Dermatology 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

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

FedEx Clinical Packs w/ Affixed Shipping Label

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

40mL BottlesNone1 case/24 bottles2 cases/48 bottles3 cases/72 bottles4 cases/96 bottles

Michel's Solution (DIF solution)

EMA PaperNone1 pack/250

Special Requests and Questions

60mL BottlesNone1 case/24 bottles2 cases/48 bottles3 cases/72 bottles4 cases/96 bottles

Requisitions (2-part NCR forms)

Specimen Tracking Logs

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Shipping Provider *

• UPS
• FedEx

Submit