Supplies Order Form Your Name* (required) Account/Clinic Name* (required) Phone Number* (required) Address* (required) SUPPLIES for ALL DIVISIONS Specimen/Absorbent Bag Lab Shipping Bag Return Shipping Labels Clear Liner Bag Shipping Boxes SUPPLIES for CLINICAL Clinical Requisition Forms Urine Container Red/Gold Tube Lavender EDTA Tube Blue Tubes SUPPLIES for TOXICOLOGY Toxicology Requisition Forms Urine Cups (Clear) Oral Fluid Collection Device DELIVERY Same Day (IL, IN, WI)Next Day Air2nd Day AirGround
