Lakeland Health Care

Email Forms Manager

**Note:  Ferderal regulations enable us to supply only those materials necessary to submit specimens to our facility for testing.**

* Indicates required information
Date *  (mm/dd/yyyy)
Client Name * 
Client Address * 
Cytology/Histology Supplies 
CytoLyt Solution-Fluid Transport Media 
Formalin Biopsy Vial, 8 mL 
Formalin Biopsy Vial, 15 mL 
Formalin Biopsy Vial, 30 mL 
Thin Prep Brooms (25 per bag) 
Thin Prep Brushes/Spatulas (25 each per bag) 
Thin Prep Pap Vials (25 per tray) 
Authentication * 

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    Center for Outpatient Services, St. Joseph  
    Hospice at Home Lakeland HealthCare Affiliate  
    Lakeland Community Hospital, Niles  
    Lakeland Community Hospital, Watervliet  
    Lakeland Regional Medical Center, St. Joseph  
    Lakeland Specialty Hospital, Berrien Center  
    Lakeland HealthCare Affiliate Physician Practices    
© 2014   Lakeland HealthCare   1234 Napier Avenue   St. Joseph, Michigan 49085   1-800-968-0115
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