Supply Order Form

AAD Pathology will not sell, share, or rent your e-mail address or any other personal information collected on this form.

Please fill out our Supply Order Form and we will send the requested supplies within 3 - 5 days. For expedited orders please call 813-882-9986 ext. 1116, 1137.

Date *
Dr. / Group: *
Contact Name: *
Contact email *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Supplies:

Formalin:
20 ml-10% NB Formalin (32/Box)60 ml-10% NB Formalin120 ml-10% NB Formalin
Quantity
Michel's Fixative:
Immnunofluorecence Media (each)
Quantity:
Requisition Forms:
Biohazard Transport Bags:
50 pack100 pack
FedEx Shipping Supplies:
White Small PakCardboard BoxPlastic Large Clinical Pak
Special Instructions / Comments:

Verification

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Our Location

Located In Beautiful Tampa Bay Area

5210 Webb Road Tampa, FL 33615

Phone: (813) 882-9986 ext. 1116 & 1137

Fax: (813) 885-5015

Email: info@AADPathLab.com Web: AADPathLab.com