Ph: (877) 930-3390
Fx: (864) 312-6927
Clinic Name :
Clinic No# :
Clinic Addr1 :
Clinic Addr2 :
Clinic City :
Clinic State : Select State 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
Clinic Zip :
Special Instructions :
Email to receive confirmation :
Attention To :
Shipping Type : Ground 2 Day Air Next Day Air
same as Clinic
ShipTo Addr1 :
ShipTo Addr2 :
ShipTo City :
ShipTo State : Select State 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
ShipTo Zip :
Bio Hazard Bag - pack of 100 None 1 Pack of 100 2 Packs of 100 3 Packs of 100 4 Packs of 100
Genetic Buccal Swabs - 1 each None 1 Each 2 Each 3 Each 4 Each 5 Each
Oral Collection Device - 1 each None 5 Each 10 Each 15 Each 20 Each 25 Each 50 Each
Clear Specimen Collection Cups - box of 100 None 1 Bag of 100 2 Bags of 100 3 Bags of 100 4 Bags of 100
Urine Collection Hats - box of 30 None 1 Box of 30 2 Boxes of 30
Gloves - box of 100 None 1 Box Small Gloves 1 Box Medium Gloves 1 Box Large Gloves 2 Boxes Small Gloves 2 Boxes Medium Gloves 2 Boxes Large Gloves
Disinfectant Wipes - package each None 1 Package 2 Packages
Genetic Manual Requisition Forms - 1 each None 5 Each 10 Each 15 Each
Oral Manual Requisition Forms - 1 each None 10 Each 20 Each 25 Each 50 Each
Toxicology Manual Requisition Forms - 1 each None 50 Each 100 Each 150 Each 200 Each 250 Each
UPS Shipping Boxes - pack of 20 None 1 Pack of 20 2 Packs of 20 3 Packs of 20
UPS Preprinted Shipping Labels - 1 each None 10 Each 20 Each 30 Each
UPS Laboratory Shipping Bags - pack of 50 None 1 Pack of 50 2 Packs of 50 3 Packs of 50
UPS Web-Portal Plastic Sleeves - 1 each None 5 Each 10 Each 15 Each 20 Each 25 Each 50 Each
Note: Limited to kits only
Printer Ink - 1 each None 1 Each Brother–720 1 Each HP – 85AR 2 Each Brother–720 2 Each HP–85AR
Printer Paper - 1 each None 1 Each 2 Each 3 Each 4 Each
Uline Labels - 1 each None 1 Each 2 Each 3 Each 4 Each
submit order clear form
contact us
Ask About Our Clinical Toxicology Testing Services
call now (877) 930-3390
(877) 930-3390