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GML Online Supply Order Form

Enter amounts after the items you wish to order and submit electronically.

Client Name: Internal Zip (GHS Sites):
Address: Suite, Apt #:
City: State:
Zip code:
Contact Name: Phone Number:
Item Amount
ALIQUOT TUBES AND CAPS PKG OF 100
BACTEC AEROBIC BLOOD CULTURE BOTTLES (for Pediatric patients) EACH
BACTEC BLOOD CULTURE BOTTLES SET
BAG, BLUE FROZEN BIOHAZARD BAG, 12 X 15 PKG OF 100
BAG, BLUE FROZEN BIOHAZARD BAG, 6 X 9 PKG OF 100
BAG, GREEN REFRIGERATE BIOHAZARD BAG, 12 X 15 PKG OF 100
BAG, GREEN REFRIGERATE BIOHAZARD BAG, 6 X 9 PKG OF 100
BAG, YELLOW ROOM TEMPERATURE BIOHAZARD BAG, 12 X 15 PKG OF 100
BAG, YELLOW ROOM TEMPERATURE BIOHAZARD BAG, 6 X 9 PKG OF 100
BLOOD CULTURE, MALE LEUR ADAPTER EACH
CARDBOARD TUBE RACK, LARGE (16 SPECIMENS) EACH
CARDBOARD TUBE RACK, LARGE (16 SPECIMENS) PKG OF 100
CARDBOARD TUBE RACK, SMALL (8 SPECIMENS) EACH
CARDBOARD TUBE RACK, SMALL (8 SPECIMENS) PKG OF 50
CONTAINER, STERILE SPECIMEN (90 ML) EACH
CONTAINER, STERILE SPECIMEN (90 ML) PKG OF 100
CULTURE SWAB, BLUE (GROUP A STREP COMBO) - DUAL SWAB FOR RAPID AND PCR COMFIRMATION EACH
CULTURE SWAB, ESWAB (BACTERIAL & FUNGAL) - SINGLE SWAB FOR GROUP A STREP PCR ONLY EACH
CULTURE SWAB, RED (MRSA / VRE / GRPB STREP) EACH
CYTOLOGY PRESERVATIVE TUBES EACH
EMR LINK LOG SHEETS EACH
FORMALIN, 20 ML BOX OF 24
FORMALIN, 20 ML EACH
FORMALIN, 40 ML BOX OF 24
FORMALIN, 40 ML EACH
GEN PROBE MULT-TEST SWAB (ORANGE BOX) EACH
GEN PROBE UNISEX SWAB (URETHRAL/ENDOCERVICAL) EACH
GEN PROBE URINE COLLECTION KIT EACH
LABELS:SPECIMEN IDENTIFICATION BOX
NEEDLE PROS/BARRELS EACH
NEEDLE, BD SAFETY-LOK BUTTERFLY COLLECTION W/HOLDER 23 GAUGE EACH
NEEDLE, ECLIPSE BLOOD COLLECTION NEEDLE 21 x 1-1/4 BX OF 48
NEEDLE, ECLIPSE BLOOD COLLECTION NEEDLE 21 x 1-1/4 EACH
NEEDLE, ECLIPSE BLOOD COLLECTION NEEDLE 22 x 1-1/4 BX OF 48
NEEDLE, ECLIPSE BLOOD COLLECTION NEEDLE 22 x 1-1/4 EACH
REQUISITION: CLINICAL CUSTOMIZED EACH
REQUISITION: CYTOPATHOLOGY EACH
REQUISITION: SURGICAL PATHOLOGY EACH
STOOL TRANSPORT VIALS (CULTURE/GIARDIA EIA) EACH
STOOL, FOBT ENVELOPES EACH
STOOL, FOBT KIT EACH
STOOL, TRANSPORT VIALS (O&P) EACH
SURE PATH® PAP COLLECTION VIALS & BROOMS PKG OF 25
SURE PATH® PAP COLLECTION VIALS & BRUSHES/SPATULAS PKG OF 25
THIN PREP® PAP COLLECTION VIALS & BRUSHES/SPATULAS PKG OF 25
TOOTHBRUSH FOR FUNGAL CULTURE EACH
TUBES, BLOOD COLLECTION, BLUE, LIGHT (COAGULATION) 2.7 ML EACH
TUBES, BLOOD COLLECTION, BLUE, LIGHT (COAGULATION) 2.7 ML PKG OF 50
TUBES, BLOOD COLLECTION, GOLD (SERUM SEPARATOR) 3.5 ML EACH
TUBES, BLOOD COLLECTION, GOLD (SERUM SEPARATOR) 3.5 ML PKG OF 50
TUBES, BLOOD COLLECTION, GRAY, 3 ML EACH
TUBES, BLOOD COLLECTION, GREEN LITHIUM HEPARIN 3 ML EACH
TUBES, BLOOD COLLECTION, GREEN SODIUM HEPARIN 10 ML EACH
TUBES, BLOOD COLLECTION, GREEN SODIUM HEPARIN 3 ML EACH
TUBES, BLOOD COLLECTION, LAVENDER (EDTA) 3 ML EACH
TUBES, BLOOD COLLECTION, LAVENDER (EDTA) 3 ML PKG OF 50
TUBES, BLOOD COLLECTION, LT GREEN LITHIUM HEPARIN PLASMA SEPARATOR TUBE 3ML EACH
TUBES, BLOOD COLLECTION, PINK (EDTA - BLOOD BANK) 6 ML EACH
TUBES, BLOOD COLLECTION, RED (PLAIN) 6 ML EACH
TUBES, MICROCOLLECTION, AMBER (BILIRUBINS) EACH
TUBES, MICROCOLLECTION, GREEN (LITHIUM HEPARIN) EACH
TUBES, MICROCOLLECTION, LAVENDER (EDTA) EACH
TUBES, MICROCOLLECTION, RED (PLAIN) EACH
TUBES, MICROCOLLECTION, YELLOW (SERUM SEPARATOR) EACH
TUBES, TB GOLD KIT EACH
UNIVERSAL TRANSPORT MEDIA (UTM) EACH
URINALYSIS TRANSPORT TUBE, 8 ML EACH
URINE ALIQUOT TUBE (24 HOUR), 50 ML EACH
URINE CULTURE COLLECTION KIT (CUP AND WIPE) EACH
URINE CULTURE TRANSPORT KIT (STRAW AND TUBE TOGETHER) EACH
URINE CULTURE TRANSPORT KIT (STRAW AND TUBE TOGETHER) PKG OF 50
URINE CULTURE TRANSPORT TUBE EACH
URINE TRANSFER STRAW PKG OF 100
URINE, ACID ADDED CONTAINER (24 HOUR) EACH
URINE, PLAIN CONTAINER (24 HOUR) EACH
OTHER: