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Pennsylvania Specialty Pathology
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About PSP
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Dermatopathology
Anatomic Pathology
Immunohistochemical Stains
TC/PC
Stain Menu
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Forms
Stain IHC Requisition
Dermatopathology Request
Gastrointestinal Pathology Request
Oral / Maxillofacial Request
Podiatry Request
Surgical Pathology Non-Gyn-Cytology Request
Surgical Pathology Gyn-Cytology Request
Client Services Manual
Specimen Receipt Log
Slide/Block Send-Out Request Form
Supply Request Form
PA DOH Certificate
CLIA Certificate
About
About PSP
Values
Meet Our Staff
Our Doctors
Services
Dermatopathology
Anatomic Pathology
Immunohistochemical Stains
TC/PC
Stain Menu
Testimonials
Education
Forms
Stain IHC Requisition
Dermatopathology Request
Gastrointestinal Pathology Request
Oral / Maxillofacial Request
Podiatry Request
Surgical Pathology Non-Gyn-Cytology Request
Surgical Pathology Gyn-Cytology Request
Client Services Manual
Specimen Receipt Log
Slide/Block Send-Out Request Form
Supply Request Form
PA DOH Certificate
CLIA Certificate
Order Test
Supply Request Form
Phone
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Client Name
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Date
MM slash DD slash YYYY
Requisition/Forms
Specimen Receipt Log
Quantity:
Medicare ABN
Quantity:
Surg Path/ GYN Cyto Requisition
Quantity:
Surg Path/Non-GYN Cyto Req.
Quantity:
Gastrointestinal Pathology Req.
Quantity:
Oral/Maxillofacial Req.
Quantity:
Dermatopathology Req.
Quantity:
Podiatry Req.
Quantity:
Specimen Labels — 30/sheet
Quantity:
Specimen Supplies
Transport Bags 6x9 — Each
Quantity:
Transport Bags 6x9 — Pack/100
Quantity:
Urine Containers
Urinalysis Only
Quantity:
Urinalysis + Culture
Quantity:
Pathology Supplies
165 oz / 1.2 gal (breast reduction / placenta) Container
Quantity:
Prefilled Formalin
10 mL Container — Each
Quantity:
10 mL Container — Box/24
Quantity:
20 mL Container — Each
Quantity:
20 mL Container — Box/24
Quantity:
40 mL Container — Each
Quantity:
40 mL Container — Box/24
Quantity:
60 mL Container — Each
Quantity:
60 mL Container — Box/24
Quantity:
90 mL Container — Each
Quantity:
90 mL Container — Box/24
Quantity:
120 mL Container — Each
Quantity:
120 mL Container — Box/24
Quantity:
240 mL Container — Each
Quantity:
480 mL Container — Each
Quantity:
Cytology Supplies
Thin Prep Vials — Tray/25
Quantity:
Thin Prep Vials — Box/250
Quantity:
Spatula and Brush Sets — Bag/25
Quantity:
Purple Broom — Bag/25
Quantity:
Transport Media
e-Swab White Anaer/Aer — Each
Quantity:
Naso Swab — Each
Quantity:
Naso Swab — Each
Quantity:
One Swab — Each
Quantity:
Michel’s / Zeus medium (for DIF)
Quantity:
RPMI medium (for flow cytometry)
Quantity:
Other Supplies
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