Oral and Dental Supplies

Order Supplies

To order supplies please complete and submit the form below, acknowledging specific quantities for each item needed.

Please note that CTA Pathology is not equipped to perform microbiology cultures. Please source a lab of your choice if culture and sensitivity is needed.

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Clinic Name *

Phone *

Address *

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

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20mL BottlesNone1 case/24 bottles2 cases/48 bottles3 cases/72 bottles4 cases/96 bottles

Requisitions (2-part NCR forms)

Patient Billing Tearaway SheetsNone1 pad/50 sheets2 pads/100 sheets3 pads/150 sheets4 pads/200 sheets5 pads/250 sheets

40mL Bottles (for larger excisions)None1 case/24 bottles2 cases/48 bottles3 cases/72 bottles4 cases/96 bottles

Fedex Clinical Packs w/ Affixed Shipping Label

Specimen Tracking Logs

Michel's Solution (DIF solution)

Specimen BagsNone1 pack/100 bags2 packs/200 bags3 packs/300 bags4 packs/400 bags

Patient Medicare Opt-Out FormsNone1 Pad/25 sheets2 Pads/50 sheets3 Pads/75 sheets4 Pads/100 sheets

Special Requests and Questions

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Submit