Medium Boxes02040UPS Large Boxes02040UPS Shipping Bags02040UPS Padding Paks02040UPS Prepaid Labels02040Additional InformationWhen do you need this order by? *Special Requests / InstructionsNameSubmit Second Option Simply download the file below, fill it out and you can email it to us at [email protected] or fax it to 678.540.4520 To download the pdf file, click here. Sitemap AboutTesting ServicesWhy Choose UsTechnologyNewsContact Us FollowFollowFollow Contact Us First Name Last Name Email Address Phone Number Message Submit © 2020 LifeBrite Laboratories. A Hospital, Laboratory, Research & Development Company
