Request Supplies

Order what you need, when you need it. Supplies are an important part of our process, enabling us to provide consistent, dependable service.

Requestor Information

First Name: *

Last Name: *

Suffix:

Company / Practice: *

Position / Profession : *

Phone: *

Phone Location: *

Email: *

Email Location: *

Shipping Address: *

Shipping Address 2:

City: *

State: *

Zip: *

Attention: *

Your Caris Laboratory:

Laboratory Supplies

Prefilled NBF, 20 ml (96/cs):

Qty.

Prefilled NBF, 40 ml (96/cs):

Qty.

Prefilled NBF, 60 ml (96/cs):

Qty.

Prefilled NBF, 120 ml (96/cs):

Qty.

Prefilled NBF, 240 ml (96/cs):

Qty.

Biopsy Pads - Blue (1000/pk):

Qty.

Biopsy Pads - White (1000/pk):

Qty.

Slide holder containers (10/pk):

Qty.

Slides (50/box):

Qty.

Cytology Vials (10/pk):

Qty.

Prefilled Bouin's Fixative (1 bottle):

Qty.

Carbofix Cytology Fixative (4 fl oz):

Qty.

Urine Cytology / UroVysion FSH:

Qty.

Prostate Biopsy Kit (8 vial):

Qty.

Prostate Biopsy Kit (16 vial):

Qty.

Caris General Requisitions (100/pk):

Qty.

Caris Derm Requisitions (100/pk):

Qty.

Caris GI Requisitions (100/pk):

Qty.

Caris Urologic Pathology Requisitions (100/pk):

Qty.

Caris Podiatry Requisitions (100/pk):

Qty.

Biohazard Transport Bags (100/pk):

Qty.

Brochures - Patient Guide to Billing - English (50/pk):

Qty.

Brochures - Patient Guide to Billing - Spanish (50/pk):

Qty.

Printer Supplies

Ink Cartridge - HP Officejet Pro K550 Color Printer (C8157A) COLOR:

Qty.

Ink Cartridge - HP Officejet Pro K550 Color Printer (C8157A) BLACK:

Qty.

Ink Cartridge - HP Business Inkjet 1200 Printer series COLOR:

Qty.

Ink Cartridge - HP Business Inkjet 1200 Printer series BLACK:

Qty.

Ink Cartridge - HP Officejet Pro 8000 - HP 940XL (C4906AN) BLACK :

Qty.

Ink Cartridge - HP Officejet Pro 8000 - HP 940XL (C4907AN) CYAN :

Qty.

Ink Cartridge - HP Officejet Pro 8000 - HP 940XL (C4908AN) MAGENTA:

Qty.

Ink Cartridge - HP Officejet Pro 8000 - HP 940XL (C4909AN) YELLOW:

Qty.

Ink Cartridge - HP Officejet Pro 8000 - HP 940 (C4900A) BLACK/YELLOW:

Qty.

Ink Cartridge - HP Officejet Pro 8000 - HP 940 (C4901A) MAGENTA/CYAN:

Qty.

Ink Cartridge - HP Officejet Pro K5400 - HP 88 XL (C9396AN) BLACK:

Qty.

Ink Cartridge - HP Officejet Pro K5400 - HP 88 XL (C9391AN) CYAN:

Qty.

Ink Cartridge - HP Officejet Pro K5400 - HP 88 XL (C9392AN) MAGENTA:

Qty.

Ink Cartridge - HP Officejet Pro K5400 - HP 88 XL (C9393AN) YELLOW:

Qty.

Ink Cartridge - HP Officejet Pro K5400 - HP 88 (C9381A) BLACK/YELLOW:

Qty.

Ink Cartridge - HP Officejet Pro K5400 - HP 88 (C9381A) MAGENTA/CYAN:

Qty.

Dymo Labels - 350 labels/roll (2 rolls/box) :

Qty.

UPS Shipping Supplies

UPS Next Day Air Boxes - Small (20/case):

Qty.

UPS Next Day Air Boxes - Medium (20/case):

Qty.

UPS Next Day Air Boxes - Large (20/case):

Qty.

Lab pack bags (50/pack):

Qty.

Return Service Labels & UN3373 Shipping Labels (25/pack):

Qty.

Comments / Notes:

Request Supplies

Patient Bill Pay

For Physicians

PathConnect

Physicians' Portal

Oncology Portal

News & Events