OncoDiagnostic Laboratory, Inc.

MISSION STATEMENT

CUSTOMER SERVICE

VALUE-ADDED SERVICES

Account Number (existing customers):

Your Name:

A specimen kit provided by OncoDiagnostic Laboratory, Inc. consists of a preprinted test requisition with barcode labels for specimen identification, specimen container (1-16 jars can be specified per tissue kit; 1-8 tubes can be specified per FNA kit), kit box, plastic zip-lock bag, Federal Express Diagnostic Paks, preprinted, prepaid Federal express airbill.

Fine Needle Aspiration (# of tubes per kit box):	/ # of kits to be shipped:
SurePath ( # of kits to be shipped):
ThinPrep (# of kits to be shipped):
Tissue (# of jars per kit box):	/ # of kits to be shipped:
Urine Cytology (# of kits to be shipped):

If you want to order individual supplies contained in our specimen kit, please do so below:

GI Test Requisition Amount:
Prostate Test Requisition Amount:
Gynecologic Test Requisition Amount:
General Surgical Test Requisition Amount:
Urine Cytology Test Requisition Amount:
Specimen Jars Amount:
Specimen Tubes Amount:
Brush & Spatula Collection Devices Amount:
Broom Collection Devices Amount:
Pipelle Amount:
Container Labels Amount:
Kit Boxes Amount:
Biohazardous Bags Amount:
Federal Express Diagnostic Paks Amount:
Federal Express Airbills Amount:
Bard Needles 441820 (10/box) Amount:
Bard Needles 441860 (10/box) Amount:
Bard Needles MN1820 (10/box) Amount:
FNA Chiba Needle (10/box) Amount:

Forms
Need a test requisition right away? Just select the type you need below and print it out (prints out on 8 ½ by 14 paper).

Prostate Test Requisition

GI Test Requisition

Gynecological Test Requisition

General Surgery Test Requisition

Urine Test Requisition

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